MONITORING POST SURGERY

Oleh
Group 7
Rafika Tivra Crisdianam

1301470026

Diana Susandari
Ihsan

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

POLITEKNIK KESEHATAN KEMENKES MALANG
JURUSAN KEPERAWATAN
2016

A; Definition of Monitoring

According to Conor (1974) explains that monitoring activities are meant to

determine the suitability and appropriateness of the activities carried out with the
plans that have been prepared. Monitoring is also used to improve the activities that
deviate from the plan, correcting the abuse of rules and resources, and to strive for
attainable goals as effectively and efficiently as possible.
B; Definition of Post Surgery

Post surgery is the period that began when the entry of patient recovery chamber
and ends with follow-up evaluation in the framework of the clinic or at home. After
surgery, the client's care can be complex due to physiological may occur. To assess
the condition of this post or post surgery, nurses rely on information derived from
the results of preoperative nursing assessment. Client's knowledge about the surgical
procedure and things that happen during the surgery took place. This information
helps the nurse detect any changes.
Postoperative actions carried out in two stages, namely the immediate recovery
period and a sustained recovery after the post-operative phase. For clients who
undergo day surgery, recovery normally occurs within 1 to 2 hours and healing done
at home. For clients who are hospitalized recovery occurs over several hours and the
healing lasts for one day or more depending on the extent of surgery and client
response.
C; Monitoring Post Surgery

Surgery is basically a trauma that would cause physiological changes, in

response to trauma. Besides there is disruption of brain function vital organ, the tool
of breath, cardiovascular system, liver, kidneys, digestive system, and sensing.
Here are the things that should be monitored in a factual, concise, clear, and
complete, and is written every day in the period that takes place right after the
surgery:
1; Description in general: mental readiness, awareness, tolerance to pain and more.
2; Vital signs
3; Respiratory airway patency, depth, frequency, nature and breath sounds
4; Neurology: client response rate
5; Drainage: dressing conditions (presence of drainage or not)
6; Convenience: type and location of pain, nausea and vomiting, changes in the
required position
7; Psychology: the need for rest and sleep, and the nature of the patient's questions
8; Safety: the need for a fence beds, drainage hose is not clogged.

9; Diit (eg. tolerance for liquids and food)

10; Diagnostic tests
11; The function of digestion: perrectum flatus and bowel movement, abdominal

distension
D; Standard Operating Procedures Monitoring Post Surgery
1; Tools Preparation

Spignomanometer
Stethoscope
Clock with a second hand
Thermometers
Tonggue spatel
Penlight
2; Implementation Procedures
Assess respiratory status: oxygenation, freedom of airway, breathing
depth, speed, rhythm of breath, and wheezing.
Assess the status of circulation: pulse, blood pressure, heart sounds, heart
rhythm, temperature, color, and capillary filling.
Assess neurological status: the level of consciousness, pupillary reflex,
reflex swallowing, bowel and muscle tone.
Assess convenience: a response to pain, nausea, vomiting.
Pay attention to the safety of the client: barrier bedding, tools caller,
drain.
Notice of equipment: monitoring equipment installed and functioning
properly, intravenous fluids smoothly, the drainage system.
Documented in a monitoring report.