CNOR 2 D3 Management of Personnel, Services, and Materials Flashcards
(24 cards)
Fill in the blank:
Energy use reduction, recycling, and _______ are key components of environmental sustainability in healthcare.
reducing waste
AORN Position Statement Environmental Responsibility
What are some disadvantages of single-use items?
Disadvantages include:
* Waste costs
* Less ability to customize
* Defects
* Expiration dates
Berry & Kohn’s Operating Room Technique
What responsibilities do student nurses have in the OR setting?
Observation vs practicum, cannot be counted in staffing, must provide evidence of TB testing, vaccinations, BLS, HIPAA compliance
Berry & Kohn’s Operating Room Technique
What are the expectations of the facility regarding student nurses?
Avoid blurring of roles if the student is also an employee, provide oversight to ensure a safe and productive clinical experience
Berry & Kohn’s Operating Room Technique
What are the implications of product integrity and standardization in the perioperative setting?
Ensuring product integrity is crucial for patient safety and effective surgical outcomes.
AORN Guideline Product Evaluation
What are some considerations for maintaining product integrity?
Event-related handling, rigid containers, filters, moisture control
AORN Guideline Sterile Technique
What is the significance of expiration dates in the perioperative setting?
Expired items can pose serious risks to patient safety.
AORN Guideline Sterile Technique
True or False:
Loaned instrumentation can weigh more than 25 pounds.
False
AORN Guidelines Packaging Systems
What are the nursing interventions when assisting with anesthesia management?
Monitor patient, identify additional personnel, manage airway, observe for signs of LAST
AORN Guideline for Local Anesthesia
What are the key considerations for different types of anesthesia?
Patient tolerance, monitoring requirements, and airway management
Berry & Kohn’s Operating Room Technique
What are the goals for optimal anesthesia?
- Hypnosis
- Analgesia
- Amnesia
- Muscle relaxation
- Homeostasis of vital functions
Berry & Kohn’s Operating Room Technique
List the types of anesthesia.
- Local
- Monitored Anesthesia Care (MAC)
- Moderate sedation/analgesia
- General anesthesia
- Regional anesthesia
Berry & Kohn’s Operating Room Technique
What is the role of the perioperative RN in local anesthesia?
- Monitor patient
- Identify additional personnel needed
- Manage the patient airway
- Observe for signs of LAST
AORN Guidelines Local Anesthesia
What is defined as a reversible loss of sensation in a specific area of the body?
Regional anesthesia
Berry & Kohn’s Operating Room Technique
What is required during anesthesia monitoring?
- Anesthesia present at all times
- Monitor vital signs during administration
Berry & Kohn’s Operating Room Technique
What must be included in the anesthesia care provider’s pre-anesthesia assessment?
Determination of the ASA or P status and evaluation of systemic diseases, physiologic dysfunction, and anatomic abnormalities.
ASA stands for American Society of Anesthesiologists. (https://www.asahq.org/)
What is the role of perioperative RNs during moderate sedation/analgesia?
- Assign 2 perioperative RNs to the case
- Conduct nursing assessment
- Direct supervision
- Know medications (doses, reversal, side effects)
AORN Guideline Local Anesthesia
What are the five rights of delegation?
- Right task
- Right circumstances
- Right person
- Right direction/communication
- Right supervision/evaluation
Berry & Kohn’s Operating Room Technique
Define the term ‘Scope of Practice’.
Describes services a qualified health professional is permitted to undertake as stipulated in the terms of their professional license
ANA Code of Ethics
True or False:
Nurses can delegate the entire nursing process to assistive personnel.
False
Berry & Kohn’s Operating Room Technique
What is the purpose of the Nurse Practice Act?
To protect the public’s health and welfare by overseeing and ensuring safe nursing practice
Berry & Kohn’s Operating Room Technique
What does the term ‘professional accountability’ entail?
Responsible for one’s behaviors
ANA Code of Ethics
List three responsibilities related to impaired or disruptive behavior.
- Report impaired behavior in patients
- Report disruptive behavior in family members
- Report disruptive behavior in perioperative team members
Reporting such behaviors is crucial for maintaining a safe patient care environment.
What should a nurse consider before delegating tasks?
- Knowledge, skills, and abilities of the individual
- Condition of the patient
- Predictable outcomes
These factors help ensure appropriate delegation.
