1.

CATARACT SURGERY NURSING CARE

BEFORE:
-Ask patient identifiers to confirm patient identity.
-Confirm patients acceptance of the surgery and anesthesia.
-Secure a signed consent form.
-Remove all patient accessories like watch, artificial dentures, etc. and hand the belongings to
patients significant others.
-Provide comfort measures and establish a therapeutic relationship with the patient.
-Allow the patient to express his fears and anxieties about the procedure.

DURING:
-Help patient maintain a supine position and use equipment to prevent fall.
-Keep patient warm with blanket or heat lamp.
-Drop topical mydriatic and local anesthetic agents for eye.
-Put on aseptic sheet on patent’s face only exposing the eye which will be operated.
-Record the time anesthesia was administered, the time procedure started, and the time procedure
ended.

AFTER:
-Clean the patients face and cover the wound with eye pads.
- Instruct patient not to rub, scratch, or put pressure on the operated eye.
- Instruct the patient to avoid activities that increase intraocular pressure such as straining.
- Urge the patient to protect the eye from accidental injury at night by wearing a plastic or metal
shield with perforations,a shield or glasses should be worn for protection during the day.
-Provide nursing care instructions at home such as oral medical and eye drops.
-Instruct patient to prevent water getting into his/her eyes when they wash their head for 1 month.
-Advise the patient to watch for and immediately report complications such as sharp pain in the eye
that’s uncontrolled by analgesics this can be caused hyphema(a clouding in the anterior chamber) and
may herald an infection.
-Instruct the patient to make an appointment to do doctor regularly for follow ups.

2. VASECTOMY NURSING CARE

Vasectomy is a form of male birth control that cuts the supply of sperm to your semen. It's done by
cutting and sealing the tubes that carry sperm. Vasectomy has a low risk of problems and can
usually be performed in an outpatient setting under local anesthesia.

BEFORE:
-2 days before the procedure, instruct the patient to avoid aspirin and aspirin-like products.
-Before going to the hospital, instruct the patient to shower before leaving home and wear
comfortable clothing.
-Ask patient identifiers to confirm patient identity.
-Confirm patients acceptance of the surgery and anesthesia.
-Secure a signed consent form.
-Provide comfort measures and establish a therapeutic relationship with the patient.
-Allow the patient to express his fears and anxieties about the procedure.
-Ask the patient to remove his clothings and then place a blanket on patient.
-Transport the patient in the operating room.
-Obtain vital signs as this will serve as a baseline data.

DURING:
- Assist the patient on to the operating table.
-Place the patient in a supine position with legs apart.
-Drape the patient
-Assist in anesthesia administration.
-Prepare all the equipment needed in the procedure.
-Record the time anesthesia was administered, the time procedure started, and the time procedure
had ended.

AFTER:

-Instruct the patient to apply ice packs intermittently to the scrotum the night of your vasectomy and
as much as possible the following day. Remind patient to not apply for more than 20 minutes at a
time.
-Instruct patient to cover the incisions with one or two clean gauze pads regularly for three days after
surgery.
-Tell the patient that he shower 24 hours after his vasectomy and afterwards keep the area of the
incision clean and dry.
-Instruct the patient to refrain from intercourse/ejaculation for one week.
-Instruct the patient to seek medical help when complication occur such as infection and
pain/discomfort when urinating.

3. HERNIA REPAIR NURSING CARE

BEFORE:
-Ask patient identifiers to confirm the identity of the patient.
- Establish rapport.
- Educate about hernia repair.
-Manage anxiety and fear.
-Ensure all medical notes and treatment charts.
-Ensure a signed consent form.
- Put on identification bracelet on patient.
-Instruct patient to remove clothings and wear the hospital gown.
-Remove all jewellery/ foreign teeth/ hearing aid/ contact-lenses/ glasses/ make-up
-Obtain vital signs as this will serve as a baseline data.

DURING:
-Assist the patient on to the operating table.
-Drape the patient
-Assist in anesthesia administration.
-Prepare all the equipment needed in the procedure.
-Disinfect site of incision.
-Record the time anesthesia was administered, the time procedure started, and the time procedure
had ended.

AFTER:
-Relieve pain and discomfort.
-Educate patient that hernia repair takes 4 – 6 weeks to heal fully.
-Advise patient to rest and engage in light physical activity when he returns home, heavy lifting and
vigorous movements should be avoided.
- Instruct patient to keep incision site clean and dry.
- Instruct patient to eat diet high in fiber and take plenty of water to prevent constipation.
-Explain and educate the patient about the medication that he/she has to take at home, such as
analgesia or possibly anti-biotics.
4. TONSILLECTOMY NURSING CARE
A tonsillectomy is surgery to remove the tonsils. Tonsils are lumps of tissue on both sides of the
back of the throat that help the immune system protect the body from infections. Tonsillectomy
(tahn-suh-LEK-tuh-mee) is one of the most common surgeries kids and teens get.

BEFORE:
-Instruct patient to not take aspirin or ibuprofen-containing medications within 7 days of the
operation.
- Instruct the patient to not eat or drink anything after midnight on the day of the operation.
-Instruct the patient to come on time of the operation.
-Ask patient identifiers to confirm patient identity.
-Secure the signed consent form.
-Remove all patient accessories like watch, artificial dentures, etc. and hand the belongings to
patient’s significant others.
-Provide comfort measures and establish a therapeutic relationship with the patient.
-Allow the patient to express his fears and anxieties about the procedure.

DURING:
-Assist the patient to get on to the operating table.
-Place the patient in a supine position (arms may be extended on armboards or tucked at the patient’s
side and restrained)
-Maneuver the table into trendelenburg position.
-Place a rolled towel under the shoulder to hyperextend the neck.
-Assist in anesthesia administration.
-Prepare all the equipment needed in the procedure.
-Record the time anesthesia was administered, the time procedure started, and the time procedure
had ended.

AFTER:
-Instruct the patient to have soft foods such as oatmeal soups pureed fruits and vegetables jello ices
and ice cream in the first few days following surgery. Avoid hard foods that cause straining or pain.
-Inform patient that it is extremely important to drink sufficient amount of water/liquids to avoid
dehydration.
- Instruct patient that tt is necessary to keep the mouth and teeth clean after a tonsil operation. The
teeth should be brushed gently two or three times a day.
-Inform patient that it is normal to have earache after tonsillectomy and the frequently the earache is
more painful that throat ache.
-Inform patient that fever is expected and there may be a white covering/scab where the tonsils were
and this is normal.
-Instruct patient to call and seek for medical advice if complications occur.

5. LUMPECTOMY NURSING CARE

BEFORE:
-Instruct patient to not take aspirin or ibuprofen-containing medications within 7 days of the
operation.
- Instruct the patient to not eat or drink anything after midnight on the day of the operation.
-Instruct the patient to come on time of the operation.
-Ask patient identifiers to confirm patient identity.
-Confirm patients acceptance of the surgery and anesthesia.
-Secure a signed consent form.
-Remove all patient accessories like watch, artificial dentures, etc. and hand the belongings to
patients significant others.
-Provide comfort measures and establish a therapeutic relationship with the patient.
-Allow the patient to express his fears and anxieties about the procedure.
-Obtain patient’s vital signs as this will serve as a baseline data.

DURING:
-Assist the patient on to the operating table.
-Place patient in a supine position.
-Drape the patient and expose the site where incision will be made (e.g. breasts)
-Assist in anesthesia administration.
-Prepare all the equipment needed in the procedure.
-Disinfect site of incision.
-Monitor patient’s vital signs.
-Record the time anesthesia was administered, the time procedure started, and the time procedure
had ended.

AFTER:
-Instruct patient to take their pain medicine as directed. Discuss to patient the side effects of the
drugs.
-Instruct patient to keep the bandage clean and dry. If the bandage has been removed, keep cuts
clean and dry.

-Instruct patient to check incisions daily for signs of infection. These include redness, swelling, and
drainage. Also instruct the patient to watch the edges of the incision to be sure it's not opening up.

- Inform the patient that they may have a drainage tube left in their skin to carry excess fluid to a soft
plastic bulb. Show to patient how and when to empty the bulb. Instruct the patient to record the
amount of fluid. The amount will decrease over time.

-Instruct the patient to don't soak in a tub, hot tub, or pool until the provider says it's OK.

-Instrcu patient to Eat normal meals as soon as they feel able. Stick to a healthy, well-balanced diet.

- Instruct patient tp Try to prevent constipation: Eat fruits, vegetables, and whole grains. Drink 6 to 8
glasses of water a day, unless directed otherwise. Use a laxative or a mild stool softener if provider
says it’s OK.