Neonatal Surgery
Postoperative Care - Standard Steps

 

 Reviewed by Charge Nurse - Newborn
September
2004

Step Action

1

 Ensure continuous monitoring is maintained and recorded hourly of:
  • Cardiorespiratory
  • Blood pressure
  • SpO2
  • Skin temperature

2

 Take and record temperature 4 hourly.
3 Maintain ventilation as per orders.
4 Ensure arterial blood gas/capillary gas, FBC, group & cross-match, and U&E’s are taken as ordered.
5 Administer IV fluids as prescribed. The baby remains nil by mouth until doctor/NS-ANP orders.
6 Maintain accurate input and output record.
7 Observe wounds for signs of bleeding. Report excessive bleeding.
8 Ensure pain relief is administered as prescribed.
9 Administer antibiotics as prescribed.
10 Explain all procedures and treatment to parents.
11 Ensure stress for the family is minimized:
  • Parents are kept informed of baby’s condition and progress.
  • Parents are given the opportunity to speak with the surgeon/doctors/NS-ANP.

 

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