Nursing interventions in the one-day surgery unit

Jedinice za jednodnevnu kirurgiju podrazumijevaju način rada koji omogućuje brzo, efektivno i financijski učinkovito zbrinjavanje pacijenata pridonoseći na taj način boljem funkcioniranju sveukupne bolnice u kojoj se nalazi, a samim time i cjelokupnog zdravstvenog sustava. Temeljni razlozi za praktičnu primjenu jesu dostignuća u medicinskoj tehnologiji, napredak u anesteziji i kontroli boli koji omogućuju efikasnu primjenu ovog modaliteta skrbi, koji rezultira smanjenom indikacijom za hospitalizacijama te smanjuje liste čekanja. Najviša razina uspjeha postiže se primjenom međunarodnih kliničkih smjernica, koje uključuju procjenu zdravstvenog statusa pacijenta, procjenu okolnosti i informiranosti bolesnika i njihovih roditelja/skrbnika. Po završetku pripreme pacijent mora biti medicinski sposoban za operativni zahvat i maksimalno informiran o svim aspektima jednodnevne kirurgije, imati spoznaje koje omogućuju prihvaćanje anestezioloških i kirurških tehnika, kao i spoznaje o organizaciji rada na odjelu neposredno prije i poslije operativnog zahvata, kao i sve moguće komplikacije. Intervencije medicinske sestre/ tehničara u tom periodu su opširne, a od uvelike su važnosti za uspješno liječenje. Cilj rada je osvijestiti važnost kvalitetne i potpune pripreme, odnosno osigurati smanjenje svih mogućih rizika te naglasiti važnost edukacije bolesnika i njegove obitelji. Cilj je i potaknuti svijest o trajnom održavanju dobre, temeljite komunikacije između pacijenata i zdravstvenih djelatnika. Materijali i metode: sustavni pregled literature, pretraživanje znanstvenih portala i časopisa, kao što su PubMed i Hrčak njihova komparacija, opservacija ambulantnih pacijenata te analiza postojeće medicinske dokumentacije kroz 2020-2021 godinu.One-day surgery units include a way of surgery that enables the fast, effiecient and cost-effective care of patients, thus contributing to a better functioning of the overall hospital and therefore the entire health system. The fundamental reasons for application in practice are achievements in medical technology, advances in anesthesia and pain control that allow the effective application of this modality of care, which results in a reduced indication for hospitalizations and reduces the waiting lists. The highest level of success is achieved through the application of international clinical guidelines, which include health status assessment methods, assessing the circumstances and informing patients and their parents/ caregivers. After completion of preparation, the patient must be medically fit for surgery and fully informed about all aspects of one-day surgery, have knowledge that allows acceptance of surgical and anesthesiological techniques, as well as knowledge about the organization of work in the ward immediately before and after surgery, as well as all possible complications. The nurses and technicians interventions during this period are extensive and they are of great importance for successful treatment. The aim of the paper is to raise awareness of the importance of quality and complete preparation, i.e. to ensure the reduction of all possible risks and to emphasize the importance of educating the patient and his family. The aim is also to encourage awareness of the continuous maintenance of good, thorough communication between patients and healthcare professionals. Materials and methods: systematic review of literature, search of scientific portals and journals, such as PubMed and Hrčak, their comparison, observation of outpatients and analysis of existing medical records through 2020-2021. Targeted and continuous modern education of nurses and research of patient access modalities serves to raise one-day surgery in the Republic of Croatia to a higher qualitative level and thus enable the improvement of the knowledge and skills of both doctors and nurses/technicians