Preoperative and postoperative procedural work

Preoperative Period:
Before performing the surgery, the nursing team must follow these steps:

1. Prepare the Patient's File: Ensure the file contains:
• Treatment sheet
• The physician's opinion and all medical consultations
• Medical history sheet
• Physician’s signature on the surgery consent form
• The patient's medical and laboratory tests, including:
• Complete blood count
• Blood chemistry
• Urine analysis
• Imaging tests including:
• Chest X-ray
• X-ray of the surgery area
• Any other relevant imaging
• Electrocardiogram (ECG)
• Prepare blood units for the patient:
• Determine the type and quantity
• Blood type identification
• Cross-matching
• Prepare the required amount 12 hours before surgery
2. Preparing the Patient:
• Psychologically prepare the patient and explain all steps of the surgery.
• Teach the patient exercises to perform after surgery.
• Prepare the surgical area 12 hours before the operation, including:
• Hand hygiene
• Preparing necessary tools near the patient
• Gradually uncovering the area
• Placing a sterile drape
• Shaving in one direction
• Skin cleansing
• Ensure cleanliness and sterilization
• Re-sanitize tools and wash hands
3. Preoperative Preparation:
• Ensure the patient sleeps the night before surgery and administer any necessary medications.
• Empty the bladder before transferring to the operating room.
• Administer an enema if required.
• Verify the patient's personal details.
• Confirm the readiness of the patient's body and take vital signs.
• Ensure preoperative medication is administered.
• Change the patient's clothing to surgical attire.
• Place personal belongings in a safe area.
• Secure dentures if applicable.
• Ensure nails are clean, remove nail polish, and take out contact lenses.
• Accompany the patient to the operating room.