front 1 preoperative duties include | back 1 Don OR attire and PPE Prepare the OR Gather the necessary instrumentation, equipment, and supplies Scrub and don sterile attire Prepare, organize, and maintain the sterile field Count sponges, sharps, and instruments Gown and glove sterile team members Assist with draping the patient |
front 2 Intraoperative duties include | back 2 Maintain and continually monitor the sterile field Pass instrumentation, equipment, and supplies as needed Anticipate the needs of the patient and surgeon Prepare and handle medications Count sponges, sharps, and instruments Care for the specimen(s) Apply sterile dressing |
front 3 Postoperative duties include | back 3 Maintain the sterile field until the patient is transported to PACU or CCU or ICU Remove used instrumentation, equipment, and supplies from the OR Care for and maintain instrumentation, equipment, and supplies following use Prepare the OR for the next patient |
front 4 what is the ability to anticipate, or predict, the needs of the surgeon during case management. | back 4 Anticipation |
front 5 What includes the psychological and physiological preparation of the patient? | back 5 Preop preperation |
front 6 What information needs to be completed in the patients chart or record preop? | back 6 laboratory results Radiology reports consent for treatment. Surgical consent form. Anesthesia consent for,, special consent form Preop checklist Nurse notes History and physical report (H&P) Identification of patient allergies, handicaps, or other limitations |
front 7 when does the patient usually arrive for their surgery? | back 7 evening before or morning of surgery |
front 8 A common admission process | back 8 patient arrives at the hospital the evening before or morning of surgery required paperwork is completed the identification process is initiated, the ID bracelet is affixed Patient changes clothes Vital signs are taken Per the physician's request, the patient may require preop hair removal and preop antiseptic cleanse the surgical site is verified and may be marked any necessary IVs are started the patient chart is reviewed by the surgical team Time is allowed with family and clergy. Preoperative medication is given if required The patient is transported to the OR |
front 9 CirculaCirculator'stor Role/ Responsibilities are? | back 9 Patients Preoperative Diet (NPO) Enemas / no longer a routine Preoperative Hygiene shower / antimicrobial soap Preoperative hair removal Makeup and dress Nail polish Patient possessions preoperative education sedation |
front 10 If ordered, hair removal needs to be preformed when? | back 10 prior to surgery |
front 11 why is it important to not have any breaks in the skin? | back 11 it can provide an easy opportunity for bacterial entry and wound infection |
front 12 With hair removal, the CDC reccomends? | back 12 not removing hair preop unless it interferes with the operation, as microbial counts have been shown to be increase in pre shaved area of the skin |
front 13 the patient transport to OR includes? | back 13 guardrails are in the upright and secure position The safety belt is secured wheels are in the correct position (straight or swivel) The patient is transported slowly, feet first. The patient should enter an elevator head first and exit feet first Be certain that all parts of the patient's body are within the guidelines Use good body mechanics Never leave the patient unattended |
front 14 when transporting the patient to the OR wheels should be | back 14 straight or swivel |
front 15 when transporting the patient to the OR what is the correct way for the patient to enter the elevator? | back 15 Head first. feet exit first |
front 16 how many members should be able to assist with the transfer of a mobile patient? | back 16 a minimum or 2 non sterile members |
front 17 How many members should be able to assist with the transfer of an immobile patient? | back 17 a minimum of four non sterile members |
front 18 it is important to prevent what in the Or for the environment? | back 18 Hypothermia, normothermia, and hyperthermia |
front 19 the loss of heat from the patient's body to the environment is? | back 19 Radiation |
front 20 loss of heat into the air currents (the "wind chill" effect). ? | back 20 Convection |
front 21 loss of heat from the patient's body into a cooler surface such as the operating table | back 21 conduction |
front 22 loss of heat via perspiration or respiration | back 22 Evaporation |
front 23 prior to placing the patient in the operative position, who will apply the monitoring equipment in order to monitor and record the patient's vital signs? | back 23 the anesthesia provider |
front 24 what are the anesthesia providers responsibilities? | back 24 temperature Pulse Respiration Blood Pressure |
front 25 When does positioning for the surgery happen? | back 25 after the administration of the anesthesia. |
front 26 the patient should always be returned slowly from the operative position back to what position? | back 26 supine position |
front 27 arm boards should not be positioned at more than a 90-degree angle to the operating table to prevent hyperextension nerve damage (Brachial plexus) - this is? | back 27 supine position |
front 28 Lies supine or flat on their back, with their feet raised higher than their head. ( modification of the supine position ) | back 28 Tredelenburg position |
front 29 lies flat on their back on an incline of about 15 to 30 degrees so that the feet are lower than their head. (modification of the supine position) | back 29 Reverse Trendelenburg position |
front 30 in which the patient is seated in a semi-sitting position and the legs may be straight or slightly bent. | back 30 Fowlers position and sitting position |
front 31 legs must be raised and lowered and simultaneously to prevent muscle strain in the lower back. | back 31 Lithotomy position |
front 32 patient is anesthetized; lying flat on your stomach | back 32 prone position |
front 33 patient's abdomen lays flat on the bed, the bed is scissored, so the hip is lifted and the legs and head are low | back 33 Kraske (Jackknife) Position |
front 34 the bottom leg is flexed, and the legs are separated with pillows | back 34 lateral position |
front 35 modification of the lateral position | back 35 Kidney position |
front 36 modification of the left lateral position for endoscopy performed via the anus; the patient remains on the stretcher an is awake and able to assist with positioning. | back 36 Sims position |
front 37 how many mL of water is necessary to inflate a 5-mL balloon completely? | back 37 Ten mL of water |
front 38 The surgical skin prep is performed on the surgical patient for the same reasons that the sterile surgical team members perform the surgical scrub prior to entry into the sterile field. | back 38 to remove transient organisms from the patient's skin to reduce the number of resident organisms on the patients skin |
front 39 what provides a rapid and significant reduction in skin microbial counts? | back 39 Alcohol |
front 40 what less likely causes skin irritation and does not need to be removed. | back 40 Iodophors |
front 41 what is not provided as rapid a reduction in skin microbial counts as alcohol but provides a longer residual effect ( 5-6 hours ) | back 41 Chlorhexidine |
front 42 what is the alcohol-based antiseptic solution that leaved an antimicrobial film? | back 42 Single use |
front 43 consists of a scrub suit, and hair cover. A mask and shoe covers may also be required | back 43 OR Attire |
front 44 PPE includes nonsterile gloves, protective eyewear and radiation protection | back 44 Protective attire |
front 45 additional protective attire - a fluid proof apron may be worn by environmental services. | back 45 other protective attire |
front 46 consists of the sterile gown and sterile gloves | back 46 sterile attire |
front 47 what are on the surface of the skin and are easily removed by hand washing and scrubbing? | back 47 Transient organisms |
front 48 what thrive deeper below the surface of the skin and are therefore difficult to remove? | back 48 Resident organisms |
front 49 open gown wrapper on sterile mayo stand, and open and toss gloves onto gown. | back 49 Self- Drying and Gowning |
front 50 The technique is used for donning gloves after the sterile gown has been donned | back 50 closed gloving |
front 51 what is applied to expose the surgical site, create a sterile barrier, and maintain a sterile field. | back 51 drapes |
front 52 intraoperative case management starts when? | back 52 when the incision is made. |
front 53 post-operative case management starts when? | back 53 after the sterile dressing is applied |
front 54 a sample routine for breakdown of the setup? | back 54 the specimen is cared for as needed Instruments are removed from the Mayo stand the basin containing the soiled instruments is placed in or on the case cart all linen items are placed in the hamper suction canisters and tubing are discarded environmental decontamination of the OR is performed The OR is set up for the next patient. |