AORN is the driving force for the practice of perioperative nursing and has developed standards of nursing practice that outline the scope of responsibility of the perioperative nurse. The organization is now known as the Association of periOperative Registered Nurses however, AORN is still its acronym. In 1956 the Association of Operating Room Nurses (AORN) was formed to gain knowledge of surgical principles and explore methods to improve nursing care of surgical patients. The discipline of surgery progressed as a science in the twentieth century to give physicians the means to treat conditions that were difficult or impossible to manage with medicine alone. Proper patient education is essential to ensuring positive surgical outcomes. Patients return home with complex medical/surgical conditions that require both education and follow-up. As the length of hospital stay decreases, the educational needs of the patient undergoing a surgical procedure increase. Continuity of care is stressed in the perioperative model.Ĭare of the patient having surgery has shifted from hospital-based to home-based convalescence, with responsibility shifting to the patient and/or family. The nursing process provides a basis for perioperative nursing, with the nurse individualizing strategies throughout the perioperative period so the patient has a smooth course from admission into the health care system through convalescence. Effective teaching and discharge planning prevent or minimize complications and ensure quality outcomes. When you work in a perioperative setting, you need to practice strict surgical asepsis, thoroughly document care, and emphasize patient safety in all phases of care. Advocacy for the patient and the patient’s family.Effective and efficient assessment and intervention in all phases of surgery.Effective therapeutic communication and collaboration with the patient, the patient’s family, and the surgical team.High-quality and patient safety–focused care.Postanesthesia recovery score for ambulatory patients (PARSAP), p. 1255Īssociation of periOperative Registered Nurses (AORN), p. 1255Īmerican Society of PeriAnesthesia Nurses (ASPAN), p. Explain the differences and similarities in caring for ambulatory versus inpatient surgical patients.Īmerican Society of Anesthesiologists (ASA), p. Describe the rationale for nursing interventions designed to prevent postoperative complications.Explain the nurse’s role in the operating room.Demonstrate postoperative exercises: diaphragmatic breathing, coughing, incentive spirometer use, turning, and leg exercises.Describe the assessment data to collect for a surgical patient.Differentiate among classifications of surgery and types of anesthesia.Explain the concept of perioperative nursing care.
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