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7 Cards in this Set

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What are the ethical implications associtated with the perioperative process?
-patient must voluntarily sign an informed consent with witness present
-for informed consent to be valid: explaination of diagnosis (treatment, risks, aternative treatments), patent must be competent, consent voluntarily
Who is responsible for getting the patient's consent?
the physician with the nurse as a witness
If the patient is a minor, unconscious or mentally incompetant who is able to give consent?
-legally appointed representative
-responsible family member
-a true medical emergency consent is implied but must be documented or next of kin can sign
During the preop period the patient must sign an informed consent what is involved with this procedure?
-implies that the client has been given the necessary knowledge to understand the procedure and has been informed of risks/consequences
-must be obtained by doctor
-nurse may witness client signature
-given voluntarily
-if client is a minor or physically/mentally incapacitated, nest of kin or significant other may sign
-nurse acts as patient advocate
As a nurse what can you do to assure your patients' safety?
-check for proper ID to ensure you have the proper client
-assess patient constantly even in holding area
-positioning
-moving from roller to OR table
-draping
-skin prep
What are some sources of anxiety for the patient in regaurds to surgery?
-mutilation
-loss of control (under someone else's care)
-fear of unknown
-fear of pain
-seperation from family or friends
-disruption of lifestyle
-death
-loss of privacy
What are the common lab tests that are ran before surdery?
-urine alaysis
-chest x-ray
-blood studies (RBC, Hb, HCT, WBC, WBC differential)
-electrolytes
-ABGs
-prothrombin
-fasting blood sugar
-creatine & BUN
-EKG
-pulmonary function studies
-type & cross-match
-pregnancy