8.8. Patient monitoring during surgery: Skin care and pressure sore prevention

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Nursing in the operating room is a complex and multifaceted area that requires specialized knowledge and technical skills. One of the nurse's most critical responsibilities in the OR is patient monitoring during surgery. This includes skin care and pressure sore prevention.

Skin care during surgery is vital to avoid postoperative complications such as infections and pressure sores. The skin is the body's first line of defense against infections and, during surgery, it is exposed to a variety of factors that can compromise its integrity. These include exposure to irritants, prolonged pressure and loss of moisture.

Nurses should ensure that the patient's skin is cleaned and disinfected prior to surgery to minimize the risk of infection. During surgery, the skin must be monitored for signs of irritation or damage, and measures must be taken to protect vulnerable skin areas. This may include using protective barriers such as films or creams and re-orienting the patient to avoid prolonged pressure on a specific area.

Pressure sores, also known as pressure ulcers or bedsores, are a particular concern in surgical patients. These injuries occur when prolonged pressure on an area of ​​skin results in tissue damage. Surgical patients are particularly vulnerable to pressure injuries due to immobility during surgery and the use of medical devices that can put pressure on the skin.

To prevent pressure sores, nurses should regularly assess the patient's skin for signs of damage. This includes checking for areas of redness, swelling, pain, or changes in skin temperature or texture. If a pressure sore is identified, steps must be taken immediately to relieve the pressure and treat the sore. This may include reorienting the patient, using special pillows or mattresses, and applying topical treatments to promote healing.

In addition, nurses should educate the patient and family about pressure sore prevention. This may include demonstrating repositioning techniques, discussing the importance of good nutrition and hydration, and guidance on skin care at home after surgery.

In conclusion, patient monitoring during surgery is a vital nursing function in the OR. Skin care and pressure sore prevention are critical aspects of this role, and require a high level of knowledge and skill. Through careful assessment, early intervention, and patient education, nurses can help prevent postoperative complications and promote patient recovery.

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178.9. Patient monitoring during surgery: Patient pain management