Nursing Post Operative Assessment Guide
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Create a post-operative nursing assessment for patient following [surgical procedure].

Post-op details:
- Procedure: [surgery name]
- Anesthesia type: [general/regional/local/MAC]
- Time in OR: [hours]
- Estimated blood loss: [mL]
- Fluids given intraoperatively: [mL]
- Drains placed: [type and location]
- Special considerations: [surgeon instructions]

POST-OP ASSESSMENT

1. INITIAL ASSESSMENT ON ARRIVAL
   - Airway: [patent/protected]
   - Breathing: [rate/pattern/SpO2]
   - Circulation: [HR/BP/skin color/capillary refill]
   - Level of consciousness: [Aldrete/modified score]
   - Pain score: [0-10]
   - Nausea/vomiting: [present/absent]
   - Temperature: [normothermic/hypothermic]

2. SURGICAL SITE ASSESSMENT
   - Dressing: [dry and intact/describe drainage]
   - Wound approximation: [if visible]
   - Drains: [type/output/color/amount]
   - Casts or splints: [neurovascular check]

3. SYSTEMS ASSESSMENT
   - Neurological: [sensation and movement if regional]
   - Cardiovascular: [rhythm/hemodynamic stability]
   - Respiratory: [breath sounds/oxygen needs]
   - GI: [bowel sounds/nausea management]
   - GU: [urine output/catheter if present]
   - Skin: [positioning effects/pressure areas]

4. PAIN MANAGEMENT
   - Pain score: [0-10]
   - Medications given: [list with times]
   - Non-pharmacological: [ice/positioning]
   - Response to treatment: [describe]
   - Patient satisfaction with pain control: [yes/no]

5. POST-OP ORDERS IMPLEMENTED
   - Diet advanced: [NPO/clear/regular]
   - Activity: [bedrest/dangle/ambulate]
   - Monitoring: [vital sign frequency]
   - Medications: [key post-op medications]

Note: Placeholder information only

Source: https://promptzyo.com/prompt/nursing-post-operative-assessment-guide