Lesson 1Anxiety check an non-drug ways: talk techniques, teachin, relaxin, breathin exercises, use a anxiolyticsCover structured anxiety screenin, therapeutic talk, patient teachin, relax an breathin tactics, fixin di environment, an when fi step up to drug calm while keepin safety an informed joinin.
Validated anxiety screening toolsBuilding rapport and active listeningPreoperative education and expectationsGuided imagery and relaxation methodsBreathing exercises and coping plansLesson 2Stoppin infection an skin prep: chlorhexidine bath, hair removal rules, antibiotic prophylaxis timin an recordCover infection stoppin measures like chlorhexidine bath, hair removal ways, timin an choosin antibiotic prophylaxis, an record needs fi cut down surgical site infections.
Preoperative chlorhexidine bathingHair removal methods and timingAntibiotic choice and timingMRSA screening and decolonizationDocumentation of prophylaxis stepsLesson 3Pre-transfer safety checks: ID band, mouth ID confirm, surgery site mark, consent, allergy check, checklist matchDetail standard pre-transfer safety checks, includin ID verify, consent confirm, surgery site mark, allergy review, an checklist match fi stop wrong-patient, wrong-site, an record errors.
Two-identifier patient verificationConsent presence and completenessSurgical site marking standardsAllergy and alert band reviewFinal pre-transfer checklist useLesson 4Preop lab an diagnostic review: glucose, HbA1c, electrolytes, kidney function, blood clot, ECG an chest image needsOutline right choosin an timin a preop labs an diagnostics, includin glucose, HbA1c, electrolytes, kidney function, clot tests, ECG, an chest image, base pon patient risk factors an procedure type.
Indications for serum glucose and HbA1cElectrolytes and renal function panelsCoagulation studies and bleeding riskPreoperative ECG indicationsChest imaging criteria and yieldLesson 5Full preop nursin check: vital signs, med match, fastin status, function status, allergies, advance directivesDescribe structured nursin check coverin vital signs, med match, fastin status, function an mind baseline, allergies, an advance directives fi inform perioperative plannin an handoffs.
Baseline vital signs and pain levelMedication reconciliation processVerifying fasting and last intakeFunctional and cognitive assessmentAllergies and advance directivesLesson 6Pre-anesthesia check: airway check (Mallampati, neck move), anesthesia risk level, ASA classExplore systematic pre-anesthesia check, includin airway check tools, ASA class, other health review, function capacity, an risk level fi guide anesthetic plannin an perioperative watch needs.
Focused pre-anesthesia historyAirway exam and Mallampati scoringNeck mobility and dentition assessmentASA physical status classificationFunctional capacity and risk indicesLesson 7Informed consent verify an legal record: consent parts, capacity checks, interpreter needsClear up key parts a informed consent, checkin decision capacity, record standards, interpreter use, an verify steps fi ensure right an legal follow before surgery.
Required elements of consentAssessing capacity and voluntarinessRole of surrogate decision makersUse of interpreters and language accessDocumentation and form reviewLesson 8Fastin an carb-loadin protocols: NPO timin, clear liquid rules, preop carb drink needsExplain evidence-base fastin times fi solids an clear liquids, needs an no-gos fi preop carb drinks, an tactics fi cut aspiration risk while lessnin discomfort an insulin resistance.
Standard NPO timing for solidsClear fluid rules and exceptionsCarbohydrate drink indicationsContraindications to carb loadingPatient instructions and adherenceLesson 9Special checks fi other conditions: diabetes history, insulin plan, blood pressure control, heart risk checkFocus pon target check a key other conditions, includin diabetes, high blood pressure, an heart disease, fi fine-tune perioperative risk, guide med changes, an plan watch an postop place.
Detailed diabetes and insulin historyBlood pressure trends and controlCardiovascular risk scoring toolsPulmonary and sleep apnea screeningRenal and hepatic function reviewLesson 10Preop med management: metformin, insulin glargine, ACE inhibitors an perioperative adjust plansReview perioperative adjust a metformin, insulin glargine, an ACE inhibitors, stressin timin, dose change, low sugar stop, an use clear plans fi standard safe med handle before surgery.
Risk of metformin and lactic acidosisAdjusting long-acting and basal insulinsManaging ACE inhibitors and ARBsDay-of-surgery medication holding rulesSample perioperative dosing algorithms
