Lesson 1Anxiety assessment and nonpharmacologic interventions: communication techniques, teaching, relaxation, breathing exercises, use of anxiolyticsDis lesson covers proper screening for worry, good talk with patient, teaching dem, relaxation and breathing methods, changing the room setup, and when to use medicine for calm while keeping safety and patient involved.
Validated anxiety screening toolsBuilding rapport and active listeningPreoperative education and expectationsGuided imagery and relaxation methodsBreathing exercises and coping plansLesson 2Infection prevention and skin prep: chlorhexidine bathing, hair removal policies, antibiotic prophylaxis timing and documentationDis covers ways to stop infections like chlorhexidine bath, how to remove hair, timing and choice of antibiotics before surgery, and writing it down to 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, verbal identity confirmation, surgical site marking, consent, allergy check, checklist reconciliationDis details standard safety checks before moving patient, including checking who dem be, consent, marking surgery spot, allergies, and matching checklist to stop wrong patient, wrong site, or paper errors.
Two-identifier patient verificationConsent presence and completenessSurgical site marking standardsAllergy and alert band reviewFinal pre-transfer checklist useLesson 4Preoperative laboratory and diagnostic review: glucose, HbA1c, electrolytes, renal function, coagulation, ECG and chest imaging indicationsDis outlines right choice and timing for preop tests like glucose, HbA1c, salts, kidney function, clotting, ECG, chest x-ray based on patient risks and surgery type.
Indications for serum glucose and HbA1cElectrolytes and renal function panelsCoagulation studies and bleeding riskPreoperative ECG indicationsChest imaging criteria and yieldLesson 5Comprehensive preoperative nursing assessment: vital signs, medication reconciliation, fasting status, functional status, allergies, advanced directivesDis describes structured nurse check covering vital signs, matching medicines, fasting, how patient dey function and think, allergies, advance wishes to guide planning and handovers.
Baseline vital signs and pain levelMedication reconciliation processVerifying fasting and last intakeFunctional and cognitive assessmentAllergies and advance directivesLesson 6Pre-anesthesia evaluation: airway assessment (Mallampati, neck mobility), anesthesia risk stratification, ASA classificationDis explores full pre-anesthesia check, including airway tools, ASA class, other illnesses, how patient fit move, risk levels to plan anesthesia and monitoring.
Focused pre-anesthesia historyAirway exam and Mallampati scoringNeck mobility and dentition assessmentASA physical status classificationFunctional capacity and risk indicesLesson 7Informed consent verification and legal documentation: elements of consent, capacity checks, interpreter needsDis makes clear key parts of consent, checking if patient fit decide, writing standards, using interpreter, verification to follow ethics and law before surgery.
Required elements of consentAssessing capacity and voluntarinessRole of surrogate decision makersUse of interpreters and language accessDocumentation and form reviewLesson 8Fasting and carbohydrate-loading protocols: NPO timing, clear fluid rules, preop carbohydrate drink indicationsDis explains proven fasting times for food and clear drinks, when to use carb drinks before op, ways to cut aspiration risk while easing discomfort and sugar problems.
Standard NPO timing for solidsClear fluid rules and exceptionsCarbohydrate drink indicationsContraindications to carb loadingPatient instructions and adherenceLesson 9Specific assessments for comorbidities: diabetes history, insulin regimen, blood pressure control, cardiovascular risk assessmentDis focuses on checking main illnesses like diabetes, high pressure, heart issues to fine-tune risks, change medicines, plan monitoring and after-surgery care.
Detailed diabetes and insulin historyBlood pressure trends and controlCardiovascular risk scoring toolsPulmonary and sleep apnea screeningRenal and hepatic function reviewLesson 10Preoperative medication management: metformin, insulin glargine, ACE inhibitors and perioperative adjustment algorithmsDis reviews changes for metformin, long insulin, ACE inhibitors around surgery, timing, dose change, stopping low sugar, using clear steps for safe medicine handling.
Risk of metformin and lactic acidosisAdjusting long-acting and basal insulinsManaging ACE inhibitors and ARBsDay-of-surgery medication holding rulesSample perioperative dosing algorithms
