{"id":162,"date":"2017-06-21T23:18:49","date_gmt":"2017-06-22T03:18:49","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/?post_type=chapter&p=162"},"modified":"2017-08-17T19:17:29","modified_gmt":"2017-08-17T23:17:29","slug":"pre-surgery-admission","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/chapter\/pre-surgery-admission\/","title":{"raw":"Pre-Surgery Admission","rendered":"Pre-Surgery Admission"},"content":{"raw":"
Day: 0<\/h5>\r\n
Time: 07h00<\/h5>\r\n
Place: Pre-Surgery Admissions<\/h5>\r\n\u201cHello, I\u2019m Fred Johnson. I\u2019m here to have surgery today.\u201d\r\n\r\nJag, the unit coordinator for Pre-Surgery Admissions, looks up from behind his desk .\u201cOk, let me just check here. Oh yes, Dr. Baker, scheduled for later this morning. Have you had anything to eat or drink today?\u201d\r\n\r\n\u201cNothing to eat, just a few sips of water to get my normal pills down. They said that would be ok.\u201d\r\n\r\n\u201cYes, yes, more than fine. Ok, please follow me, and let\u2019s get you a bed to relax in until your surgery.\u201d\r\n\r\nFred follows Jag through a hallway of curtains to an unoccupied stretcher.\r\n\r\n\u201cThere is a gown on the stretcher. Please remove your clothes and put them in the bag at the end of the stretcher. The gown goes on with the opening in the back. I\u2019ll let Tracey know you\u2019re here and she will come by and check on you.\u201d\r\n\r\n\u201cOk. My partner\u00a0is parking the car. Can he\u00a0come up and stay with me before I have surgery?\u201d\r\n\r\n\u201cNo problem.\u201d\r\n\r\nFred draws the curtains closed. He nervously looks around to ensure he has privacy and slowly removes each article of clothing and folds it before placing it in the bag. Looking at the gown, he grimaces and slides his arms in. He struggles to tie the gown behind his neck, thinking, They certainly make it tough to get dressed.<\/em>\r\n\r\n\u201cMr. Johnson, would you like a hand with the ties on your gown?\u201d\r\n\r\nStartled, Fred spins around. \u201cAhhh, yes. I guess so.\u201d\r\n\r\n\u201cMy name is Tracey and I\u2019m the nurse helping you get ready for your surgery.\u201d\r\n\r\n\u201cHi, Tracey. You haven\u2019t caught me at my best today, and yes, I need help with this incomplete shirt.\u201d\r\n\r\nTracey laughs softly as she helps with the gown. \u201cYes, they are a bit challenging. This is your first time for surgery?\u201d\r\n\r\n\u201cYes. Do people come here more than once?\u201d\r\n\r\nTracey replies, \u201cYes, unfortunately. Some people require our assistance multiple times.\u201d\r\n\r\n\u201cWell, I\u2019m hoping all I\u2019ll need is this one time.\u201d\r\n\r\nTracey lowers the stretcher to make it easier for Fred to get on the narrow bed.\r\n\r\n\u201cI know it\u2019s not the most comfortable bed, but it\u2019s only for a short period of time. I realize this is also pretty stressful. What's going to happen next is that I\u2019ll step out and grab all your paperwork, and then return to ask you questions and make sure you understand what is happening today. The lab assistant will be by to draw some lab work, so we have some comparison during and after your surgery. I\u2019ll start an intravenous and give you an antibiotic, along with a medication to relax you. A few minutes before 11 o\u2019clock, a porter will come by and take you to the operating room. Ok?\u201d\r\n\r\n\u201cSure. My partner\u00a0will be up shortly. Is that ok?\u201d\r\n\r\n\u201cYes. I\u2019ll be right back with your paperwork.\u201d\r\n\r\nWhen Tracey returns to Fred\u2019s stretcher, she finds his partner, Eric,\u00a0sitting on the side of the stretcher holding his hand.\r\n\r\n\u201cHi, I\u2019m Tracey, the nurse caring for Fred\u00a0before he goes to surgery.\u201d\r\n\r\n\u201cHi, Tracey. I\u2019m Eric. Pleased to meet you.\u201d\r\n\r\n\u201cOk, Mr. Johnson. First I'll take your vital signs and then I will ask you\u00a020 questions, and you get to give me all the answers. There are no prizes, sorry.\u201d\r\n\r\n\u201cOk, I guess.\u201d\r\n\r\n\r\n\r\n\r\n
Day: 0<\/strong><\/td>\r\nPulse Rate<\/strong><\/td>\r\nBlood Pressure<\/strong><\/td>\r\nRespiratory Rate<\/strong><\/td>\r\nTemperature<\/strong><\/td>\r\nO2<\/sub> Saturation<\/strong><\/td>\r\n<\/tr>\r\n
Time:\u00a007h30<\/strong><\/td>\r\n84<\/td>\r\n140\/80<\/td>\r\n16<\/td>\r\n36.5\u00b0C<\/td>\r\n99% on RA<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nTracey then goes through all the pre-op questions including,\u00a0\u201chave you eaten anything\u201d, \u201chave you washed your abdomen with the proper soap\u201d, \u201cdo you know what surgery you are having?\u201d, \u00a0and\u00a0\u201cwho do we contact when the surgery is over?\u201d\r\n\r\nFred answers all the questions and Tracey records the answers on the pre-op checklist.\r\n\r\n\u201cOk, that was great. I have all the information I need and it appears you are good to go from my point of view. There is nothing that would mean we have to postpone.\u201d\r\n\r\n\u201cThank goodness. So the lab is next?\u201d\r\n\r\n\u201cYes, a lab assistant will come by and draw some blood, and after that I will get your intravenous started and antibiotic. Eric, you can stay until the porter comes to take Fred\u00a0to the operating theatre.\u201d\r\n
Time: 08h30<\/h5>\r\nCarol, the lab assistant for pre-op, checks in at the desk and sees that there are five patient requests. Looking through the requests, she sees that Fred Johnson\u00a0is scheduled for surgery at 11am, which is earlier than the other four patients.\r\n\r\nOk, Johnson first<\/em>, she thinks to herself. Singh will be second, and for the others, I\u2019ll check with nursing to see who should be drawn next<\/em>.\r\n\r\nLooking around for directions, Carol sees Tracey sitting at the desk\u00a0computer and typing rapidly. \u201cHi, I\u2019m Carol from the lab. I\u2019m looking for Mr. Fred Johnson.\u201d\r\n\r\nTracey looks up. \u201cHe's four stretchers down in the area to your right. His partner\u00a0is sitting with him. I believe he is the only patient with a family member with him right now, so he should be easy to find.\u201d\r\n\r\n\u201cOk, thanks.\u201d Carol slowly walks down the curtain hallway, counting out to herself. When she reaches number four, she finds the only stretcher occupied by both a patient and a visitor.\r\n\r\n\u201cGood morning. Are you Mr. Johnson?\u201d\r\n\r\n\u201cYes, he is. Are you from the lab? Do I need to leave?\u201d\r\n\r\n\u201cYes, my name is Carol and I\u2019m from the lab. No, please stay, unless you have issues with seeing blood.\u201d\r\n\r\n\u201cNo. As long as it\u2019s Fred's and not mine, I\u2019m ok.\u201d\r\n\r\nCarol smiles and\u00a0nods. She checks Fred\u2019s ID band against the requisition, asks the usual questions to ensure she has the right patient, and efficiently draws blood from Fred.\r\n\r\n\u201cOk, I\u2019m all done. Let me place a band-aid on your arm here. Press two fingers over the band-aid for a few minutes. That will ensure no bruising.\u201d\r\n\r\nFred\u00a0nods as he stares at the band-aid on his right forearm and places his fingers on it.\r\n\r\nCarol gathers up her lab basket and waves goodbye.\r\n
Time: 10h50<\/h5>\r\nTracey walks into Fred\u2019s area, accompanied by two others.\r\n\r\n\u201cMr. Johnson, it\u2019s time. This is Nancy from the operating room. She will be present during your surgery and this is Jack who will help get you to the OR.\u00a0Eric, I\u2019ll show you where you can wait while\u00a0Fred\u00a0is having his surgery.\u201d\r\n\r\nEric\u00a0leans over and kisses\u00a0Fred\u00a0on the forehead. \u201cGood luck. You\u2019ll do fine.\u201d Fred nods his head and smiles weakly.\r\n\r\nTracey leads Eric\u00a0off to the Post Anaesthesia Care Unit (PACU)\u00a0waiting room.\r\n\r\nNancy, holding the chart in her hand, compares the consent to the ID band on Fred\u2019s\u00a0right wrist.\r\n\r\n\u201cOk, just a couple more questions and we're off. Nothing to drink? Dr. Baker is your surgeon? Type of surgery is removing your lower bowel for cancer?\u201d\r\n\r\nFor each question, Fred\u00a0mumbles \u201cyes\u201d and nods affirmatively.\r\n\r\n\u201cOk, then, we\u2019re off. Please keep your hands inside the rails as we don\u2019t want them pinched in the doorways.\u201d","rendered":"
Day: 0<\/h5>\n
Time: 07h00<\/h5>\n
Place: Pre-Surgery Admissions<\/h5>\n

\u201cHello, I\u2019m Fred Johnson. I\u2019m here to have surgery today.\u201d<\/p>\n

Jag, the unit coordinator for Pre-Surgery Admissions, looks up from behind his desk .\u201cOk, let me just check here. Oh yes, Dr. Baker, scheduled for later this morning. Have you had anything to eat or drink today?\u201d<\/p>\n

\u201cNothing to eat, just a few sips of water to get my normal pills down. They said that would be ok.\u201d<\/p>\n

\u201cYes, yes, more than fine. Ok, please follow me, and let\u2019s get you a bed to relax in until your surgery.\u201d<\/p>\n

Fred follows Jag through a hallway of curtains to an unoccupied stretcher.<\/p>\n

\u201cThere is a gown on the stretcher. Please remove your clothes and put them in the bag at the end of the stretcher. The gown goes on with the opening in the back. I\u2019ll let Tracey know you\u2019re here and she will come by and check on you.\u201d<\/p>\n

\u201cOk. My partner\u00a0is parking the car. Can he\u00a0come up and stay with me before I have surgery?\u201d<\/p>\n

\u201cNo problem.\u201d<\/p>\n

Fred draws the curtains closed. He nervously looks around to ensure he has privacy and slowly removes each article of clothing and folds it before placing it in the bag. Looking at the gown, he grimaces and slides his arms in. He struggles to tie the gown behind his neck, thinking, They certainly make it tough to get dressed.<\/em><\/p>\n

\u201cMr. Johnson, would you like a hand with the ties on your gown?\u201d<\/p>\n

Startled, Fred spins around. \u201cAhhh, yes. I guess so.\u201d<\/p>\n

\u201cMy name is Tracey and I\u2019m the nurse helping you get ready for your surgery.\u201d<\/p>\n

\u201cHi, Tracey. You haven\u2019t caught me at my best today, and yes, I need help with this incomplete shirt.\u201d<\/p>\n

Tracey laughs softly as she helps with the gown. \u201cYes, they are a bit challenging. This is your first time for surgery?\u201d<\/p>\n

\u201cYes. Do people come here more than once?\u201d<\/p>\n

Tracey replies, \u201cYes, unfortunately. Some people require our assistance multiple times.\u201d<\/p>\n

\u201cWell, I\u2019m hoping all I\u2019ll need is this one time.\u201d<\/p>\n

Tracey lowers the stretcher to make it easier for Fred to get on the narrow bed.<\/p>\n

\u201cI know it\u2019s not the most comfortable bed, but it\u2019s only for a short period of time. I realize this is also pretty stressful. What’s going to happen next is that I\u2019ll step out and grab all your paperwork, and then return to ask you questions and make sure you understand what is happening today. The lab assistant will be by to draw some lab work, so we have some comparison during and after your surgery. I\u2019ll start an intravenous and give you an antibiotic, along with a medication to relax you. A few minutes before 11 o\u2019clock, a porter will come by and take you to the operating room. Ok?\u201d<\/p>\n

\u201cSure. My partner\u00a0will be up shortly. Is that ok?\u201d<\/p>\n

\u201cYes. I\u2019ll be right back with your paperwork.\u201d<\/p>\n

When Tracey returns to Fred\u2019s stretcher, she finds his partner, Eric,\u00a0sitting on the side of the stretcher holding his hand.<\/p>\n

\u201cHi, I\u2019m Tracey, the nurse caring for Fred\u00a0before he goes to surgery.\u201d<\/p>\n

\u201cHi, Tracey. I\u2019m Eric. Pleased to meet you.\u201d<\/p>\n

\u201cOk, Mr. Johnson. First I’ll take your vital signs and then I will ask you\u00a020 questions, and you get to give me all the answers. There are no prizes, sorry.\u201d<\/p>\n

\u201cOk, I guess.\u201d<\/p>\n\n\n\n\n
Day: 0<\/strong><\/td>\nPulse Rate<\/strong><\/td>\nBlood Pressure<\/strong><\/td>\nRespiratory Rate<\/strong><\/td>\nTemperature<\/strong><\/td>\nO2<\/sub> Saturation<\/strong><\/td>\n<\/tr>\n
Time:\u00a007h30<\/strong><\/td>\n84<\/td>\n140\/80<\/td>\n16<\/td>\n36.5\u00b0C<\/td>\n99% on RA<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Tracey then goes through all the pre-op questions including,\u00a0\u201chave you eaten anything\u201d, \u201chave you washed your abdomen with the proper soap\u201d, \u201cdo you know what surgery you are having?\u201d, \u00a0and\u00a0\u201cwho do we contact when the surgery is over?\u201d<\/p>\n

Fred answers all the questions and Tracey records the answers on the pre-op checklist.<\/p>\n

\u201cOk, that was great. I have all the information I need and it appears you are good to go from my point of view. There is nothing that would mean we have to postpone.\u201d<\/p>\n

\u201cThank goodness. So the lab is next?\u201d<\/p>\n

\u201cYes, a lab assistant will come by and draw some blood, and after that I will get your intravenous started and antibiotic. Eric, you can stay until the porter comes to take Fred\u00a0to the operating theatre.\u201d<\/p>\n

Time: 08h30<\/h5>\n

Carol, the lab assistant for pre-op, checks in at the desk and sees that there are five patient requests. Looking through the requests, she sees that Fred Johnson\u00a0is scheduled for surgery at 11am, which is earlier than the other four patients.<\/p>\n

Ok, Johnson first<\/em>, she thinks to herself. Singh will be second, and for the others, I\u2019ll check with nursing to see who should be drawn next<\/em>.<\/p>\n

Looking around for directions, Carol sees Tracey sitting at the desk\u00a0computer and typing rapidly. \u201cHi, I\u2019m Carol from the lab. I\u2019m looking for Mr. Fred Johnson.\u201d<\/p>\n

Tracey looks up. \u201cHe’s four stretchers down in the area to your right. His partner\u00a0is sitting with him. I believe he is the only patient with a family member with him right now, so he should be easy to find.\u201d<\/p>\n

\u201cOk, thanks.\u201d Carol slowly walks down the curtain hallway, counting out to herself. When she reaches number four, she finds the only stretcher occupied by both a patient and a visitor.<\/p>\n

\u201cGood morning. Are you Mr. Johnson?\u201d<\/p>\n

\u201cYes, he is. Are you from the lab? Do I need to leave?\u201d<\/p>\n

\u201cYes, my name is Carol and I\u2019m from the lab. No, please stay, unless you have issues with seeing blood.\u201d<\/p>\n

\u201cNo. As long as it\u2019s Fred’s and not mine, I\u2019m ok.\u201d<\/p>\n

Carol smiles and\u00a0nods. She checks Fred\u2019s ID band against the requisition, asks the usual questions to ensure she has the right patient, and efficiently draws blood from Fred.<\/p>\n

\u201cOk, I\u2019m all done. Let me place a band-aid on your arm here. Press two fingers over the band-aid for a few minutes. That will ensure no bruising.\u201d<\/p>\n

Fred\u00a0nods as he stares at the band-aid on his right forearm and places his fingers on it.<\/p>\n

Carol gathers up her lab basket and waves goodbye.<\/p>\n

Time: 10h50<\/h5>\n

Tracey walks into Fred\u2019s area, accompanied by two others.<\/p>\n

\u201cMr. Johnson, it\u2019s time. This is Nancy from the operating room. She will be present during your surgery and this is Jack who will help get you to the OR.\u00a0Eric, I\u2019ll show you where you can wait while\u00a0Fred\u00a0is having his surgery.\u201d<\/p>\n

Eric\u00a0leans over and kisses\u00a0Fred\u00a0on the forehead. \u201cGood luck. You\u2019ll do fine.\u201d Fred nods his head and smiles weakly.<\/p>\n

Tracey leads Eric\u00a0off to the Post Anaesthesia Care Unit (PACU)\u00a0waiting room.<\/p>\n

Nancy, holding the chart in her hand, compares the consent to the ID band on Fred\u2019s\u00a0right wrist.<\/p>\n

\u201cOk, just a couple more questions and we’re off. Nothing to drink? Dr. Baker is your surgeon? Type of surgery is removing your lower bowel for cancer?\u201d<\/p>\n

For each question, Fred\u00a0mumbles \u201cyes\u201d and nods affirmatively.<\/p>\n

\u201cOk, then, we\u2019re off. Please keep your hands inside the rails as we don\u2019t want them pinched in the doorways.\u201d<\/p>\n","protected":false},"author":60,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-162","chapter","type-chapter","status-publish","hentry"],"part":152,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/162","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/users\/60"}],"version-history":[{"count":15,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/162\/revisions"}],"predecessor-version":[{"id":985,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/162\/revisions\/985"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/parts\/152"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/162\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/media?parent=162"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapter-type?post=162"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/contributor?post=162"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/license?post=162"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}