The role of nurse in one-day case surgery

Jedan od noviteta u medicinskom segmentu u Hrvatskoj koji se javio krajem 2000. godine, a počeo maksimalno razvijati u 21. stoljeću, zasigurno je jednodnevna kirurgija. Naime, riječ je o zahvatima za koje nije potrebno da pacijent ostaje u bolnici već se nakon operativnog zahvata, a nakon pregleda liječnika i anesteziologa, pacijent otpušta na kućnu njegu. U Americi su se takvi odjeli javili još davnih 1970ih godina, a danas više od polovice elektivne kirurgije u Americi obavlja se kao jednodnevna.Takav način liječenja ima čitav niz prednosti među kojima se ističu manji troškovi za pacijenta jer nema hospitalizacije, ali i manji troškovi za Hrvatski zavod za zdravstveno osiguranje, manje stresa za pacijenta, mogućnost liječenja pacijenta u udobnosti vlastitog doma, smanjene liste čekanja i dr.U jednodnevnoj kirurgiji uloga medicinske sestre je velika, a očituje se u zadaćama kroz tri faze i to predoperativnu fazu liječenja, intraoperativnu fazu liječenja i postoperativnu fazu liječenja. U svakoj od faza sestra ima specifične zadaće.U budućnosti je moguće očekivati rast dnevnih bolnica kao i odjela za jednodnevnu kirurgiju. Međutim, moguće je očekivati i rast drugih jednodnevnih odjela kao npr. za dijabetes, za brigu o kroničnim ranama, za primjenu intramuskularne terapije i dr.One of the novelties in the medical segment in Croatia, which occurred in late 2000th, and began to develop to a maximum in the 21st century, is surely the one-day surgery. In fact, that are surgical procedures for which is not necessary that the patient remains in the hospital. After surgery and examination of surgeon and anesthesiologist, the patient is released to home care. In USA, such departments are established in 1970s and today, more than half of elective surgery in America is done this way. This treatment has a number of advantages, among which are lower costs for the patient, lower costs for the Croatian Institute for Health Insurance, less stress for the patient, recovery in the comfort of his own home. It also reduces waiting lists and many other benefits. In the one-day surgery, the role of nurses is very big, and is reflected in tasks through three phases, preoperative phase of treatment, intraoperative treatment stage and postoperative treatment phase. In each phase sister has specific tasks. In the future it is possible to expect growth of day hospitals and departments of one-day surgery. However, it is also possible to expect growth of other one-day departments like, for diabetes, for care of chronic wounds, application of intramuscular therapy and others