Pre-operative Nursing of Day Surgery Assessment Criteria and Variance Regarding Safety and Comfort

Abstract

　Operations under general anesthesia on an outpatient basis are growing. Careful health management by patients themselves and their families is very important during their pre-operative periods. Therefore, the clinical pathway for improving the efficiency and quality of medical treatment is essential.

　The purpose of this study is to analyze the variance of risk factors regarding safety and comfort for Day Surgery pre-operation― using nursing assessment criteria. Through a survey on 380 adult and child patients who were to have outpatient operations under general anesthesia and had received preoperative telephone interviews, investigations were made on risk factors for deviation from nursing assessment criteria on three points before the operations: 1. exploration by anesthetists, 2. telephone interviews, and 3. exploration by anesthetists on the operation day. More than half of the patients were at variance with the clinical path. The number of cancellations was 6 (2 percent).