Guidelines in Pre-Operative Preparation

1. Explain the content of the consent form. 2. Secure Consent. a. Consent should be signed by the patient. If the patient is minor (e.g.18 years and below), unconscious, emotionally unstable, delirious, consent is signed by the nearest relative. b. For tubal ligation, TAHBSO, ORCHIDECTOMY cases, consent should be signed by both husband and wife or in the absence, the nearest kin is allowed to sign the consent. c. Consent slip should be placed on the top page of the chart. 3. Business office Clearance or Operation Report Slip. a. Fill-up the operation slip with complete data, (name of patient, surgeon, anesthesiologist, ward or room name, date and time of operation). b. Give the operation slip to folks and instruct to settle in the Business office. Follow up the progress of business office clearance from the patient folks 30 minutes after issuance and until it will cleared. c. Inform the OGU staff of all cases for OB-Gyne Surgical intervention. Final report and schedule of operation should be done once the patient is cleared for surgery, cardiopulmonary wise and by the business office. d. Verify from HD on-duty if anesthesiologist is informed. 4. Report operation slip is send to the OB-Gyne Unit Nurse on duty. 5. Check and carry out pre-operative orders like skin preparation, catheterization, Enemas, medication etc. Shave the pre-operative site as ordered. 6. Post-operative teachings should be done before the schedule of operation like deep breathing exercises, early ambulation and proper positioning for faster recovery. 6. Indwelling foley catheter should be inserted pre-operatively to patients for the following cases of surgery unless specified: a. exlpor-lap b. pelvic lap c. caesarian section 7. Use gauge 18 IV cannula in intravenous infusion. 8. Patient for possible blood transfusion during operation should use blood set. 9. Secure all laboratory results, x-rays, blood properly crossmatched, and medicines prior to operation. Inform surgeon OB-Gyne doctor or the HDOD. 10. Cover patients chest with open gown, do not insert arms at armholes of gown. 11. Changes of schedule for operation from the original time should be reported to the OGU Nurse on duty. 12. OGU staff should be informed ahead of time for patients who are Hepa B carrier, so necessary precautions should be done. 13. Review checklist. Place lings and leggings and check if the following were removed. a. underwear b. nail polish c. dentures 14. Endorse patient by the floor nurse to OGUnit per stretcher. Inform the HD on-duty once the patient is in the Ob-gyne surgery room.