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Perioperative Nursing


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Table of Contents

Chapter 1 - Perioperative nursing Chapter 2 - The perioperative team and interdisciplinary collaboration Chapter 3 - Perioperative patient safety Chapter 4 - Medico-legal aspects of perioperative nursing practice Chapter 5 - The perioperative environment Chapter 6 - Infection prevention and control Chapter 7 - Assessment and preparation for surgery Chapter 8 - Patient care during anaesthesia Chapter 9 - Intraoperative patient care Chapter 10 - Surgical interventions Chapter 11 - Wound healing Chapter 12 - Postanaesthesia nursing care Chapter 13 - Evolving models of care in perioperative environments


Book review by Emma Woodhouse, Manager of Higher Education, Australian College of Nursing (ACN) This textbook is an exceptional resource for anyone who is working in the perioperative environment or studying perioperative nursing practice. The book has been edited by Dr Lois Hamlin, Menna Davies, Dr Marilyn Richardson-Tench and Sally Sutherland-Fraser, all preeminent authors in the field of perioperative nursing with a wealth of clinical and academic expertise. The content covers a wide array of perioperative topics with contributors ranging from registered nurses, clinical nurse educators and consultants to nurses in academic and research roles each of whom have provided a considered insight into perioperative nursing practice. Building on the sterling work in the first edition, the major focus in the second edition is to emphasise the significance of interdisciplinary teamwork, in particular the non-technical and environmental human factors that are vital for effective patient centred care. Cultural capability is interwoven into all of the chapters, as is the needs of special populations. Other major themes in the book include an overview of the history and future of perioperative nursing, perioperative patient safety, risk management for patients and staff in the perioperative environment, infection prevention and control and the evidence based practice necessary for assessment and preparation of the patient for surgery. Three of the thirteen chapters are dedicated to the nursing care of the patient during anaesthesia, intraoperatively and post anaesthesia with a further chapter devoted to surgical intervention including the phases of surgery, instrumentation and suturing. Another chapter presents the importance of the anatomy and physiology behind post-surgical wound healing highlighting the need for a diligent surgical consciousness. The final chapter fittingly discusses the evolving models of nursing care in perioperative environments outlining the effects of technology on nursing care and the patient's perioperative experience in more ambulatory settings. Each chapter concludes with a critical thinking exercise relating to the content. These exercises are useful tools for gathering evidence of continuing professional development as part of the requirements for standards for practice by the Nursing and Midwifery Board of Australia. They can also provide prompts for reflection upon practice for portfolio building. These exercises increase the appeal of this book from novice to expert clinical nurses, as well as providing useful tools for clinical nurse educators in the perioperative field. One critical thinking exercise asks the reader to formulate an answer to the often asked question when are you going to take up real nursing again?" Perioperative nurses who are passionate about their specialty may find this question resonates with their own experiences with colleagues who fail to comprehend the value of their role. This textbook actively promotes the importance of this often undervalued and misunderstood area of nursing specialty. Perioperative Nursing: An Introduction is used as a prescribed textbook in many of the postgarduate perioperative subjects at the Australian College of Nursing and the recent revision has allowed for closer alignment to some of the topics covered in our specialty electives, especially the instrument/circulating nurse and day surgery units of study. Book review by Dr Sharon Latimer, Lecturer, School of Nursing and Midwifery, Griffith University The second edition of Perioperative nursing: An introduction is an easy to read book and a valuable resource for all perioperative nurses. The book editors; Hamlin, Davies, Richardson-Tench and Sutherland-Fraser, have completely revised the first edition of this text. The book layout is appealing and includes detailed and clearly labelled figures and diagrams. An added bonus is the access to online learning resources included with print purchase, such as case studies and further readings, tailored for instructors and students. The editors gathered an impressive team of perioperative experts to write this thirteen-chapter book. Each chapter features the patient at the centre of care delivery. The discussion of culturally sensitive patient care is a welcome inclusion. Patient safety and quality, evidence-based care is a strong feature of this book. The authors effectively unpack the complexities of patient safety by explaining how human factors contribute to healthcare errors, and how these errors can be prevented. Current Australasian and international safety and quality clinical healthcare and perioperative practice standards are also embedded in each chapter. Dispersed throughout book are 'feature' and 'research' boxes providing the reader with additional stimulus related to the discussion topic. Critical thinking exercises also help the reader synthesise and apply the information. Finally, each chapter ends with a comprehensive list of relevant electronic resources for the reader to explore. The book is logically structured; guiding the reader through all aspects of perioperative nursing. First, the history, philosophy, and professional practice of perioperative nursing are described. Patient safety principles in the delivery of perioperative nursing care are situated and explored in chapter's two to six. Collectively, these five chapters set the tone for the text. The topics covered in these five chapters include the culture and content of the perioperative team, risk management, medico-legal aspects, the impact of the perioperative environment on patient safety, and infection prevention and control considerations. The second half of the book follows the patients' surgical journey from pre-admission, to intraoperative care and then post-operative care. Chapter's seven to twelve outline the perioperative nursing care considerations during the pre-admission phase, undertaking a preoperative assessment and preparation, delivering anaesthesia care, intraoperative patient care considerations, the nurses' role during surgical interventions, wound healing, and postanaesthesia care. The final chapter discusses current care models in perioperative environments including ambulatory care settings such as day surgery and post-discharge management. The authors have produced a quality text that accurately reflects contemporary perioperative nursing care and is a valuable resource for clinicians, students, and instructors.

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