INTRAOPERATIVE EIEA Flashcards

(91 cards)

1
Q

Three distinct zone in a department

A

(1) Unrestricted
(2) Semi-restricted
(3) Restricted

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2
Q

Found within the semi-restricted area where face mask should be worn

A

Restricted

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3
Q

Where people in street clothes interact with those in scrub attire

A

Unrestricted

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4
Q

Surrounding support areas and corridors. Inside the OR, staff are the only ones allowed.

A

Semi-restricted

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5
Q

Relatives are not allowed unless they wear a gown

A

Semi-restricted

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6
Q

Holding area and where patient identification and assessment takes place

A

Intraoperative care/area

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7
Q

A unit separated from other clinical units. Next to the PACU and ICU

A

Traditional operating room

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8
Q

True or false.

All equipment is checked frequently to ensure proper functioning and electricity safety

A

True

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9
Q

Kept within a narrow range or temperature and humidity to prevent bacteria growth

A

Traditional operating room

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10
Q

True of false.

in, traditional operating room, positive air pressure in the rooms prevents air from entering the OR from the halls & corridors

A

True

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11
Q

Name the members of the surgical team (8)

A
  1. Perioperative nurse
  2. Circulating nurse
  3. Scrubbed nurse
  4. LPN or Surgical Technician
  5. Surgeon
  6. Surgeon Assistant
  7. Anesthesia care provider
  8. Nurse anesthetist
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12
Q

Patient’s advocate during surgery

A

Perioperative nurse

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13
Q

Non-sterile activities are done by this personnel

A

Circulating nurse

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14
Q

Maintaining the patient’s safety, dignity and confidentiality

A

Perioperative nurse

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15
Q

He/ she Performs scrubbed or circulating function. Passess instruments and implements other technical functions during procedures

A

LPN/ Licensed Practical Nurse

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16
Q

He/she is the one who performs the sterile activities and assists with room preparation

A

Scrubbed Nurse

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17
Q

Who Maintain accurate counts of sponges, needles, and instruments on the sterile field

A

Scrubbed Nurse

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18
Q

Who Obtains the informed consent

A

Surgeon

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19
Q

He/she can be another physician, RN. Holds the retractors

A

Surgeon Assistant

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20
Q

Who Performs and documents a pre-anesthetic assessment & evaluation

A

Nurse Anesthetist/CRNA

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21
Q

Who Manages patient’s airway and pulmonary status

A

Nurse Anesthetist/CRNA

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22
Q

Who Monitors cardiac and respiratory status and VS throughout the procedure

A

Anesthesia Care Provider or Nurse Anesthetist/CRNA

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23
Q

Nursing management before surgery includes (4):

A

(1) Psychosocial Assessment
(2) Physical Assessment
(3) Chart review
(4) Admitting the patient

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24
Q

Nursing surgery, this is when we ensure privacy and safety. Prevention of infection

A

During surgery

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25
What to do when transferring patient?
Maintain privacy and safety
26
It is required to do for all sterile members
Surgical hand antisepsis
27
Range of distance to maintain from sterile field
12-18 inches
28
True or flase. The hands should always be held away from surgical attire and higher than the elbows
True
29
Purpose of surgical handwashing (scrubbing) (2)
To remove debris and & transient microorganism
30
Recommended length of time for surgical handwashing by the AORN
2-3 minutes
31
As a part of the intra-op nurses role is being a client's advocate. What is an advocacy activity of the intra-op nurse?
Respecting the client's cultural values
32
Break is recognized immediately
Type 1 break
33
Break is recognized later
Type 3 break
34
Break is not recognized at all
Type 4 break
35
Recognized shortly after it occurs
Type 2 break
36
2013 AORN recommended practices, where long sleeved jacket snapped closed with cuff down to the wrists
Recommended I - Proper Attire
37
Gown large enough to adequately warp around the body and completely cover the back
Recommended II - Selecting Gowns of Appropriate Size and Sleeve length
38
Use at the initial gowning and gloving
Closed Assisted Gloving
39
Used when closed assisted gloving is not possible
Open Assisted Gloving
40
What to do during cases with potential for exposure to blood, body fluids, or other infectious materials
Wear 2 pairs of surgical gloves
41
How often we change the outer pair (Surgical gloves) intraoperatively
q 2hrs
42
What is the recommendation after each client procedure
Recommendation III - Changing sterile gloves
43
What to do when suspecting or actual contamination occurs
Recommendation III - Changing sterile gloves
44
When gloves begin to swell, expand, and become loose on hand as a result of fluids and fats
Recommendation III - Changing sterile gloves
45
In draping, what are considered as sterile
Only the top surface of the drape
46
Items that fall below the sterile are considered as
Contaminated
47
What portion of the C-arm is considered as contaminated
Upper portion
48
What recommendation states that sterile should be constantly monitored
Recommendation V
49
What increases the likelihood of detecting a breach in sterility
Observation during surgery
50
True of false, Once created a sterile field can be left unattended during the operation
False
51
Placed with the cuff at the hall point
1st drape
52
Place from the opposite side and completely covers the cuff of the 1st drape
2nd drape
53
They should not leave the sterile field to retrieve items from the sterilizer
Scrubbed team members
54
What should a scrubbed team member should wear when X-rays are needed so they will not leave the room
Lead apron
55
The scrubbed team members should keep their hands and arms _________ (where) and _____ (when)
Above waist, at all times
56
During the entire procedure, to limit movement around the sterile field the scrubbed team members should
avoid changing levels
57
When should the scrubbed team should be seated during a procedure?
When the entire procedure is done at a level
58
Who should face the sterile field on approach
Unscrubbed personnel
59
Distance to maintain from sterile field
12 inches
60
Technique where sterile objects remain sterile only touched by the sterile object
Basic aseptic technique
61
Conditions where a sterile object is considered contaminated (4)
1. below the waist 2. out of range of vision 3. came in contact with wet surface 4. edges of sterile field
62
When are gowns considered sterile (2)
1. from chest to the level of the sterile field | 2. sleeves to 2 inches above the elbows
63
What is the principle we should always remember in sterile technique
Sterile to sterile | Non-sterile to non-sterile
64
If the equipment is still moist what should we do
Return to autoclave
65
The situation where all viable microorganisms and organisms are not able to reproduce, this is called
Sterile process
66
When a tool or surface that has been made contamination free and the tool or surface do not regenerate pathogenic microorganism is called
Aseptic technique
67
It prevents transmission of microbes from personnel to clients
Wearing surgical attire
68
Zones where it requires personnel to wear special surgical attire
Semi-restricted and restricted zone
69
The surgical attire consists of (5)
(1) Scrub gowns (2) Hair coverings (3) Mask (4) Shoe covers (5) Protective eyewear
70
Where are surgical attire be worn only?
Within surgical site
71
This should be worn within surgical environment to contain bacterial shredding from thorax and abdominal skin
Clean scrub suit
72
If two piece scrub suit is worn, what should be secured at the waist?
The top
73
What allows for surgical handwashing to 2 inches above the elbow
Short enough sleeves
74
How often should the scrub suit should be changed
Daily
75
It is the first surgical piece to be donned
Surgical hat or hood
76
What is the purpose of wearing a surgical hat or hood
To prevent hair from collecting on the scrub clothes
77
Should we wear shoe covers? WHy?
Yes, for sanitation
78
Why are mask worn in specified restricted areas of the surgical site
To filter organism from the exhaled air
79
What should not be allowed for surgical masks (clue: bawal din ngayon satin sa COVID pag nakamask)
Hang around the neck
80
This is unacceptable because it becomes a barrier rather a filter
Use of double mask
81
This is worn to reduce the incidence of contamination of mucus membranes whenever contamination can be a result of splashes, sprays, or splatters of blood
Protective eyewear or goggles
82
This should not be worn in the surgical site
Jewelry
83
What method should be used to don sterile gown and gloves when a SN enters the operating room
Closed method
84
To ensure ease of handling of OR instruments and supplies glove should?
Fit properly
85
Who says when to begin positioning of the patient
ACP
86
This can result to muscle strain, joint damage, pressure injuries to the patient
Improper positioning
87
Position for hernia repair, bowel resection, Bartholin's Cysts removal
Dorsal Recumbent
88
Position for laminectomy, surgery of the posterior surface of the body, Surgery involving the buttocks, spinal surgery
Prone
89
Position for abdominal surgery, chest/breast surgery, neck surgery, ear surgery, abdomino-thoracic surgery, lower extremity procedures
Supine
90
Position for lower abdomen surgery and pelvic surgery
Trendelenburg
91
Position for Perineal repair, vaginal repair, D&C
Lithotomy