Lesson 1Ileus prevention an recognition: bowel function monitorin, return of bowel sounds, criteria fi NG tube or bowel rest, prokinetic considerationsCover early spot an stop of after-surgery gut stop, includin gut sound watch, pass gas an stool, rules fi nose-tube put-in or gut rest, an safe use of gut-move meds in digestive surgery patients.
Baseline and ongoing bowel function assessmentExpected timeline for bowel sounds and flatusIndications for NG tube insertion or suctionNonpharmacologic ileus prevention measuresNursing role in prokinetic drug safetyLesson 2Pressure injury an mobility care: turnin schedules, early mobilisation milestones first an second postop dayDetail nurse care fi stop pressure sores an boost movin, includin risk tools, turn times, skin look, early movin goals fi each after day, an safe use of helps an support beds.
Initial and repeated pressure injury risk scoringTurning frequency and positioning techniquesSkin inspection and early lesion detectionDay 0–2 mobilization milestones and aidsUse of mattresses, cushions, and heel protectorsLesson 3Vital sign an clinical monitorin schedule: frequency fi first 48 hours, parameters indicatin deterioration (HR, BP, RR, O2 sats, temperature), early warnin scoresSet vital sign an body watch schedules fi first 48 hours, includin how often, good ranges, signs fi gettin worse, early warn scores, an clear call-up an paperwork fi ward nurses.
Standard frequency first and second postop dayKey thresholds for HR, BP, RR, O2, temperatureUse of early warning and sepsis screening toolsFocused abdominal and respiratory assessmentsEscalation algorithms and rapid response callsLesson 4Wound, drain, an stoma assessment: signs of infection, anastomotic leak indicators, drain output thresholds an documentationZero in pon system check of belly wounds, drains, an stomas in digestive surgery patients, highlightin early germ signs, join-leak clues, safe drain flow lines, an right paperwork needs.
Standard wound inspection steps and timingLocal and systemic signs of wound infectionDrain types, expected character and volumeRed flag features for anastomotic leakDocumentation and escalation pathwaysLesson 5Venous thromboembolism prevention: mechanical prophylaxis, pharmacologic prophylaxis timin post-op, ambulation scheduleDig into vein clot stop plans, includin machine helps, med timin an watch after-op, early step-up walk times, an nurse eye fi deep leg clot or lung clot signs.
VTE risk factors in digestive surgery patientsApplication and monitoring of mechanical devicesTiming and checks for anticoagulant dosesStructured ambulation plan for first 48 hoursRecognition of DVT and pulmonary embolismLesson 6Patient an family education in immediate postop period: analgesia expectations, stoma basics if present, signs of complications an when to seek helpZero in pon set teachin fi patients an family right after op, coverin pain expect, stoma basics if deh, wound care, warn signs fi problems, an when an how fi get quick help after go home.
Setting realistic pain and recovery expectationsTeaching basic wound and dressing careIntroductory stoma care and appliance checksExplaining signs of common complicationsWritten instructions and contact pathwaysLesson 7Fluid balance an nutrition: urine output targets, daily fluid charts, progression from clear fluids to oral diet per ERAS, indications fi IV fluid continuationReview fluid balance an early food handlin, includin pee flow goals, daily fluid sheets, IV tweak, step from clear drinks to mouth food by ERAS, an signs fi hold or change advance.
Urine output targets and oliguria responseAccurate intake and output charting methodsIV fluid review and adjustment each shiftStepwise diet advancement per ERASRed flags requiring diet regression or NPOLesson 8Nursin-led discharge readiness elements fi 48-hour window: pain control, oral intake, mobilisation, wound/stoma basicsLay out nurse-led rules fi check discharge ready round 48 hours, includin pain hold, mouth eatin take, movin steps, wound an stoma self-care basics, an team link fi safe go-home.
Pain control targets and oral regimen stabilityMinimum oral intake and hydration criteriaMobility milestones and functional statusPatient ability with wound and stoma basicsDischarge teaching, checklists, and referralsLesson 9Prevention of pulmonary complications: incentive spirometry, deep breathin an coughin techniques, chest physiotherapy frequency, oxygen therapy targetsTackle stop of after-op lung problems thru breath machine, deep breath an cough ways, chest physio times, place, an oxygen goals fit fi digestive surgery patients pon ward.
Risk factors for postoperative pulmonary issuesTeaching incentive spirometry step by stepSupported coughing and splinting techniquesPositioning, ambulation, and chest therapyOxygen targets and weaning on the wardLesson 10Pain management plan on di ward: epidural management protocols, transition to oral analgesia, dosin, breakthrough pain assessment an documentationCover mix pain handlin pon ward, includin epidural an area methods, switch to mouth pain meds, dose times, break-thru pain check, side watch, an paperwork fi back get-back an movin.
Pain assessment tools and target scoresEpidural and regional analgesia monitoringTransition from IV or epidural to oral drugsManaging breakthrough and incident painMonitoring adverse effects and documentation
