Guideline for Care of the Patient Receiving Local Anesthesia

Jane Barnaby

May 30, 2021


The guideline identifies the necessity of following the established procedures while extending care to patients set to receive local anesthesia by topical application, infiltration, and injection. The perioperative RN (registered nurse) benefits from the application of standardized procedures in the course of dealing with patients that require professional services. The guideline seeks to provide direction regarding the best practices that help to improve patient outcome and reinforce safety in the hospital setting. Undoubtedly, patients are bound to receive local anesthesia when in the perioperative setting and undergoing different procedures. Therefore, the need for maintaining and securing the safety of patients cannot be understated and increases the need for the adoption of best practices associated with the use of local anesthesia. The guidelines offer the needed support for registered nurses on the required perioperative interventions and assessments that improve patient outcomes. The guidelines first recommendation regarding the need for RNs to monitor and document patient information based on the psychological and physiological responses provides the essential data to implement the appropriate plan of care. The first recommendation out of a summary of five highlights the necessity of the nurse to make an assessment that meets the standards of safety in the perioperative setting.

Purpose Statement

The importance of the role associated with the performance of the registered nurse in the perioperative setting cannot be underestimated, especially considering the administration of local anesthesia. The RN has the unending task of supervising and evaluating the psychological and physiological responses of the patient to the administered anesthesia in the given setting. Therefore, the discourse is targeted at outlining the best practices and the importance of the guideline while RNs execute their tasks and seek to improve patient outcomes.

Application of the Recommendation in the Improvement of Safety

The historical goal associated with the preoperative assessment revolved around the need for establishing the risk factors that could expose the patient to numerous perioperative complications. The demand for patient safety observation continues to dominate the discourse associated with perioperative processes. However, significant progress has been noted in the reduction of perioperative complications that emerge because of the improvements to the procedures linked to the administration of local anesthesia. The risks of complications resulting from surgical processes could be minimized using the recommended practices that recognize the importance of registered nurses in securing the interests of patients. The perioperative environment is characterized by the exchange of plenty on information and the flow of communication between different nurses could help safeguard the interventions associated with the administration of local anesthesia. The preoperative assessment offers an anchor to the processes conducted in the respective environment and ensures smooth patient transitions.

The perioperative environment exposes patients to numerous challenges and risks that require the involvement of RNs to ensure the ease of transitions in the care process. The likelihood of patients receiving local anesthesia while undergoing different risky procedures enhances the importance of the recommendation concerning the continuous assessment and monitoring of patient data. Local anesthesia administration has been noted to be relatively safe with the cases of fatalities reducing across the years. However, the process has its risks that could lead to poor patient outcomes. RNs benefit from the understanding and utilization of the best practices that improve patient safety, and therefore, local anesthesia should be administered using the recommended guidelines. The Guideline for care of the patient receiving local anesthesia outlines assessment in the perioperative setting as being essential in ensuring the desired outcomes are achieved (Malley et al., 2015). Similarly, the recommendation increases the chances of successful interventions and the avoidance of risks that could expose patients to danger while undergoing the procedures that require local anesthesia.

Notably, assessment and monitoring facilitate the identification of patients that experience LAST. The proper administration of the local anesthesia using the recommended procedures contributes to the reduction of the risks of experiencing LAST. The perioperative RN is faced with the expectation of undertaking thorough assessments in the preoperative setting to ascertain the identification of the adequate nursing interventions that could guarantee the maximal safety of the patient. Therefore, the needs of a patient are addressed to minimize the probability of developing complications during the administration of LA. Therefore, factors such as vital signs, allergies, review of lab tests, the psychological condition, and physical state of the patient could help improve outcomes while using local anesthesia.

The assessment of the patient cannot be disregarded as an important step towards ensuring the desired results of the surgical process are achieved. Assessments are not only important to the nurse dealing with the patient but also support transitions in the care facility. The RN has multiple duties that complement the assessment and monitoring functions, including the requirement for learning about the vulnerable areas of the patient, managing expectations, communication, and the compensation of existing gaps. The preoperative assessment offers the opportunity for the identification of risk factors and needs of the patients that could alter the surgical processes and affect the experience. The assessment supports the safety of the aforementioned interventions and extends to the decisions regarding appropriate elements considered while offering perioperative care.

Implementation of the Recommendation

The perioperative RN, as stated above, faces the requirement of completing the recommended preoperative assessment on patients scheduled to receive local anesthesia. The procedures guiding the implementation of the recommendation commence with the necessity of examining patient records and history for signs of allergies and comorbid conditions that could increase the exposure to risks. Therefore, the perioperative RN should involve the patient in the preoperative assessment and make inquiries regarding the points listed above and any other conditions that could endanger the efficacy of the administration of LA. Additionally, the nurse should initiate the measures of identifying pain sensitivity, vital signs, and anxiety levels of the patient. The routine and procedures associated with patient care in the preoperative setting demand the assessment of the clients level of consciousness.

The preoperative stage takes into account and makes a review of patient information that could be considered as being basic but has immense relevance to the processes of administering local anesthesia. Sensitivities and allergies should form the baseline of the assessment while other aspects such as weight, BMI (body mass index), and height should be considered as well. Next, the perioperative nurse should study the medical history with the aim of seeking patient information regarding the types of medication one is currently using. It is of paramount importance to ascertain the possible respiratory problems the patient could be experiencing alongside other pieces of medical information that could increase the exposure of the patient to risks during the administration of local anesthesia. The nurses should use the physical acuity assessment framework as the recommended tool in the determination of the patients status and offers the objective assessment of ones acuity.

The guidelines associated with the administration of local anesthesia target the enhancement of patient safety and reduction of risks that one could be exposed to in the perioperative setting. Undoubtedly, the role of the preoperative assessment cannot be diminished as one of the methods that ensure risks associated with the administration of local anesthesia are reduced. The assessment takes into consideration different patient-related elements, including medical history, vital signs, and allergies among other components that could affect the efficacy of using local anesthesia.

About the author: Jane Barnaby is a master in Literature at Maryland University. She is currently working as one of the best writers at the She also studies male psychology.



Jane Barnaby

Hi! My name is Jane Barnaby! I am a master in Literature at Maryland University. I am currently working as one of the writers. Also, I study feminine psychology.