Honey-Do List
(Pre-Op)
(Pre-Op)
These are used pre-operatively to bathe patients.
What is CHG/CHG wipes?
List one or two potential respiratory operative/post-operative complications.
What are hypoxia, stridor, pneumonia, pulmonary emboli, pleural effusion, alveolar collapse, shallow respirations?
Sudden and unexplained shortness of breath, chest pain, hemoptysis, rapid or irregular heartbeat, lightheadedness and fainting.
What are signs and symptoms of PE?
Patients most at risk for post-operative delirium.
Who are the elderly?
List 2-3 post-operative nursing tasks and interventions.
What are assessments (respiratory, cardiac, neurologic, vascular, musculoskeletal, GI/GU), vitals, dressing assessment and wound care, pain, DVT prophylaxis in-place/started, verify post-op orders (etc.)?
This form needs to be completed by nursing before surgery.
What is the pre-operative checklist?
List two potential cardiovascular operative/post-operative complications.
What are hypotension, Hypertension, Dysrhythmias, Fluid loss (3rd spacing, hemorrhage), fluid overload (HF, pulmonary edema, pitting edema)?
Complaints of cramping in the lower extremities, swelling, warm to touch, complaints of pain with dorsiflexion of the foot.
What are signs and symptoms of a DVT?
This complication is associated with indwelling urinary catheter usage greater than 2 days post-operatively.
What is a CAUTI? (or UTI/Infection)
Interventions to prevent DVT.
What are ambulation, TED hose, SCDs, leg exercises, and/or pharmacological prophylaxis?
Bowel surgery patients need these two things given and documented pre-operatively.
What is bowel prep and prophylactic oral antibiotic?
Your patient is obese and you are having difficulty hearing heart sounds. This intervention can be done to hear heart sounds better.
What is sit patient up and lean them forward?
Partial or complete separation of outer wound layers.
What is dehiscence?
The incentive spirometer is used ____ times every _____ to prevent atelectasis.
What is 10-15 times every 1-2 hours?
This should be managed around-the-clock in the first 24-48 hours postoperatively.
What is pain?
CHG Bath, Glycemic control, antibiotic prophylaxis, maintaining normothermia, and hair removal by clippers.
What are the pre-operative parts of the SSI strategic initiative?
Medication given pre-operatively for patients with coronary artery disease or any two of the following, age >65, hypertension, diabetes, smoking, hyperlipidemia.
What are beta-blockers?
Hypotension, nausea, severe back and groin pain, bruising on the abdomen or flank, and hematuria.
What are the symptoms of a retroperitoneal bleed?
Diabetic drug most often held incorrectly in post-operative patients.
What is basal insulin?
Provide at least 2 nursing responsibilities when patient's temperature drops below 36 Celsius post-operatively.
What are administering warm fluids, Bair hugger, warm blankets and temperature recheck every 15 minutes until temperature >36 Celsius?
Preferred blood glucose measurement range pre-operatively in all adult non-pregnant patients with or without diabetes.
What is 110-180 mg/dL?
Post-operative respiratory emergency with hallmark signs of harsh, noisy, squeaking sound with every breath.
What is stridor?
Pain, Pallor, Paresthesia, Pressure, Pulselessness, Paralysis.
What are the 6Ps of Compartment Syndrome?
Preferred blood glucose measurement range post-operatively in all adult non-pregnant patients with or without diabetes.
What is 110-180mg/dL?
This intervention that prevents many post-op complications for total and hemi-joint replacement patients must be completed and documented on POD 0.
What is ambulation?