1. Chapter 18 Nursing Management: Intraoperative Care Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

2. Physical Environment Department LayoutDepartment Layout Holding AreaHolding Area Operating RoomOperating Room

3. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Surgical Team Registered NurseRegistered Nurse Licensed Practical Nurse and Surgical TechnicianLicensed Practical Nurse and Surgical Technician Surgeon and AssistantSurgeon and Assistant Registered Nurse First AssistantRegistered Nurse First Assistant Anesthesia Care ProviderAnesthesia Care Provider

4. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Patient Before Surgery Psychosocial AssessmentPsychosocial Assessment Physical AssessmentPhysical Assessment Chart ReviewChart Review Admitting the PatientAdmitting the Patient

5. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Patient During Surgery Room PreparationRoom Preparation Transferring the PatientTransferring the Patient Scrubbing, Gowning, and GlovingScrubbing, Gowning, and Gloving Basic Aseptic TechniqueBasic Aseptic Technique Assisting the Anesthesia Care ProviderAssisting the Anesthesia Care Provider

6. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Patient During Surgery (cont.) Positioning the PatientPositioning the Patient Preparing the Surgical SitePreparing the Surgical Site Safety ConsiderationsSafety Considerations Patient After SurgeryPatient After Surgery

7. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Classification of Anesthesia General AnesthesiaGeneral Anesthesia –Intravenous Induction Agents –Inhalation Agents

8. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Classification of Anesthesia General Anesthesia (cont.)General Anesthesia (cont.) –Adjuncts to General Anesthesia OpioidsOpioids BenzodiazepinesBenzodiazepines Neuromuscular blocking agentsNeuromuscular blocking agents AntiemeticsAntiemetics –Dissociative Anesthesia

9. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Classification of Anesthesia (cont.) Local AnesthesiaLocal Anesthesia –Methods of Administration Spinal and epidural anesthesiaSpinal and epidural anesthesia Additional Anesthesia ConsiderationsAdditional Anesthesia Considerations

10. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Gerontologic Considerations: Patient During Surgery

11. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Catastrophic Events in the Operating Room Anaphylactic ReactionsAnaphylactic Reactions Malignant HyperthermiaMalignant Hyperthermia

12. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. New and Future Considerations