Learn the multidisciplinary clinical knowledge and skills needed to provide effective nursing care in outpatient settings! Ambulatory Surgical Nursing reflects the advanced procedures being performed in ambulatory surgery today, as well as the latest medications and improvements in pain management techniques. Authored by the American Society of PeriAnesthesia Nurses (ASPAN) and edited by well-known perioperative nursing expert Theresa L. Clifford, this text addresses all aspects of patient care, from pre-admission to patient education, discharge, and recovery, with comprehensive coverage of surgical specialties in separate chapters for easy reference. Case studies in each chapter bring key concepts to life and offer an opportunity to apply information contained within the chapter.
1. Introduction - p. viii 2. 1. The history of ambulatory surgery and the nurse’s role - p. 1 3. PART I: Management and Leadership in Ambulatory Surgery - p. 9 4. 2. Leadership in ambulatory surgery - p. 10 5. 3. Perianesthesia nursing standards - p. 15 6. 4. Clinical inquiry: Quality improvement and evidence-based practice in ambulatory surgery - p. 20 7. 5. Risk management and legal issues - p. 25 8. PART II: Safety in the Ambulatory Perianesthesia Setting - p. 32 9. 6. Safety standards - p. 33 10. 7. The environment of care - p. 39 11. 8. Clinical emergencies and preparedness in the ambulatory setting - p. 43 12. PART III: Anesthesia and Sedation for Ambulatory Procedures - p. 68 13. 9. General anesthesia - p. 68 14. 10. Local and regional anesthesia - p. 76 15. 11. Procedural sedation - p. 89 16. PART IV: Pain Management - p. 97 17. 12. Principles of pain assessment and multimodal analgesia - p. 97 18. 13. Pharmacologic interventions for pain management - p. 105 19. 14. Nonpharmacologic interventions for pain management - p. 110 20. PART V: Patient Care: The Continuum - p. 118 21. 15. Phases of care: Preoperative preparation and optimization of the ambulatory surgery patient - p. 118 22. 16. Phases of care: phase I: Immediate postoperative care - p. 130 23. 17. Phases of care: Phase II and extended care - p. 139 24. 18. Patient teaching and discharge challenges - p. 144 25. 19. Enhanced recovery after surgery: The continuum of care from diagnosis and surgery to recovery - p. 155 26. 20. Principles of intraoperative care - p. 164 27. PART VI: Patients with Special Needs - p. 169 28. 21. Diverse care considerations in the perianesthesia patient - p. 170 29. 22. Special needs of pediatric patients - p. 177 30. 23. Special needs of the older patient - p. 191 31. 24. Caring for the family - p. 214 32. 25. Substance use disorders - p. 218 33. PART VII: The Surgical Specialties - p. 225 34. 26. General surgical procedures and considerations - p. 225 35. 27. Genitourinary surgery - p. 232 36. 28. Gynecologic surgery - p. 239 37. 29. Minimally invasive surgery, laser surgery, and other technologies - p. 250 38. 30. Ophthalmic surgery - p. 260 39. 31. Oral and maxillofacial surgery - p. 274 40. 32. Orthopedic and podiatric surgery - p. 282 41. 33. Otorhinolaryngologic and head and neck surgery - p. 289 42. 34. Cosmetic and reconstructive surgery - p. 300 43. PART VIII: The Ambulatory Surgery Center as a Special Procedures Unit - p. 309 44. 35. Special procedures in the ambulatory setting - p. 310 45. Index - p. 323
Learn the multidisciplinary clinical knowledge and skills needed to provide effective nursing care in outpatient settings! Ambulatory Surgical Nursing reflects the advanced procedures being performed in ambulatory surgery today, as well as the latest medications and improvements in pain management techniques. Authored by the American Society of PeriAnesthesia Nurses (ASPAN) and edited by well-known perioperative nursing expert Theresa L. Clifford, this text addresses all aspects of patient care, from pre-admission to patient education, discharge, and recovery, with comprehensive coverage of surgical specialties in separate chapters for easy reference. Case studies in each chapter bring key concepts to life and offer an opportunity to apply information contained within the chapter.
1. Introduction - p. viii 2. 1. The history of ambulatory surgery and the nurse’s role - p. 1 3. PART I: Management and Leadership in Ambulatory Surgery - p. 9 4. 2. Leadership in ambulatory surgery - p. 10 5. 3. Perianesthesia nursing standards - p. 15 6. 4. Clinical inquiry: Quality improvement and evidence-based practice in ambulatory surgery - p. 20 7. 5. Risk management and legal issues - p. 25 8. PART II: Safety in the Ambulatory Perianesthesia Setting - p. 32 9. 6. Safety standards - p. 33 10. 7. The environment of care - p. 39 11. 8. Clinical emergencies and preparedness in the ambulatory setting - p. 43 12. PART III: Anesthesia and Sedation for Ambulatory Procedures - p. 68 13. 9. General anesthesia - p. 68 14. 10. Local and regional anesthesia - p. 76 15. 11. Procedural sedation - p. 89 16. PART IV: Pain Management - p. 97 17. 12. Principles of pain assessment and multimodal analgesia - p. 97 18. 13. Pharmacologic interventions for pain management - p. 105 19. 14. Nonpharmacologic interventions for pain management - p. 110 20. PART V: Patient Care: The Continuum - p. 118 21. 15. Phases of care: Preoperative preparation and optimization of the ambulatory surgery patient - p. 118 22. 16. Phases of care: phase I: Immediate postoperative care - p. 130 23. 17. Phases of care: Phase II and extended care - p. 139 24. 18. Patient teaching and discharge challenges - p. 144 25. 19. Enhanced recovery after surgery: The continuum of care from diagnosis and surgery to recovery - p. 155 26. 20. Principles of intraoperative care - p. 164 27. PART VI: Patients with Special Needs - p. 169 28. 21. Diverse care considerations in the perianesthesia patient - p. 170 29. 22. Special needs of pediatric patients - p. 177 30. 23. Special needs of the older patient - p. 191 31. 24. Caring for the family - p. 214 32. 25. Substance use disorders - p. 218 33. PART VII: The Surgical Specialties - p. 225 34. 26. General surgical procedures and considerations - p. 225 35. 27. Genitourinary surgery - p. 232 36. 28. Gynecologic surgery - p. 239 37. 29. Minimally invasive surgery, laser surgery, and other technologies - p. 250 38. 30. Ophthalmic surgery - p. 260 39. 31. Oral and maxillofacial surgery - p. 274 40. 32. Orthopedic and podiatric surgery - p. 282 41. 33. Otorhinolaryngologic and head and neck surgery - p. 289 42. 34. Cosmetic and reconstructive surgery - p. 300 43. PART VIII: The Ambulatory Surgery Center as a Special Procedures Unit - p. 309 44. 35. Special procedures in the ambulatory setting - p. 310 45. Index - p. 323
