CARE OF PATIENT UNDER SURGICAL PROCEDURE

 

                     
                              CARE OF PATIENT UNDER SURGICAL PROCEDURE 





Purpose: To promote patient safety by providing guidelines for verification of correct site, correct procedure, and correct patient for invasive/surgical procedure(s).

 

Scope: This policy applies to all invasive/surgical procedure including bedside invasive procedures performed. This policy does not apply to vein puncture, peripheral IV placement, insertion of nasogastric tube or insertion of a catheter.

 

Policy: Surgical /invasive procedures shall be performed by surgeons/physician who are privileged after necessary credentialing, by the hospital for that procedure.

 

All patients who have to undergo surgical procedure (planned or emergency) shall have a pre-operative assessment done and a provisional diagnosis written, prior to surgery. The pre-operative assessment and provisional diagnosis shall be done by the operating surgeon. Pre-operative orders shall be explained properly to unit staff & shall be documented. Informed consent shall be obtained prior to surgery as per

document ‘informed consent’.

 

Medical Officer or Consultants shall inform the theatre Staff about the plan of surgery.

 

Floor staff shall see the availability of ICU bed for the patient in post surgical period (if necessary)

 

Prevention of adverse events in surgical patient shall be followed. The operating surgeon shall document (or sign) the operative notes which includes information on procedure performed, post operative diagnosis and status of the patient before shifting.

 

Post operative plan of care shall be documented by operating surgeon/physician in medical records of the patients. This post operative plan shall include advice on IV fluids, medications, care of wounds, nursing care, observing for any complication and other aspects as required.

 

Sr. No

Procedure Steps

Responsibility

1.       

Pre operative orders are confirmed before shifting the patient from ward to operation theatre

Consultant

 

2.       

Nil by mouth status is to be confirmed before shifting the patient from the wards

Anesthetists

 

3.       

Patient should be sent to OT with case paper and reports and required escort on stretcher/wheelchair one hour before scheduled time of operation after confirming from the theatre in-charge (Refer- Checklist Record )

Nursing In charge and

Medical Officer

 

4.       

Attending surgeon and anesthetist will clinically examine the patient and report just before starting the operation

Anesthetists and Surgeon

 

5.       

All aseptic precautions shall be maintained throughout the procedure time by all attending staff

OT Incharge and ICN

 

6.       

Patient should be assessed by the surgeon and anesthetist shall decide necessity of keeping the patient at post operative recovery room

Anesthetists & ICU In

Charge

 

7.       

Patient will be transferred from recovery room as per the guideline of “Transfer from recovery room()” crite

ICU In Charge

 

8.       

Intensive monitoring of post operative patients at wards will be done initially every 30 minutes for first two hours and every one hour for next four hours or as per the intimation by the consultant

Ward Nurse

 

 


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