Pre operation guide for thyroidectomy for the nurse

Verify patient identity using two identifiers.

Review patient medical history and surgical history.

Assess for any allergies, particularly to anesthesia or medications.

Evaluate thyroid function tests and imaging results.

Conduct a physical examination, focusing on neck and respiratory status.

Confirm any anticoagulant or antiplatelet medication use and discuss management plan.

Ensure informed consent is obtained and properly signed.

Review the procedure with the patient, including risks and benefits.

Address any questions or concerns from the patient.

Educate the patient about the thyroidectomy procedure.

Discuss expected postoperative care and recovery timeline.

Provide information on potential complications and when to seek help.

Explain the importance of medication adherence post-surgery.

Confirm completion of required lab tests (CBC, electrolytes, thyroid function tests).

Ensure imaging studies (ultrasound, CT scan) are reviewed and available.

Verify that any necessary preoperative screenings (EKG, chest X-ray) are completed.

Review current medications, including herbal supplements.

Ensure appropriate medications are held or administered as per protocol.

Confirm administration of prophylactic antibiotics, if indicated.

Ensure patient is NPO (nothing by mouth) as per protocol.

Confirm IV access is established and functional.

Prepare and label any necessary medications for the operative procedure.

Ensure patient is in appropriate attire (hospital gown, no jewelry).

Review anesthesia plan with the anesthesiologist.

Discuss any previous anesthesia reactions or concerns with the team.

Ensure consent for anesthesia is obtained and documented.

Confirm that all necessary equipment and supplies for the procedure are available.

Conduct a “time out” with the surgical team to verify patient identity, procedure, and site.

Ensure patient’s family is informed of the surgery schedule and waiting area.

Document all preoperative assessments, education, and consent in the patient’s chart.

Ensure that all necessary forms and reports are completed and filed.

Provide emotional support and reassurance to the patient.

Assess the need for additional support services (social work, chaplaincy) if needed.

This checklist aims to ensure comprehensive preparation for a thyroidectomy and maintain patient safety and satisfaction.