The vital role of nurses in critical care procedures: A focus on pre-procedure preparation

Jayamurthy Bomman1, Gowtham2

1Incharge – Nurse, Kauvery Hospital, Marathahalli

2Nursing educator, Kauvery Hospital, Marathahalli

Abstract

Pre-procedural preparation in critical care is essential for ensuring patient safety, minimizing complications, and optimizing procedural outcomes. Nurses play a pivotal role in this process, from physical preparation to psychological support. This report highlights the multifaceted responsibilities of critical care nurses, as presented by Mr. Jayamurthy Bomman, and emphasizes their indispensable contribution to safe and efficient procedural care in ICU settings.

Introduction

In critical care units, every procedure involves a significant level of complexity and risk. Proper preparation not only helps reduce adverse outcomes but also enhances the quality of care. Nurses act as frontline coordinators, ensuring that both the patient and the environment are appropriately prepared for invasive or non-invasive procedures.

Importance of Pre-Procedure Preparation

Pre-procedural preparation is crucial for;

  • Ensuring Patient Safety: Through systematic checks and infection control practices.
  • Optimizing Outcomes: By anticipating complications and ensuring readiness.
  • Efficiency: Reducing time wastage and procedural delays.
  • Cost-effectiveness: Preventing complications and repeat procedures.
  • Supporting Surgeons and Clinicians: By understanding the procedural needs and streamlining workflow.

 

Key Nursing Responsibilities

1. Infection Control

  • Preparing sterile fields and ensuring aseptic techniques.
  • Proper skin disinfection before invasive procedures.
  • Reducing the risk of surgical site infections.

2. Anxiety Reduction

  • Educating patients and their families to alleviate fear.
  • Providing clear communication and emotional support.
  • Promoting patient cooperation and comfort.

3. Verification and Safety Checks

  • Confirming patient identity, procedure, and site.
  • Ensuring that consent forms are signed and documented.
  • Conducting equipment checks and readiness assessments.
  • Specific Areas of Nurse Involvement

Preparation of Instruments and Equipment

  • Verifying functionality and sterility of devices.
  • Patient Monitoring
  • Baseline and ongoing vital signs monitoring during procedures.
  • Communication with the Medical Team
  • Coordinating with surgeons, anesthetists, and technicians for seamless procedure flow.
  • Documentation
  • Accurately recording pre-procedure, intra-procedure, and post-procedure findings.
  • Educational and Psychological Support

Nurses serve as educators by;

  • Explaining the procedure to patients and caregivers.
  • Addressing concerns and setting realistic expectations.
  • Providing post-procedure care instructions.
  • This support helps in reducing emotional stress and improving compliance.

Conclusion

Nurses are at the heart of procedural preparedness in critical care. Their role transcends technical duties, extending into psychological, educational, and safety domains. An effective nurse-led preparation directly contributes to patient well-being, surgical efficiency, and reduced complications—making their role indispensable in every critical care setting.

Kauvery Hospital