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Flashcards in Intraoperative Care Deck (20)
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1
Q

3 Zones of Intraoperative

A

Unrestricted
Semi restricted
Restricted

2
Q

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

A

Holding area

3
Q

AOD area

A

Admission, observation, discharge area

Early morning admissions

4
Q

Operating Room

A

Geographically, environmentally, and aseptically controlled

5
Q

i. Is a registered nurse (RN)

ii. Collaborates with rest of team

A

Preoperative nurse

6
Q

3 domains of preoperative nurse

A

Preoperative RN
OR RN
PACU RN

7
Q

Scrub nurses are

A

always sterile @ bedside/OR table

8
Q

Circulating nurse are

A

not sterile

9
Q

What are circulating nurses doing?

A

Documenting
Monitoring
Equipment needed

10
Q

OR nurses are what?

A

advocates for patients during surgery

11
Q

TIME out means

A

correctly identify pt, site & procedure

12
Q

Surgeons assistants can be

A

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

13
Q

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

A

Surgeons assistants

14
Q

Anesthesia care providers (ACP) do

A
  1. administer anesthetic agents

2. Manage vital life functions during preoperative

15
Q

Admitting Patient to the OR (8 things)

A

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

16
Q

Circulating nurses are responsible for

A

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

17
Q

Preparing surgical site

A

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

18
Q

ACP anticipates

A

end of procedure

gives proper types of doses & anesthetic

19
Q

Hand off includes:

A
  1. Patient’s status

2. Procedure done

20
Q

Patient positioning

A

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