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Module 3 > PeriOp Exam > Flashcards

PeriOp Exam Flashcards

1
Q

what are the 6 concepts of perioperative care

A 
coping
tissue integrity
ethical and legal practice
safety
perfusion
teamwork and collaboration
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2
Q

what are the 3 phases of perioperative care

A

pre
intra
post

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3
Q

pre

A

post

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4
Q

intra

A

mid

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5
Q

post

A

after

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6
Q

what are the 6 different surgical purposes

A 
diagnosis
cure
palliation
prevention
cosmetic
exploration
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7
Q

determination of the presence/extent of a pathologic condition

A

diagnosis

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8
Q

elimination or repair of a pathologic condition

A

cure

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9
Q

alleviation of symptoms without a cure

A

palliation

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10
Q

cause something from getting worse

A

prevention

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11
Q

personal preference

A

cosmetic

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12
Q

surgical examination to determine the nature or extent of a disease

A

exploration

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13
Q

what are the 5 categories of surgery

A 
emergent
urgent
required
elective
optional
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14
Q

requires immediate attention; may be life threatening, without delay

A

emergent

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15
Q

requires prompt attention, within 24 hrs

A

urgent

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16
Q

needs to have surgery, plan within a few weeks or months

A

required

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17
Q

should have surgery, failure to have surgery not catastrophic

A

elective

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18
Q

decision rests with patient, personal preference

A

optional

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19
Q

severe bleeding, bladder/intestinal obstruction, fractured skull, gunshot or stab wound, extensive burn

A

emergent

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20
Q

acute gallbladder infection, kidney or ureteral stones

A

urgent

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21
Q

prostatic hyperplasia w/o obstruction, thyroid disorders, cataracts

A

required

22
Q

repair of scars, simple hernia, vaginal repair

A

elective

23
Q

cosmetic surgery

A

optional

24
Q

what should a nurse need to know before the operation

A

whats going on with the patient
what the pt feelings are about the procedure
lab work b4 pt goes back
risks and complications a person could have during operation

25
Q

what are the 9 nursing assessment goals

A
  1. determine psychologic status
  2. determine physiologic factors
  3. establish baseline data
  4. identify and document surgical site
  5. identify meds and herbs taken that may affect surgical outcome
  6. identify and document and communicate results of laboratory/diagnostic test
  7. identify cultural and ethnic factors that may affect surgical experience
  8. determine receipt of adequate info from surgeon to sign informed consent
  9. determine info consent and that informed consent form is signed and witnessed
26
Q

what part is a controlled environment

A

surgical suite

27
Q

what part are personnel in street clothes interact with those in scrubs

A

unrestricted areas

28
Q

what is the waiting area inside/adjacent to surgical suite

A

holding area

29
Q

what area is the pt documentation taken, diagnostic tests, and site marked

A

holding area

30
Q

what is the area that is peripheral support areas and corridors with only authorized staff; must wear surgical attire/cover all head and facial hair

A

semirestricted area

31
Q

area that is geographically, environmentally, and bacteriologically controlled

A

operating room

32
Q

who are the members of the surgical team

A

circulating nurse, scrub nurse, surgeon, surgeons assistant, RN first assistant, anesthesiologist and the patient

33
Q

the perioperative (circulating nurse)

A

remains in unsterile field, not scrubbed, gowned, or gloved, also documents

34
Q

what does the circulating nurse do

A

makes sure everyone in sterile case stays sterile
gets room ready
serves as patient advocate
gives pt the best dignity that we can

35
Q

follows designated scrub procedure, gowned and gloved in sterile attire, remains in sterile field, passes instruments during procedure, supervised by RN

A

scrub nurse/surgical tech

36
Q

can be a physician, RN, or PA who functions in assisting role; holds retractors, assists with homeostasis and suturing, may perform portions of procedure under direct supervision

A

Surgeons assistant

37
Q

must have formal education, works collaboratively with the surgeon, patient, and surgical team, handles tissues, uses instruments, provides exposure to surgical site, assists with homeostasis, performs suturing

A

registered nurse first assistant

38
Q

administers anesthesia, anesthesiologist or nurse anesthetist, maintenance of physiologic homeostasis, prescribes preoperative meds, monitors cardiac and resp status throughout procedure

A

anesthesia care provider

39
Q

what 6 things do you need before the surgery

A

H&P, UA, CBC, Lytes, CXR, EKG

40
Q

what are the 4 safety considerations

A

fire, smoke, universal protocol, surgical timeout

41
Q

what helps from burning the pt during the procedure

A

grounding patch (place on fattest part of patient)

42
Q

who prepares the surgical site

A

circulating nurse

43
Q

what are the steps in a surgical timeout

A

Check ID band and birthdate
state surgical procedure (LorR)
Patient allergies and allergy band
make sure antibiotics are hanging
make sure all special equipment is in room
x ray for correct body part is in the room

44
Q

who calls a timeout

A

RN (circulating nurse)

45
Q

what is the point of a timeoout

A

legal document responsible by the nurse and is to avoid wrong surgery on the wrong body part

46
Q

why is the surgical count important

A

to make sure nothing is left inside pt

47
Q

how many are in each ray tech

A

10

48
Q

how many are in each lap

A

5

49
Q

what is taken after the procedure to make sure nothing was left in pt

A

xray

50
Q

who does the surgical count

A

people scrubbed in and the circulating nurse

Module 3 (10 decks)

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