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surgery
the art of treating diseases, injuries, and deformities by operation and instrumentation
diagnosis
example is a biopsy
cure
fix the problem
palliation
managing symptoms to improve comfort, will NOT cure
prevention
example is preventing cancer
cosmetic improvement
rhinoplasties, face lifts, breast augmentation, breast reduction, NOT covered by insurance
exploration
trying to figure out what the problem is
elective
any cosmetic improvement surgeries is considered what type of surgical setting?
emergent
if we don't do surgery ASAP, patient is going to die
urgent
need to have the surgery done, but not right now as the patient isn't going to die
inpatient surgery
plan to stay overnight, typically put patients more at risk for complications that we see post-op, more invasive
ambulatory surgery
planning to go home the same day
chronic illnesses
____________________ put patients more at risk post-operative
surgeon
who's responsibility is it to obtain informed consent?
incentive spirometer and cough and deep breathing
what two things should you always teach your patient post-op to prevent atelectasis, which can lead to pneumonia?
name, DOB, social security number, photo printed on ID band, address, telephone number
what are the six acceptable patient identifiers?
2
healthy people can have clear liquids up to how many hours before the procedure?
pneumonia and blood clots
we are going to get patients out of bed right away to prevent post-op ________________ and ___________________
preoperative checklist
what is the top nursing priority before a patient goes to surgery?
universal protocol
surgical time out/"pause for cause" , before starting ask patient to confirm name, DOB, operative procedure and site, and consent. Compare hospital ID number with patient's own ID bamd and chart
surgeon, sometimes patient
who marks the surgical site with a permanent marker