Intraoperative Care

Question 1

3 Zones of Intraoperative

Answer 1

Unrestricted
Semi restricted
Restricted

Question 2

Final identification and assessment
Friends/family allowed
semi-restricted zone

Answer 2

Holding area

Question 3

AOD area

Answer 3

Admission, observation, discharge area

Early morning admissions

Question 4

Operating Room

Answer 4

Geographically, environmentally, and aseptically controlled

Question 5

i. Is a registered nurse (RN)

ii. Collaborates with rest of team

Answer 5

Preoperative nurse

Question 6

3 domains of preoperative nurse

Answer 6

Preoperative RN
OR RN
PACU RN

Question 7

Scrub nurses are

Answer 7

always sterile @ bedside/OR table

Question 8

Circulating nurse are

Answer 8

not sterile

Question 9

What are circulating nurses doing?

Answer 9

Documenting
Monitoring
Equipment needed

Question 10

OR nurses are what?

Answer 10

advocates for patients during surgery

Question 11

TIME out means

Answer 11

correctly identify pt, site & procedure

Question 12

Surgeons assistants can be

Answer 12

physician, RN first assistant (RNFA), PA, surgical resident or fellow, certified first assistant

Question 13

i. Holds retractors
ii. Helps with hemostasis and suturing
iii. May perform portions of procedure under surgeon’s direct supervision

Answer 13

Surgeons assistants

Question 14

Anesthesia care providers (ACP) do

Answer 14

1. administer anesthetic agents

2. Manage vital life functions during preoperative

Question 15

Admitting Patient to the OR (8 things)

Answer 15

a. Initial greeting
b. Proper identification
c. Human contact and warmth
d. Reassessment
e. Last-minute questions
f. Final questioning about valuables, prostheses, last intake of food/fluid
g. Confirm correct preoperative drugs given
h. Cover patient’s hair

Question 16

Circulating nurses are responsible for

Answer 16

i. Ongoing assessment
ii. Reassessment
iii. Adjusting care plan to promote best surgical outcomes

Question 17

Preparing surgical site

Answer 17

ii. Clean area to dirty area
iii. Allow too fully dry
a. Mechanically scrub or cleanse around surgical site with antimicrobial agent

Question 18

ACP anticipates

Answer 18

end of procedure

gives proper types of doses & anesthetic

Question 19

Hand off includes:

Answer 19

1. Patient’s status

2. Procedure done

Question 20

Patient positioning

Answer 20

a. Accessibility of operative site
b. Administering and monitoring of anesthetic agents
c. Maintaining patient airway
d. Provide correct musculoskeletal alignment
e. Prevent pressure on nerves, skin over bony prominences, earlobes, eyes
f. Provide for adequate thoracic excursion
g. Prevent occlusion of arteries and veins
h. Provide modesty in exposure
i. Recognize and respect needs such as pain or deformities