Domain 1: Preoperative Patient Assessment and Diagnosis

Primary General Readings:

AORN Standards & Recommended Practice: Section 1, Standards of perioperative practice; Recommended practices: Medication safety

Alexander’s Care of the Patient in Surgery: Chapters 1, 2, 30

Berry and Kohn’s Operating Room Technique: Chapters 2, 3, 11, 21

Module Topics/Key Words Module-specific readings
1: Assess the health status of the patient Age specific, assessment, diagnostic studies, laboratory results, nursing diagnosis, nursing process, patient education, Perioperative Nursing Data Set (PNDS), physical assessment, preoperative fasting S&RP: Recommended practices:
Minimally invasive surgery
Information management
Alexander’s: Unit II, Surgical Interventions
B&K: Chapters 7, 8, 9, 25
2: Review of preoperative medications Complementary/alternative medicine (CAM), allergies, herbs, medication reconciliation, patient/family education, pharmacology, side effects B&K: Chapter 23 pp. 420-421
3: Initiation of the Universal Protocol The Joint Commission, preoperative verification, site marking, wrong site, wrong procedure, wrong person Alexander’s: Chapter 20 p. 688
4: Obtaining surgical consent Alternatives, autonomy, benefits, complications, informed consent, patient rights, privacy, respect, risk S&RP: Recommended practice:
Information management, pp. 448-449
5: Ensuring patient rights/advance directives, DNR Advance directive, allow natural death (AND), CPR directive, DNR, living will, medical durable power of attorney, Patient Self-Determination Act (PSDA) S&RP: Position statement:
Perioperative care of patients with do-not-resuscitate orders;
Perioperative explications 1.4
6: Pain assessment Analgesia, narcotics, NSAIDS, nonpharmacologic interventions, opioids, pain assessment, pain block, pain intensity scales, PCA, pharmacology, regional anesthesia, self-report, signs, symptoms, The Joint Commission Alexander’s: Chapters 5, 6, 10, 26, 27
B&K: Chapters 8, 30
7: Development of nursing diagnoses Medical diagnosis, nursing diagnosis, nursing process, PNDS See Primary General readings

 

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