Table of Contents
REQUIREMENTS #
- Operation bed with side rails
- Post anaethestic tray e.g. vomit bowl, wound dressing set, padded spatula or tongue holding forceps, receiver for soiled swab, adhesive tape, sterile gauze etc
- Oxygen apparatus
- Suction machine
- Vital signs tray
- Medication tray
- Infusion stand
- Mouth care tray
- Observation chart
STEPS #
- Assess patient level of consciousness by the use of stimulus e.g. pointed object or by calling patient by name
- Remove hot water bottles and receive patient gently into bed
- Place patient flat on bed with the head turned to one side or in the appropriate position according to the operation performed
- Reassure patient if conscious
- Provide side rails for safety if necessary
- Read through the patient’s case notes for post-operative instructions
- Observe operational site for bleeding and report for possible reinforcement
- Monitor vital signs for 15minutes for first one hour, 30 minutes for the next hour, 1 hour for the next 4 hours and 4 hourly intervals as condition stabilizes
- Ensure cannula is in situ, check the flow rate of the intravenous fluid and regulate as ordered
- Check and ensure that all drainage tubes e.g. naso-gastric tube and catheter are in situ and are draining well
- Record intake and output accurately
- Assess for pain, administer prescribed analgesics and record
- Check and administer all prescribed medication per the appropriate route
- Maintain personal and oral hygiene
- Observe any abnormality in the patient’s condition
- Put patient in a desirable position or as ordered by surgeon when he/she is fully conscious
- Follow nutritional orders as prescribed by the surgeon
- Educate patient and relatives on post-operative restrictions if any
- Document findings and nursing interventions in appropriate notes (manual or electronic)
Last updated : 2021-11-15 18:58:39
