Lesson 1Anxiety assessment and nonpharmacologic interventions: communication techniques, teaching, relaxation, breathing exercises, use of anxiolyticsLooks at planned worry checks, good talking with patients, teaching them, calm and breathing methods, changing the room setup, and knowing when to use medicine for worry while keeping safety and patient knowing what's happening.
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 documentationCovers ways to stop infections like chlorhexidine baths, how to remove hair, when and which antibiotics to give before surgery, and writing it all down to cut down infections at surgery sites.
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 reconciliationShows standard safety checks before moving patient, like checking who they are, consent, marking surgery spot, allergies, and matching checklists to avoid wrong patient, wrong place, or paper mistakes.
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 indicationsExplains right choice and time for tests before surgery, like sugar levels, HbA1c, salts in blood, kidney work, clotting tests, heart tracing, and chest pictures, 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 directivesDescribes full nurse check before surgery covering life signs, matching medicines, fasting, how patient moves and thinks normally, allergies, and future care wishes to plan surgery care and pass info.
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 classificationLooks at full check before anesthesia, with tools for breathing path, ASA patient grade, other health issues, how well patient functions, and risk levels to plan anesthesia and watching during surgery.
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 needsMakes clear key parts of consent with knowledge, checking if patient can decide, writing standards, using translators, and checks to follow rules and right ways 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 indicationsTells proven times no eating solids or clear drinks, when to give sugar drinks before surgery, and ways to lower choking risk while easing hunger 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 assessmentCenters on checks for main extra illnesses like sugar sickness, high blood pressure, heart issues, to better know surgery risks, change medicines, and plan watching and after 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 algorithmsGoes over changes for metformin, long insulin, blood pressure pills before surgery, stressing times, dose changes, stopping low sugar, and 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
