ASUHAN

KEPERAWATAN
PERIOPERATIF

OLEH
PUTRI KRISTYANINGSIH, S. KEP., NS., M. KEP.

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TUJUAN PERKULIAHAN
1. Memahami konsep perioperative
2. Memahami konsep keperawatan perioperative
3. Memahami asuhan keperawatan perioperative
4. Memahami perioperative care pada anak
5. Dapat menyusun asuhan keperawatan perioperative
PERIOPERATIF

Suatu istilah gabungan yang mencakup 3 fase pengalaman

pembedahan, yaitu preoperative phase (sebelum operasi),
intraoperative phase (selama operasi), dan postoperative p
hase (setelah operasi).
 Intra operative
• Mulai dari penetapan • Saat pasien masuk ke
rencana operasi, ruang post anastesi
sampai pasien dibawa • Saat pasien masuk sampai selesai proses
ke ruang operasi ruang operasi sampai evaluasi
pasien masuk ke
ruang post anastesi
(ROI)

Pre operative Post operative

KATEGORI PEMBEDAHAN

EMERGENCY URGENT PLANNED

1. Maintain life
Must be performed within 1. Scheduled
2. Maintain organ function
24 hours to 48 hours 2. Purposed operation
3. Stop hemorrhage

OPTIONAL
ELECTIVE
Requested operation (by
Not absolutely necessary
client)
FAKTOR RESIKO TERJADI KOMPLIKASI
PEMBEDAHAN
1. Patient
Age, obesity, malnutrition, immobility, hypovolemia, infe
ction, pregnant, DM, hepatic / cardiovascular/ renal / pul
monary disease
2. Nature of condition
Malignant
3. Location of condition
Heart / brain
KEPERAWATAN PERIOPERATIVE

Istilah yang digunakan untuk menggambarkan keragaman

fungsi keperawatan yang berkaitan dengan pengalaman pe
mbedahan pasien.

Is the field of nursing that addresses the nursing roles asso

ciated with the three phases of surgical experiences : pre o
perative intra operative and post operative
Pra Operative
1. Pre admission testing
Initial operative assessment
Initiate teaching appropriate to pastients needs
Involve family in interview
Verify completion of preoperative testing
2. Admission to surgical unit center
3. Others also in the holing area prior to the surgery
Lanjutan Pra Operative
2. Admission to surgical unit center
Complete the operative assessment
Assess for risk of complications
Report upnormal findings
Verify that informed consent obtained
Answers family questions
Develpo a plan of care
3. Others also in the holing area prior to the surgery
Lanjutan Pra Operative
3. Others also in the holing area prior to the surgery
Review patient chart
Identify patient
Verify surgical site
Establish intravenous line
Administer prescribed medications
Provide support
Intra Operative
1. Maintain safety
2. Maintain aseptic environment
3. Transfer patient to operation room or table
4. Position the patient in correct alignment
5. Ensure that instrument count are correct
6. Complete documentation
7. Physical monitoring (calculate fluid loss, distinguish normal a
nd abnormal data, report changes in vital sign)
8. Physiologic support (provide emotional support)
Post Operative
1. Maintain airway
2. Monitor vital sign
3. Assess the effect of anesthetic agents
4. Assess complication assess pain
5. Promote recovery and initiate teaching
6. Initiate discharge planning
ASUHAN KEPERAWATAN PERIOPERATIF
Masalah yang sering kita temukan
1. Preoperative
1. Kecemasan
2. Intra operative
1. Resiko bleeding
3. Post operative
1. Nyeri, resiko infeksi, gangguan mobilitas, dll
Diagnosa keperawatan
1. Kecemasan berhubungan dengan rencana operasi
2. Nyeri akut berhubungan dengan tindakan operasi
3. Resiko infeksi berhubungan dengan tindakan invasif
INTERVENSI
Kecemasan berhubungan dengan rencana operasi
Tujuan : setelah 1x24 jam maka kecemasan pasien akan berkku
rang
KH :
1. Pasien terlihat tenang
2. Pasien kooperatif, bersedia mengikuti prosedur
Intervensi :
3. Jelaskan tentang prosedur yang akan diikuti pasien
4. Ajarkan pasien untuk tetap tenang
5. Ajarkan teknik untuk mengatasi cemas
Nyeri akut berhubungan dengan tindakan operasi
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KH :
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Intervensi :
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1. Resiko infeksi berhubungan dengan tindakan invasif
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KH :
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Intervensi :
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