1. CULTURAL SAFETY AND COMFORT IN THE PERIOPERATIVE AREA
KRIS AND KYLIE

2. Cultural Safety: What is the question??
The mosaic of individual’s and groups with varying backgrounds, experiences, styles, perceptions, values and beliefs.
Culture is not seen as ethnic specific, but must include groups from within cultures. Cultures of class, socialization, sexual orientation, age, generation, gender, spiritual belief, disability, ethnic origin, etc.

3. Perioperative cultural safety
The goal of Every Surgical Intervention is to Provide Optimal Patient Outcomes While Maintaining a Safe Environment

4. PHASE I-PREOPERATIVE AREA
Assessments/Site Marking Consent Form Cultural expectations Interpreter LEARN

5. LEARN MODEL
L-Listen to patient’s perspective of illness E-Explain your perspective of the illness A-Acknowledge and discuss the similarities/differences between the perspectives. R-Recommend a treatment plan N-Negotiate a mutually acceptable treatment plan

6. ASSESSMENT/SITE MARKING
History and physical
Labs
Surgeon mark site
Skin/wound assessment

7. CONSENT FORM Surgeon informs of the risks and benefits
Nurse act as advocates to all patients including cultural awareness/language
Different ethnic background have different meaning example: Mexican, Laotian, and ??

8. CULTURAL EXPECTATIONS
Religion/ rosary beads
Language/Hispanics
Age/disabilities/deaf

9. INTERPRETOR Hospital Policy x3 Most common language
Criteria/perspective of illness/testing process

10. YOUR INTERPRETATION

11. INTERPRETOR Hospital Policy x3
Criteria/perspective of illness/testing process
Most common language

12. PHASE II: INTRAOPERATIVE
Patient identifiers x2 methods Positioning depending on the procedure Sterility/prepping Briefing/Time-out Debriefing

13. PHASE III: PACU Assessment Pain management
Discharge /transfer to floor