1. Care program for general surgical nursing
Preoperative Day of surgery and 1 postop day 2 and 3 postop day Discharge
• •
Preparation and • Information about convalescence
Reception of patient in operation theatre Usual surgical observation
observation • Identification of the patient
• Prevent pressure symptom and hypothermia
Guidance on the
• Balance the amounts of fluid
risk of smoking
•
and alcohol Anticoagulant therapy depends on the
consumption > 4 condition of the patient and the surgical
drinks daily procedure
• •
Skin and wound • The bandage can be
Shaving, if necessary, only by cutter Avoid the sun at the wound for ½
care removed if the wound is dry
• year
Preoperative bath (evening or morning –
• The bandage must be
•
ordinary soap) Use high sun factor as long as the
• changed if it is moist, loose
Inspection of
• cicatrice is red
surgical area and navel has to be or contaminated
the surgical
•
disinfected at the operation theatre with Avoid perfumed soaps
• Shower is allowed if the
area for wounds
•
wound is dry
suitable disinfectant, must dry up in Use cream to soften the scar
and scars
•
between Avoid smoking and other nicotine’s
before the
• The skin has to be cleaned for iodine with a substances such as plasters,
operation
spirit swab after suturing chewing gum – during the 4 first
• The bandage can be removed 24 hours weeks after the surgery
postop if the wound is dry.
• The bandage must be changed if it is moist,
loose or contaminated
• Shower is allowed 24 hours postop if the
wound is dry.
•
Sleep and rest • Ensure that the patient’s • Talk about the importance of rest
Make sure that the patient’s habits/ wishes
wishes and habits are met in between activity
are met
• •
Ask about the If necessary offer sleeping
• If necessary offer sleeping pill
• Increase mobilisation after
patients habits pill
• Talk to the patient about worries that keeps discharge
• Avoid unnecessary noise
and wishes the patient from sleeping
• Ear plugs can be issued
• Avoid unnecessary noise such as loud talk • Talk to the patient if the
• patient is worried
Avoid unnecessary wakening of the patient,
particularly early in the morning
• If necessary, hand out ear plugs
General surgical nursing, care program day by day, 01.01.07 Unit for Perioperative Nursing