Flashcards in Lecture 3 - Prepping Patient for Surgery Deck (63)
What are some surgical risk assessments associated with the patient?
Age, type/extent of primary disease, general physical status, associated illnesses
What are some surgival risk assessments associated with intervention?
Technically feasible, duration, invasiveness, urgency
What are some surgical risk assessments associated with the team?
Training, equiment, facility
In human medicine, _____% of surgical complications are related to technical/judgement errors.
What are 4 things that should happen in the preoperative client communication process?
1. Client should be informed of ALL options
2. Client should be given a written estimate
3. Client should sign a consent form (surgery, anesthesia, risks)
4. Client should keep their insurance company in the loop about what is happening with their pet (if applicable)
What are the prognoses from best to worst?
Excellent, Good, Fair, Guarded, Poor
What is an excellent prognosis?
Minimal complications, return to function
What is a good prognosis?
Potential for complications, return to function
What is a fair prognosis?
Complications possible, unlikely to be functional
What is a guarded prognosis?
Unknown or variable outcome
What is a poor prognosis?
Severe complications likely, death, not functional
What is the proper attire while you're in the prep room?
Surgical scrubs with lab coat
What purpose does your lab coat serve?
Protects scrubs from dirt hair, etc.
What should you do with your lab coat prior to starting the surgical scrub on the patient?
What things should you put on prior to starting the surgical scrub on the patient?
Cap, mask, show covers, exam gloves
What should you use for hair removal on a patient?
Clippers (NOT razor)
When could you maybe get away with not clipping hair for surgery?
If it is very thin
Why shoudl you avoid traumatizing the skin when clipping hair?
To decrease surgical site infection (SSI)
When should hair be removed and why?
Immediately prior to surgery, less chance for skin infection
Why should a wide region of hair be clipped?
To accommodate incision extension if needed, and for drainage areas
What size blade should be used for clipping hair?
How should the clippers be held?
Flat against the skin, pencil grip
Which direction should hair be clipped in?
Initially with growth, then against
How far from each side of the incision should hair be clipped?
15-20 cm on either side
What should be used to remove clipped hair?
What things should an ideal antiseptic kill?
Bacteria, fungi, viruses, protozoa, spores
T/F: The ideal antiseptic doesn't have to be hypoallergenic
The ideal antiseptic should be _____ and able to be used repeatedly safely.
The ideal antiseptic should have _____ activity.