Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani

7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani

1/24


2/24

2

Pre Operative

Pre operation Nursing is begin when surgery

action decision at take, and end when does

client at carry over operation room


3/24

3

Assessment

Health History

Physical Examination

Documentation vital sign andBasic data at will uphold for that time

comparison


4/24


5/24

5

Informed Consent

Nurse responsibility in relation to informed

consent ascertain that informed consent at give

doctor at can voluntarily from client


6/24

6

Patient Education Pre Operation

Action supportive and education that done

nurse to help operation patient in increase the

well-being self before and after surgery


7/24

7

Intra Operative

Nursing intra operative be part from stage

Nursing preoperative


8/24

8

GENERAL PRINCIPLES

Room Aseptic Principle

Patient Aseptic Principle

Instrumen Aseptic Principle


9/24

9

Function of Intra operative Nursing

Circulation nurse impersonates to regulateoperation space and protect welfare and patientneed with observe operation team memberactivity and investigate condition in operationspace.

Responsibility predominantly cover toascertain cleanliness, appropriate temperature,

humidity, illumination, watch over permanentdevice functioned and availability variousmaterials that wanted before, during andpostoperative


10/24

10

Nursing Activity as General

Nursing activity that done during stage intra

operative cover 4 matters, that is:

a. Safety Management

b. Monitoring Physiologist

c. Monitoring Psychologies

d. Rules and coordination Nursing Care


11/24


12/24

12

Operation Team

Sterile :

a. Surgeon

b. Operation assistant

c. nurse instrumentation (scub nurse)

Non Sterile :

a. Expert anastesib. Nurse anastesic. Circulating nursed. Technician (tool operator, pathologist etc. )

surgical team


13/24


14/24

14

NURSING DIAGNOSIS

Nursing diagnosis in stage intra operative

usually appear:

risk infection b. d procedure invasive (wound

incisi)?

Risk injury b, d example external environment

condition structure environment, maintained

tools, instrumentation and medicines use

anastesi.


15/24

15

NURSING

IMPLEMENTATION1. Give emotional support

2. Regulate appropriate position for patient

3. Defend condition asepsis dive surgery

4. Watch over patient temperature stability5. Monitor the happening of hyperthermia malignant

6. Help operation wound closing

7. Help drainage

8. Move patient from operation space to spacerestoration/ICU


16/24

16

POST OPERATIVE NURSING

Post operative Nursing later time periods from

preoperative Nursing


17/24


18/24

18

Patient treatment aim at spur:

1. Defend breath road2. Defend ventilation/oxygenation

3. Defend blood circulation

4. Generality observation, observation vomitsand drainage

5. Balance liquid

6. Defend freshmen and prevent risk injury


19/24

19

Treatment at space takes

a. Vital marking monitor and patient generality,

drainage, tube/interval, and complication

b. Wound management

c. Mobilization early

d. Rehabilitation

e. Discharge Planning


20/24

20

Nursing Diagnosis

Nursing Diagnosis may be appear? at the (time) of pasca operation

a. Impaired gas exchange r. t residual effect of anesthesia

b. Ineffective airway clearance r. t increased secretion

c. Pain r. t surgical incision and positioning during surgery

d. Impaired skin integrity r. t surgical wound, drains and wound infectione. Potential injury r. t effect of anesthesia, sedation and immobility

f. Fluid volume deficit r. t fluid loss during surgery

g. Altered patterns of urinary elimation (decreased) r. t anesthesia agent andimmobility

h. Activity intolerance r. t surgery and prolonged bed resti. Self-care deficit r. t surgical wound, pain and treatment regimen

j. Knowledge deficit r. t lack of information about treatment regimen


21/24

21

Collaborative problem:

a. change perfusion secondary network towards

hypovolemia and vasoconstriction

b. hypovolemia

c. pk: infection

d. etc


22/24

22

Nursing Intervention

In general nursing intervention that given to patientpost operation covers the followings:

1. ascertain optimal respiration function

2. increase expansion lung3. cause the loss of uncomforted pasca operative: pain

4. cause the loss of discontent

5. cause the loss of sick and vomit

6. cause the loss of distension abdomen

7. cause the loss of hiccup


23/24

23

cnt

8. Defend normal body temperature

9. Avoid dispute

10. Defend normal nutrition status

11. Increase function urinations normal

12. Increase to eliminate intestines

13. Position arrangement

14. Ambulasi

15. Practice in place sleep


24/24

24

Thank you

Any Question

Guys

..?

Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani

Documents

Transcript of Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani