Medical-Surgical Nursing: Intraoperative Period Flashcards


Set Details Share
created 3 years ago by KrissyT
38 views
Nursing level 2 Intraoperative care
updated 3 years ago by KrissyT
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

What is Unrestricted attire?

street clothes, in a controlled environment designed to min. the spread of pathogens.

2

What is semi restricted attire in the surrounding support areas and corridors?

Authorized staff only in surgical attire with head/facial hair covered

3

What is Restricted Attire?

The OR, scrub sink area, clean core, >Masked required in addition to surgical attire with hair covered.

4

Pre-op holding area is _________ with what type of safety measures iniciated ?

unrestricted, the SCIP protocols ( drug admin, pt. warming, SCD's etc.)

5

National Pt. Safety Goals (NPSG's) require what pre-op process?

pt. verification x2, H&P, signed consents,nursing and pre-anesthesia assessments etc.

Dr. marks correct procedure site. family can stay in the holding are to reduce pt. anxiety.

6

Operating Area restricted to _______

authorized personnel only.

7

Operating area is controlled geographically, environmentally and bacterially to prevent___________?

transmission of infection.

8

What is used in the operatating area to prevent infection?

Filters and controlled airflow , Positive air pressure, UV lighting, metals are used with low use of plastic

9

Surgical team: The pre-op nurse position does what?

prepares the pt. for pre-op/ OR and transfer to OR with SBAR handoff.

10

What are the circulating nurse responsibilities?

walks around the room goes in and out for needed items for the procedure, documentation of all that goes in and out the pt.

11

Scrub nurses are ___________ and can only be in ________.

sterile and can only be in the sterile field, maintaining aseptic technique, watching closely around the pt.

12

Scrub Nurse position can also be done by__________

a Practical Nurse or a Scrub tech

13

Physician that performs the surgery is _________?

A Surgeon

14

The surgeon's assistant position can be done by who?

1. physician/ physician assistant (PA) hold retractors and sutures

2. Reg. Nurse First Assistant (RNFA) formally trained for this role

15

Anesthesia Care can be provided by whom?

1. Anesthesiologist-MD

2.Nurse Anesthetist- CRNA

16

A CRNA can be responsible for what?

  1. Preanesthetic assessment and eval.
  2. plan for delivering anesthesia, selection and admin of anesthesia drugs and fluid
  3. manages pt. pain, airway and respiratory status
17

When scrubbing how far up the arm do you go?

(scrub fingers/hands) up to the elbow.

18

After scrubbing in, hands should be held________?

away from surgical attire and higher than elbows to prevent contamination

using waterless alcohol based products/ scrubbing

19

Once scrubbed you enter into the OR and put on ______?

surgical gown and 2 pairs of gloves ( to protect from sticks and contamination)

20

What is the Center of the sterile Field?

the site of the surgical incision

21

Gown is considered sterile from _______?

table level to chest and sleeves to 2 in. above elbow.

(tables are considered sterile only at table level)

22

Surgical Safety checklist was developed by ____?

WHO ( world health org.)

To prevent wrong site, wrong procedure, wrong surgery

23

What 3 P's make up the Time Out Protocol?

  1. Positioning pt
  2. Preventing hypothermia
  3. Preparing surgical site ( Reduce number of microorganisms Scrub from clean area to dirty)
24

General Anesthesia requires a _________

ventilation system to breath for the pt. use of IV hypnotic, anxiolytic, or dissociative agent.

25

Local anesthesia doesn't require

loss of consciousness or sedation.

interrupts nerve impulses

26

Regional anesthesia are always ________

local anesthesia that is injected and involves central nerves or groups of nerves.

given in the epidural or spine

27

Spinal Anesthesia is given

Epidural anesthesia is given

into the CSF in subarachnoid space below L2

into epidural space via thoracic or lumbar approach

28

Conscious sedation is also called__________

moderate sedation- doesn't require an ACP provider CRNA can give with supervision.

Versed and fentanyl are most commonly used.

29

Monitored anesthesia care (MAC)

levels of sedation, analgesia. and anxiolysis which requires an ACP provider

30

Who is at greater risk for hypothermia?

the elderly

31

Catastophic events

Medication and blood product reaction

allergic reactions to latex

32

Malignant Hyperthermia is caused by____?

succinylcholine and inhalation agents

having the trait or fm hx. will also cause it

33

Malignant hyperthermia can cause what s/s

muscle rigidity, hyperthermia, hypoxia, lactic acidosis, hemodynamic (relating to the flow of blood within the organs and tissues of the body.), and cardiac alterations

34

Malignant hyperthermia can be treated with_________?

Dantrolene(Dantrium)