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Perioperative Nursing - E-Book

Perioperative Nursing - E-Book

Lois Hamlin | Brigid Mary Gillespie | Marilyn Richardson-Tench | Menna Davies

(2011)

Additional Information

Book Details

Abstract

This new text discusses the roles and responsibilities of those working within the perioperative environment in Australia and New Zealand. It highlights the changing face of perioperative nursing and gives an overview of key concepts including anaesthetic, intraoperative and postanaesthesia recovery care; day surgery and endoscopy. Professional development and medico-legal aspects are also discussed.

This is an introductory text which will appeal to a broad market from trainee enrolled nurses; to undergraduate nursing students doing a perioperative clinical placement; to postgraduate students of perioperative nursing. Registered nurses working within or preparing to work within this area, as well as other operating room staff such as anaesthetic technicians will also find this text invaluable.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Perioperative Nursing: An Introductory Text iii
Copyright Page iv
Table of Contents v
FOREWORD xii
PREFACE xiii
EDITORS xv
CONTRIBUTORS xvi
REVIEWERS xviii
ACKNOWLEDGMENTS xix
CHAPTER 1. Perioperative nursing 1
INTRODUCTION 2
HISTORY OF THE PERIOPERATIVE SPECIALTY 2
PERIOPERATIVE NURSING AS A CONCEPT 2
PHILOSOPHY OF PERIOPERATIVE NURSING 3
CARING ROLE VERSUS TECHNICAL ROLE 3
CULTURAL SAFETY 8
CONTEXT AND CULTURE OF THE PERIOPERATIVE ENVIRONMENT 10
CONCLUSION 16
CRITICAL THINKING EXERCISES 16
RESOURCES 17
REFERENCES 17
FURTHER READING 19
CHAPTER 2. Preadmission and preoperative patient care 20
INTRODUCTION 21
PREADMISSION 21
PATIENT EDUCATION AND INFORMATION 28
PREOPERATIVE SURGICAL SITE PREPARATION 30
PREOPERATIVE CARE IN THE OPERATING SUITE 32
CONCLUSION 40
CRITICAL THINKING EXERCISES 40
RESOURCES 41
REFERENCES 41
FURTHER READING 44
CHAPTER 3. The perioperative environment 45
INTRODUCTION 46
OPERATING SUITE DESIGN AND LAYOUT 46
TRAFFIC PATTERNS 48
OPERATING SUITE LAYOUT 49
DESIGN FEATURES OF THE OPERATING SUITE 53
OTHER FEATURES OF THE OPERATING SUITE 53
ELECTRICAL SAFETY 55
ELECTROSURGICAL EQUIPMENT 56
LASER 58
TECHNOLOGY AND THE OPERATING SUITE 59
PREPARATION OF THE OPERATING ROOM 60
WASTE MANAGEMENT 61
OCCUPATIONAL HEALTH AND SAFETY 61
CONCLUSION 66
CRITICAL THINKING EXERCISES 67
RESOURCES 67
REFERENCES 67
FURTHER READING 69
CHAPTER 4. Patient safety 70
INTRODUCTION 71
PATIENT POSITIONING 71
PREVENTION AND MANAGEMENT OF INADVERTENT HYPOTHERMIA 84
TOURNIQUETS 85
ENSURING CORRECT PATIENT/SITE OF SURGERY 87
THE SURGICAL COUNT 88
CARE AND HANDLING OF SPECIMENS 91
PREVENTION AND MANAGEMENT OF VENOUS THROMBOEMBOLISM 92
CONCLUSION 94
CRITICAL THINKING EXERCISES 95
RESOURCES 95
REFERENCES 96
FURTHER READING 98
CHAPTER 5. Asepsis and infection control 99
INTRODUCTION 100
CLASSIFICATION AND TYPES OF MICROORGANISMS 100
PROCESS OF INFECTION 103
NORMAL BODY DEFENCES 104
INFECTION AS AN ADVERSE EVENT 105
BIOTERRORISM 106
INFECTION CONTROL 106
ASEPSIS 111
INSTRUMENT CLEANING, DECONTAMINATION AND STERILISATION 118
STERILISATION 120
CONCLUSION 126
CRITICAL THINKING EXERCISES 126
RESOURCES 126
REFERENCES 127
FURTHER READING 128
CHAPTER 6. Anaesthesia 129
INTRODUCTION 130
PRE-ANAESTHETIC ASSESSMENT OF THE PATIENT 130
TYPES OF ANAESTHETICS 132
PROCEDURE FOR GENERAL ANAESTHESIA 137
OTHER TYPES OF ANAESTHESIA 147
HAEMODYNAMIC MONITORING DURING ANAESTHESIA 151
FLUID AND ELECTROLYTE BALANCE 154
ANAESTHETIC EMERGENCIES 156
PAEDIATRIC CONSIDERATIONS IN ANAESTHESIA 159
CONCLUSION 159
CRITICAL THINKING EXERCISES 159
RESOURCES 159
REFERENCES 160
FURTHER READING 161
CHAPTER 7. Wound healing 162
INTRODUCTION 163
SKIN ANATOMY 163
WOUND HEALING 163
THE PHASES OF WOUND HEALING 164
TYPES OF WOUND CLOSURE 167
WOUND CLASSIFICATION 168
SURGICAL HAEMOSTASIS 170
WOUND CLOSURE 174
WOUND CARE 178
CONCLUSION 183
CRITICAL THINKING EXERCISES 183
REFERENCES 184
FURTHER READING 185
CHAPTER 8. Surgical intervention 186
INTRODUCTION 187
SURGICAL–HISTORICAL PERSPECTIVE 187
SEQUENCE OF SURGERY 188
INSTRUMENTS 192
SUTURES AND NEEDLES 197
ENDOSCOPIC MINIMALLY INVASIVE SURGERY 206
CONCLUSION 211
CRITICAL THINKING EXERCISES 211
RESOURCES 212
REFERENCES 212
FURTHER READING 212
CHAPTER 9. Postanaesthesia recovery unit 213
INTRODUCTION 214
ROLE AND FUNCTION OF PARU 214
PARU DESIGN FEATURES 214
PATIENT TRANSFER FROM OPERATING ROOM TO PARU 217
PATIENT MANAGEMENT IN PARU 218
POSTANAESTHESIA COMPLICATIONS 221
MANAGEMENT OF PAIN IN THE POSTOPERATIVE PERIOD 226
OTHER CONSIDERATIONS AFTER SURGERY 233
CONSIDERATIONS FOR SPECIALTY SURGERY 234
DOCUMENTATION AND DISCHARGE 235
CONCLUSION 238
CRITICAL THINKING EXERCISES 238
RESOURCES 239
REFERENCES 239
FURTHER READING 241
CHAPTER 10. Day surgery and endoscopy 242
INTRODUCTION 243
HISTORY AND BACKGROUND 243
DEVELOPMENT OF DAY SURGERY 244
GROWTH OF DAY SURGERY AND ENDOSCOPY 246
PATIENT SELECTION AND ASSESSMENT 248
CARE OF ENDOSCOPIC EQUIPMENT 255
QUALITY ACTIVITIES AND RISK MANAGEMENT 257
EMERGING NURSING ROLES WITHIN ENDOSCOPY 257
CONCLUSION 258
CRITICAL THINKING EXERCISES 258
RESOURCES 259
REFERENCES 259
FURTHER READING 261
CHAPTER 11. Medicolegal aspects of perioperative nursing practice 262
INTRODUCTION 263
THE REGULATORY ENVIRONMENT 263
STATUTE AND COMMON LAW 268
PATIENT SAFETY AND RISK MANAGEMENT IN THE PERIOPERATIVE ENVIRONMENT 275
CONCLUSION 280
CRITICAL THINKING EXERCISES 280
RESOURCES 281
REFERENCES 282
FURTHER READING 285
CHAPTER 12. Professional development and future roles and practice 286
INTRODUCTION 287
ENTRY TO THE PERIOPERATIVE ENVIRONMENT 287
ORIENTATION AND CLINICAL PROGRAMS 289
ONGOING PROFESSIONAL DEVELOPMENT 291
PERIOPERATIVE NURSES AS PROFESSIONALS 292
PROFESSIONAL ASSOCIATIONS 293
STANDARDS FOR PRACTICE 297
EVIDENCE-BASED PRACTICE 299
FUTURE PERIOPERATIVE ROLES 300
CONCLUSION 304
CRITICAL THINKING EXERCISES 304
RESOURCES 305
REFERENCES 306
FURTHER READING 309
GLOSSARY 310
INDEX 320