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Flashcards in PostOp Exam Deck (29)
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1

what should be inside the room

admission kit and accessories, measuring devices, medical devices, surgical bed, tele box

2

how should the surgical bed be

covers pulled back, blue pad in place and the highest it can be

3

when you receive the patient what should you quickly assess

LOC, VS, attach tele, check IV site

4

when you receive the patient what is the first thing you should do

identify pt

5

where should you take SBAR report

at pt bedside

6

when should you assess and record VS post procedure

every 15min x 4
every 30 min x 4
every hour x 1
every 4 for remainder of 24 hrs

7

who takes the first set of vital signs

a licensed nurse then after the first set a CNA can

8

what are the 6 VS that should be checked

temp, pulse, resp, BP, Pain, SaO2

9

what are the symptoms of bleeding and shock

pallor
BP drop
HR increases
Thready pulse
Decreased urine output
Rapid shallow respirations

10

what does PCA stand for

patient controlled analgesia

11

who is the only person who can touch the PCA button

the patient!!

12

what pump is a 2 nurse verify

PCA pump

13

what should you instruct the patient about the PCA pump

since it is an opioid narcotic it could cause resp depression
has a lock out (5-20 minutes)
pt only presses button

14

what should be on the patient continuously while on PCA

O2 Sat

15

when is a passer opiod induced sedation scale used

when they are unable to tell us how they are feeling

16

what is multimodal

taking non narcotics and staggering them in conjunction with narcotics to control pain as well as turning on care channel, distraction techniques etc

17

what are TED hose for

to increase venous return to the heart

18

when should you worry about a pt that might get a DVT

pt who is laying in bed still

19

the TED hose have ______ compression and ______ blood flow to the _____

gradually; increase; heart

20

where is the pressure highest in the TED hose

the ankle and lessens going up the leg

21

what do SCDs do

maximizes venous blood flow, helps prevent DVTs

22

one difference the SCDs do vs TED hose is they

gradually squeeze and then release

23

what should you watch for when a pt has on TED hose or SCDs

pressure points, make sure they ant too tight, not rubbing skin, assess bend for breakdown, should always be clean

24

what are the 4 important factors regarding restraints

must have an order, choose lease restrictive, monitor every 15min-2hrs
apply safely

25

what should you monitor for when a pt has restraints

monitor for skin breakdown

26

what is of HIGH IMPORTANCE in the use of restraints

DOCUMENTATION

27

what is the most restrictive restraint

posey vest

28

what is the least restricted restraint

wrist or ankle restraint

29

what is considered a level up from a wrist restraint

mitt restraint mainly for people trying to pick at things