MONITORING THE PT DURING SURGICAL PROCEDURE AND LEGAL ASPECTS OF OT

SUMIT KR. PANDEY
Bcs (n) 2nd years
Bharath college of nursing Chennai

1. PRESENTED BY; SEMINAR ON MONITORING THE PATIENT DURING SURGICAL PROCEDURE AND LEGAL ASPECTS IN OT SUMIT KUMAR BSC (N) 2 nd YEAR BHARATH COLLEGE OF NURSING CHENNAI- 73

2. INTRODUCTION Monitoring the patient during Surgical procedure to Helps assess the integrity of neural structures and consciousness during Surgical procedure. It includes both continuous monitoring of neural tissue as well as the Localization of vital neural structures .

3. DEFINITION Monitoring the patient during surgical is a technique used during surgery to monitor the condition of patient nervous system and vital Helps prevent damage to the spinal cord, Brain

4. PURPOSE To assess the general Health status of the patient To assess for any alteration In the health status Establish Baseline data. To check the peripheral circulation To Determine patient's Hemodynamic status

5. MOST COMMONLY MONITORING BLOOD PRESSURE HEART RATE RESPIRATORY RATE BODY TEMPERATURE ELECTROCARDIOGRAM NEUROPHYSIOLOGICAL

6. BLOD PRESSURE BP is the pressure of Blood against the walls of Blood vessels. Normal Blood pressure = 120/80 mmHg.

7. HEART RATE HR also known as pulse is the Number of Time your heart Beats per minute NORMAL HEART RATE = 60 70 100 Beats per minutes.

8. RESPIRATORY RATE Respiration is the process of Breathing and consists of Inspiration and Expiration. NORMAL RESPIRATORY RATE : 18 TO 24

9. BODY TEMPERAT URE It involves measuring of the body -Temperature by using – Thermometer NORMAL BODY TEMPERATURE:- 98.6 F, 37 €

10. ELECTROCARDIOGRAM ECG is a test that can Be used to check your Heart Rhythm and electrical activity

11. NEUROPHYSIOLOGICAL It is use to electrophysiological methods do Detect electroencephalogrophy, electromyography, and potential to monitor The functional integrity of certain neural structures during surgery

12. PERIOPERATIVE PHASE When The decision to have surgery is made and ends when the client is transferred to OT table. CHECK LIST OF PREOPERATIVE PHASE PATIENT IDENTIFICATION SURGICAL CONSENT HISTORY & PHYSICAL EXAMINATION SURGICAL SITE SIGNETURE TEACH TO ANESTHESIA ALLERGIC REACTION CONCENT FORM

13. NURSING RESPONSIBILITY make sure the patient has had no solid food for at least 6 Hours and No water at & Hours before surgery. make sure the chart contains all necessary Information, Such as. - singed surgical consent - diagnostic test results tell to the patient to remove jewelry, makeup, hairpins, nail polis, dentures. Perform mouth care Ask the patient void Identified the name of band and case sheet

14. CONTI….. Informed about the surgery, name of surgery and which doctor will do, and Duration of surgery. Informed To concern form in local language to The patient, and Take signed by the patient or responsible family member. Take and Record Vital sign the site of surgery should be Taken with a permanent marker by the surgeon Check for and carry out special orders (enema NGI insertion, Iv line) CROSS Check the Identification band. Administer preoperative medication as ordered. Transfer to operation theater to patient.

15. INTRAOPERATIVE PHASE It period during a surgical procedure. From the time the patient enters the operating room until they are transferred to the post-anesthesia care unit (PACU)

16. CHECK LIST OF INTRAOPERATIVE patient advocacy preparing the operating room. y and safety. Assisting the surgical team Monitoring vital signs . Documentation and Record- Post-operative Handoff.

17. OPERATION THEATER OT is also known as am operating (of), operating suite, is a facility within a Hospital where surgical operation are carried out in an aseptic environment.

18. LEGAL ASPECTS IN OT INFORMED CONSENT PROFESSIONAL LIABILITYC DOCUMENTATION PATIEN PRIVACY & CONFIDENTIALITY. STERILIZATION & INFECTION CONTROL. HANDLINGY OF MEDICAL WASTE EQUIPMENT & FACILITY MAINTENANCE

19. INFORMED CONSENT Surgeons must obtain Informed consent from patients or their legal representatives Before performing any surgical procedure. Informed consent Involves providing the patient with detailed Information about the procedure, potential risk and complication, alternatives, and expected outcomes, it is crucial to ensure that the patient fully understands the Information and gives consent voluntarily.

20. PROFESSIONAL LIAB ILITY Surgeons and other Healthcare professionals working in the operation Theatre can be Held legally liable for medical malpractice if they fail to meet the standard of came expected of them, This means they must perform their duties with reasonable skill and came, following accepted medical practices, Negligence or errors during surgery that result Harm To The patient may lead to legal claims.

21. Documentation Thorough and accurate documentation is vital in the operation theatre. Surgeons and other health care professionals must document all relevant details of the procedure, Including patient Information, Surgical techniques used, equipment utilized, medication administered, and any complication or adverse effects, complete and timely documentation is essential for legal purpose, continuity of cam, and future reference.

22. PATIENT PRIVACY & CONFIDENTIALY protecting patient privacy and maintaining confidentiality. a legal obligations In Health care settings, Including the 01, Healthcare providers must comply with relevant laws, such as the Health Insurance portability and Accountability Act (HIPAA) In the united state, to ensure that patient Information remains. and confidential. Secure and confidential

23. STERILIZATION & INFECTION CONTROL Strict adherence to Infection control protocols is crucial in the operation theatre to prevent surgical site Infections and other complication 'compliance with sterilization and disinfection guidelines, proper Handling of surgical Instrument, and maintaining a clean and safe environment au not only essential for the patient safety But also have regal Implication.

24. HANDILING OF MEDICAL WASTE The proper Disposal of medical waste generated In the Of is essential to protect the environment and prevent the spread of Infectious diseases, Healthcare -facilities must follow Local regulation and guidelines for the safe collection, Storage, transportation, Disposal of medical waste

25. EQUIPMENT AND FACILITY MAINTENANCE Regular maintenance and calibration of equipment used in the operation theater necessary to ensure accurate and reliable performance. Nurse must establish appropriate maintenance Schedules and keep record of maintain a activities. Failed to maintain equipment adequately can lead to complication during surgery and may have legal consequences.

26. CONCLUSION Preoperative & Intraoperative Nursing The assessment, Planning of care that reflects patients of care , as well as the evaluation of patient out come, The format such as "check lists will evaluation, is necessary T stratify risk to the patient. To avoid or minimize both pre and intra operative complication.

27. BIBLIOGRAPHY Hinkle Janice L, Chever Kerry H, Brunner and Suddath's textbook of medical surgical Nursing, 13th edition, 2014 New Delhi, Page No - 401-497 . W olters Kluwer Brunner & suddharth textbook of medical-surgical Nursing Second south asia Edition, volume 1, 2017, page No- 1737-1738.

28. THANK YOU