The Effectiveness of The Preoperative Visit Improvement Project For Operating Room Nurses

Chen Xing-Ju ； ChiangLi-Yang ； Hsu Ting-Jung ； Huang Min-Hsuan ； Chang Fang-Tzu ； Gan Ruei-Jie

《The Proceedings of the 8th AHLA International Conference: Health Literacy in Social Resilience》 2022 (2022/12) Pp. 73-74

https://doi.org/10.30181/AHLA.202210.0046

摘要

INTRODUCTION:
Since the preoperative visit is a very important indicator of the quality of hospital care, when the surgical patient does not understand the surgical information, it is easy to generate resistance and affect the operation. Understand the surgical situation and complete the surgical treatment successfully. The reason for the analysis is that the day shift nurses are unable to complete the pre-surgery visit as scheduled due to unanticipated overtime work, there is no audit system, the patient goes out during the pre-surgery visit, or the visit period is afraid of affecting the patient's rest, etc. Statistics from January to March 2022 The implementation rate of preoperative visits by nurses in the operating room is only 45%, which motivates the author to improve.
OBJECTIVES:
Centered on operating room nurses, using root cause analysis to improve the effectiveness of the preoperative visit execution rate of operating room nurses, thereby reducing the psychological burden of surgical patients facing surgery, and increasing the operating room nurses' preoperative visit execution rate to more than 80%.
METHODS:
Hold preoperative visit education and training courses, senior staff will lead colleagues to preoperative visit, and reply to teaching preoperative visit case experience to share with the instructor, reset manpower allocation and revise preoperative visit period, from middle class The staff assists in the execution of pre-operative visits, and implements the registration and visit registration book. If the patient asks for leave or does not meet the patient during the examination, he must hand over the shift to the small night shift colleagues to continue to complete the pre-operative visit, and arrange the operating room visit team. The team leader monitors the effectiveness of the visits month by month, and introduces the precautions for preoperative visits during the morning meeting in the operating room for colleagues to know. And when colleagues visit, monitor the visit status, when there are unexpected special circumstances, discuss emerging problems with colleagues, and quickly improve the problem.

RESULTS:
According to statistics, from April to June 2022, the execution rate of preoperative visits by operating room nurses will increase from 45% to 85%.
CONCLUSION:
Pre-operative visit is a two-way interaction between nurses and patients. It is a very important part of the whole-term nursing care of patients. It reduces the anxiety of patients facing surgery and improves the quality of hospital services. A complete pre-operative visit allows patients to correctly understand the relevant aspects of surgery. information, accept surgery with peace of mind, complete the surgery as scheduled, demonstrate the value of nursing professionalism and ensure that patients receive good quality of care. The results of this study can be applied to clinical practice, including clinical care and professional roles, and this study can provide reference for clinical nurses to improve the effectiveness of preoperative visits.