Perioperative
Nursing:
An unfolding
case study in
Patient Safety
by
Gerry Altmiller,EdD, APRN,
ACNS-BC, FAAN
,The Case:
John Egan, 53.
Hx of Type 1 diabetes mellitus, cigarette
smoking 40 pack years, CAD, and PVD.
Six weeks ago, he developed a wound
of his left heel which measured 4cm by
2cm when he discovered it. Despite IV
antibiotics and chemical debridement,
the wound developed a gangrene
infection. He is scheduled for a Below
Knee Amputation (BKA) of the left lower
extremity tomorrow at 10:00am.
His meds include daily insulin,
aspirin 325mg/day, Pletal 100mg BID.
He has an advanced directive and
NKDA.
,Pre-
operative
, Identify the priority nursing care for
Mr. Egan. Identify what he needs
done before he can go to surgery
safely.
The priority nursing care for Mr. Egan
consists of : baseline assessment,
vital signs, blood test and diagnostic
tests, identify any risk factors for
surgery. medication review, maintain
glucose levels and other health
issues, and conduct preop
assessment for psychological status.
Nursing:
An unfolding
case study in
Patient Safety
by
Gerry Altmiller,EdD, APRN,
ACNS-BC, FAAN
,The Case:
John Egan, 53.
Hx of Type 1 diabetes mellitus, cigarette
smoking 40 pack years, CAD, and PVD.
Six weeks ago, he developed a wound
of his left heel which measured 4cm by
2cm when he discovered it. Despite IV
antibiotics and chemical debridement,
the wound developed a gangrene
infection. He is scheduled for a Below
Knee Amputation (BKA) of the left lower
extremity tomorrow at 10:00am.
His meds include daily insulin,
aspirin 325mg/day, Pletal 100mg BID.
He has an advanced directive and
NKDA.
,Pre-
operative
, Identify the priority nursing care for
Mr. Egan. Identify what he needs
done before he can go to surgery
safely.
The priority nursing care for Mr. Egan
consists of : baseline assessment,
vital signs, blood test and diagnostic
tests, identify any risk factors for
surgery. medication review, maintain
glucose levels and other health
issues, and conduct preop
assessment for psychological status.
