Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
-
Upload
hengky-hanggara -
Category
Documents
-
view
220 -
download
0
Transcript of Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
1/24
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
3/24
3
Assessment
Health History
Physical Examination
Documentation vital sign andBasic data at will uphold for that time
comparison
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
4/24
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
5/24
5
Informed Consent
Nurse responsibility in relation to informed
consent ascertain that informed consent at give
doctor at can voluntarily from client
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
7/24
7
Intra Operative
Nursing intra operative be part from stage
Nursing preoperative
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
8/24
8
GENERAL PRINCIPLES
Room Aseptic Principle
Patient Aseptic Principle
Instrumen Aseptic Principle
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
11/24
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
13/24
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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.
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
16/24
16
POST OPERATIVE NURSING
Post operative Nursing later time periods from
preoperative Nursing
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
17/24
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
21/24
21
Collaborative problem:
a. change perfusion secondary network towards
hypovolemia and vasoconstriction
b. hypovolemia
c. pk: infection
d. etc
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
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
-
7/27/2019 Pre, Intra, Post Operative Neurologi Syster Impairment - Dr. Masliani
24/24
24
Thank you
Any Question
Guys
..?