🏥 O · Surgery and intensive care
10
statements6
actual4
risk2
urgentRecommended assessment — CarePath tool: CP-SURG Post-op & Critical Care Check (interactive scoring) · Validated scales: RASS, CPOT, Aldrete
| Code | Problem statement | Type | Description | First 3 actions |
|---|---|---|---|---|
| O1 | Fear before surgery | Actual | Worry about pain, anaesthesia, outcomes, or loss of control before an operation. | Explain the steps · Allow questions · Teach breathing |
| O2 | Breathing problems after anaesthesia | Actual ⚠ URGENT | Shallow breathing, low oxygen, or airway problems after an operation. | Open the airway · Give oxygen · Stimulate |
| O3 | Risk of internal bleeding after surgery | Risk ⚠ URGENT | Hidden bleeding may occur and show as low blood pressure, fast pulse, or pain. | Check vital signs, abdomen and dressings at ordered times · Report a rising pulse, falling blood pressure, pallor, abdominal swelling or new pain at once · Call the surgeon if bleeding is suspected |
| O4 | Drain, tube, or line problems | Risk | Tubes and lines may block, slip out, kink, or be pulled. | Secure tubes · Check they are open · Teach the patient not to pull |
| O5 | Infection from lines | Risk | Intravenous lines and other devices can carry germs into the body. | Use aseptic technique · Clean hubs · Check the site |
| O6 | Slow gut recovery after surgery | Actual | Bowel movement is slow to return, causing bloating, nausea, or constipation. | Encourage walking · Limit opioids · Give intravenous fluids as ordered, and keep nothing by mouth if instructed |
| O7 | Needs of sedated or unconscious patient | Risk | The person cannot protect their own airway, skin, eyes, or position. | Turn regularly · Give eye and mouth care · Suction |
| O8 | Discomfort from tubes | Actual | Tubes and devices cause soreness, irritation, or restlessness. | Give comfort · Secure the tube · Give sedation as ordered |
| O9 | Sleep loss in ICU | Actual | Noise, light, and care routines prevent restful sleep. | Group care · Dim lights · Reduce noise |
| O10 | Family distress in ICU | Actual | Relatives feel fear, shock, or helplessness while the patient is critically ill. | Give updates · Explain equipment · Allow visits |