Intra Op Flashcards
Traditional OR
Unique
Unrestricted
Semi restricted
Restricted
OR Safety
Lighting
Intercom
Laser
Holding area
ID client Assessment No dentures/contacts/underwear NPO p midnight Consent
PPE in Restricted Area
Mask
Hair Covering
Shoe covering
Anesthesiology physical classification
P1-No medical problems P2-Well controlled medical problems P3-More than one problem & one not controlled P4-Nothing controlled P5-Harvesting organs
Circulating Nurse
RN Assist w/ devices
Helps set up OR Position pt
Monitor sterility Prep skin
ID client Insert foley
Admit to surgery Monitor draping
Transfer Complete OR record
Provide warmth Measure blood loss
Record/label/send tissue samples
Count Accompany to PACU
Surgical team
Assist w/ prep Doesn't have to be RN Must be trained Scrub/Gown/Glove self & others Prep instrument tables Assist w/ draping Pass instruments Count sponges, needles
Guidelines for Maintaining Surgical Asepsis
Sterile to Sterile
Unscrubbed personnel remain at safe distance
Scrub person must in room after attire
Sterile from waist up
Draping
Held above surface & position from front to back
Only top of table or client is consider sterile
Hanging over edge unsterile
Tear/Puncter is unsterile
Supplies & Solutions
Wrapped and Sealed
Pour solutions into sterile w/out splashing
Solution-saline
Do not use warm solution
Basic Guideline for maintaining surgical asepsis
Sterile surface or articles may touch other sterile only
General Anesthesia
Depresses CNS
Slow GI motility
Loss of consciousness
Loss of muscle tone
Classification of Anesthesia
Stage 1-warm/fuzzy & ringing in ears
Stage 2-inc heart rate, irregular resp, excitement
Stage 3-Surgical anestesia-unconscious
Stage 4-Medullary depression-hard to recover
Potential complications
N/v Anaphylaxis Hypoxia Hypothermia
Malignant hyperthermia
Disseminated Intravascular Coagulation
Malignant hyperthermia
Inc heart rate and temperature
