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Course # 30762 • Postoperative Complications

Overview

Postoperative complications are a constant threat to the millions of people undergoing surgical interventions. Whether patients are managed in a hospital setting, an ambulatory care facility, or in a free-standing operating suite, the development of postoperative complications can lead to long-term disability and possibly death. Complications will be discussed utilizing an easy-to-decipher approach, beginning with detection and ending with appropriate steps to treat and/or reverse these untoward events. The underlying physiology will be presented to allow the reader to determine which patients would be at high risk for these developments. In addition, postoperative complications that are common to pediatric, geriatric, and obese patient populations will be addressed.

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Education Category: Medical / Surgical

Release Date: 02/01/2018

Expiration Date: 01/31/2021

Audience

This course is designed for all nurses and allied professionals involved in the care of patients who undergo surgical procedures, especially those who work in the preoperative area, the operating room, or the postanesthesia unit in hospitals or free-standing surgical centers.

Accreditations/Approvals

In support of improving patient care, NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NetCE is approved to offer continuing education through the Florida Board of Nursing Home Administrators, Provider #50-2405. NetCE is approved by the California Nursing Home Administrator Program as a provider of continuing education. Provider number 1622. NetCE is accredited by the International Association for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU. This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 15 CE contact hour(s). Activity code: H00031427. Approval Number: 180001104. To claim these CEs, log into your CE Center account at www.ccmcertification.org.

Designations of Credit

NetCE designates this continuing education activity for 15 ANCC contact hour(s). NetCE designates this continuing education activity for 1 pharmacotherapeutic/pharmacology contact hour(s). NetCE designates this continuing education activity for 18 hours for Alabama nurses. This home study course is approved by the Florida Board of Nursing Home Administrators for 5 credit hour(s). This course is approved by the California Nursing Home Administrator Program for 10 hour(s) of continuing education credit - NHAP#1622010-6083/P. California NHAs may only obtain a maximum of 10 hours per course. NetCE is authorized by IACET to offer 1.5 CEU(s) for this program. AACN Synergy CERP Category A.

Individual State Nursing Approvals

In addition to states that accept ANCC, NetCE is approved as a provider of continuing education in nursing by: Alabama, Provider #ABNP0353, (valid through November 21, 2017); Alabama, Provider #ABNP0353, (valid through November 21, 2021); California, BRN Provider #CEP9784; California, LVN Provider #V10662; California, PT Provider #V10842; District of Columbia, Provider #50-2405; Florida, Provider #50-2405; Georgia, Provider #50-2405; Iowa, Provider #295; Kentucky, Provider #7-0054 through 12/31/2019; South Carolina, Provider #50-2405.

Course Objective

The purpose of this course is to provide nurses and all allied health professionals who care for postsurgical patients the knowledge necessary to recognize and manage common postoperative complications, improving patient care and outcomes.

Learning Objectives

Upon completion of this course, you should be able to:

  1. List the steps necessary to obtain an accurate and thorough assessment of patients prior to, during, and after surgery.
  2. Identify information that should always be obtained during the assessment of the preoperative patient.
  3. Review the common complications of patients undergoing abdominal, orthopedic, cardiovascular, respiratory, neurologic, obstetric/gynecologic, and genitourinary surgeries.
  4. Describe the development, course, and management of postoperative nausea and vomiting (PONV).
  5. Discuss the signs and symptoms as well as the treatment of malignant hyperthermia.
  6. Review the implications of hypothermia, pain, and complications related to positioning in postsurgical patients.
  7. List the most common respiratory complications following surgery and how to best identify and manage these complications in the postanesthesia care unit (PACU).
  8. Describe the cardiovascular complications that may occur in the postoperative period and the appropriate interventions.
  9. Discuss the development and management of postoperative neurologic complications.
  10. List the steps to appropriately assess and manage the patient with a volume status complication in the postoperative period.
  11. Outline the steps to managing postoperative ileus.
  12. Identify the signs/symptoms, risk factors, and management of postsurgical renal insufficiency.
  13. Describe the anatomic and physiologic differences between children and adults and how these differences impact postoperative care and complication development.
  14. Identify the anatomic and physiologic differences between elderly and adult patients and the impact that these differences have on the development of postoperative complications.
  15. Develop a plan for assessment and management to be instituted in the PACU to limit the development of postoperative complications in the morbidly obese patient.

Faculty

Susan Engman Lazear, RN, MN, received her undergraduate education at the Walter Reed Army Institute of Nursing in Washington, D.C. After completing her BSN, she served as an Army Nurse at Letterman Army Medical Center in San Francisco for four years. She then attended the University of Washington School of Nursing and received a Master’s in Nursing, specializing in Burn, Trauma and Emergency Nursing. After receiving her MN, she started Airlift Northwest, the air ambulance service based in Seattle which serves the entire Northwest region, including Alaska. Mrs. Lazear left the air ambulance service to start her own nursing education and consulting business, Specialists in Medical Education. For the past 20 years she has been teaching emergency nursing courses throughout the country. She lives in the Seattle area. Mrs. Lazear continues to teach and publish. She is both an editor and contributing author of Critical Care Nursing, published by W.B. Saunders Company, in June of 1992. She served as an author and reviewer of the Emergency Nursing Core Curriculum 6th Edition, published by W.B. Saunders Company in 2007. She has been named to the Who’s Who in American Healthcare list annually since 1992.

Faculty Disclosure

Contributing faculty, Susan Engman Lazear, RN, MN, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planner

Jane C. Norman, RN, MSN, CNE, PhD

Division Planner Disclosure

The division planner has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

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