UESTION 4
The nurse is preparing a female patient for a hysterectomy when the patient shares with the nurse that, "I haven't had my wedding ring off in 35 years." Which of the following responses by the nurse shows the best understanding of the need for patient safety regarding the patient's wedding ring?
You don't want it to get lost during surgery, do you?
Will it really bother you to have it removed for the surgery?
I'm sure your husband will take good care of it until you get back.
I can leave the ring on if you allow me to tape it securely to your ring finger.
1. Stop drinking and eating for more than 6-12 hours before surgery.
2. Short time before surgery patient should bathe or clean & shave the area to be operated on.
3. various blood tests, X-rays, ECG, other procedures necessary for surgery.
4. Patients may be asked to take an enema evening before surgery to empty bowels.
5. Patients must do not wear nail polish, eye contacts and leave valuables and jewellery at home.
6. Patient must inform medical staff of dentures [=שן תותבת] or prosthesis or other devices.
*Procedure, anticipated duration and expected outcome
*Specific instructions on how to bathe before surgery, what medications to still take, NPO status
*Explain preoperative events like PAT, skin prep, IV insertion, sedation, transfer to holding area
*Explain what will happen inside OR [staff and jobs]
*Explain Postoperative events- expected length of stay, cough/deep breathing expectations, turning, pain
control
Introduction, Patient, Assessment, Situation, Safety concerns, Background, Actions, Timing, Ownership, Next
*Provide a structure that improves communication during transition of care
*Includes opportunities to confirm receipt, ask questions, clarify information and verify that the information is understood