CARE OF CLIENT AFTER SURGERY

Name of Patient: ________________________Name of student: _______________________

Diagnosis/cc: _______________________Date Performed:______________________

A. Assessment
1. Know the post operative diagnosis
and the
Anesthesia used.
2. Make a general appraisal
B. Intervention
3. Check client level of
consciousness
4. Connect apparatus to respective
special
gadgets if necessary.
5. Maintain efficiency of airway,
breathing
and circulation.
6. Monitor vital signs.
7. Maintain intake and output
measurement.
8. Check the post-op wound and note
progress.
9. Check on the client diet and post-
op exercises.
C. Evaluation
10. Proper documentation

REMARKS: ____________________

____________________

____________________

_________________________

CI’s Signature over printed name

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 ASSISTED IN CHARGE OF SURGICAL DRESSING

Name of Patient: ________________________ Name of student: _______________________

Diagnosis/cc: ___________________________ Date Performed: ________________________

Dressing

Often referred to in dermatologic practice as

open, closed or fixed dressing.

A. Assessment
1. Know surgical procedure done
2. Description of the post-operative wound
a. Number of days after surgery
b. Size, what stage of healing process
c. Dressing
d. Presence of
d.1 Penrose drain/JP drain/Porto-Vac
drain
d.2 packing
d.3 suture
3. Identify Equipments
3.1 Screen
3.2 Rubber draw sheet
3.3 Dressing tray
3.3.a sterile forceps
3.3.b sterile gloves
3.3.c dry cotton balls
3.3.d kidney basin
3.3.e cotton balls soaked in saline and
betadine solution
B. Intervention
4. Inform patient that dressing has to be
change and explain
- Explanation assures cooperation
5. Provide privacy and drape patient
6. Wash hands- pathogenic microorganisms
should be reduced

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 7. Pull back edge by holding skin taunt and

pushing away from tape-provide less trauma

to

patient .

8. Remove tape near the wound by pulling

tape towards the wound
- Pulling the tape away from the wound
may tear the delicate skin or newly
formed tissues.
9. Put on sterile gloves
10. Remove the top dressing and discard to
receptable.
11. Assist in removal of sutures, if surgeon
decides to remove.
12. A though inspection of the wound should
be done after the stitches has been
removed.
13. Start from the center of the post-op wound
to the surrounding area.
14. Apply new sterile dressing.
C. Evaluation
15. Check for and document
15.1 response of patient
15.2 character of wound
15.3 characterize the discharges
15.4 any remaining stitches to be removed.

REMARKS: ____________________

____________________

____________________

_________________________

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CI’s Signature over printed name.

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