REVISION Flashcards
1
Q
DESIGN
A
- RACETRACK STYLE
- SINGLE CORRIDORS
- SMALL CLUSTERS
2
Q
LAYOUT
A
4 ZONES
- TRANSITION EG. CHANGEROOMS
- UNRESTRICTED EG. PREOP AND RECOVERY ROOM (STREET CLOTHES PERMITTED)
- SEMI-RESTRICTED EG. PERIPHERAL SUPPORT AREA (TRAFFIC IS LIMITED, APPROPRIATE ATTIRE WORN)
- RESTRICTED EG. SCRUB AREAS AND OPERATING ROOM
3
Q
PERIOPERATIVE PHASES
A
- DAY SURGERY/ WARD
- PREOP BAY / HOLDING BAY
- ANAESTHETIC ROOM
- OPERATING THEATRE
- RECOVERY ROOM / PACU
4
Q
PERIOPERATIVE TEAM
A
- ANAESTHETIST
- ANAESTHETIC TECHNICIAN
- SURGEONS
- PERFUSIONIST
- ORDERLY
- ORTHOPAEDIC TECHNICIANS
- RADIOGRAPHERS
- CSSD STAFF
- SUPPORT STAFF
- PRODUCTIVE REPRESENTATIVE
5
Q
CIRUCLATING NURSE (SCOUT)
A
- Checks and prepares the operating theatre and required equipment
- Assists the instrument nurse and surgical team to gown
- Opens and dispenses items to create a sterile field (checking integrity)
- Records the surgical count
- Checks the patient prior to the commencement of anaesthetic
- Assists with patient positioning
- Applies the diathermy plate
- Arranges theatre equipment
- Turns on the operating lights
- Assists the surgeons to gown
- Receives the skin preparation dish
- Assists with positioning of surgical drapes PRN
- Attaches the diathermy plate and active electrode to the diathermy machine
- Attaches the suction tubing to the suction canister
- Records intraoperative events
- Monitors blood loss
- Anticipates surgical events and acts accordingly
- Sends for the next patient
- Documents the surgical count
- Assists with removal of the drapes
- Assists with the attachment of wound drainage systems
- Assists with the patient transfer
- Transports the patient to the recovery room and provides a handover
- Assists with the end of case cleanup.
6
Q
THE INSTRUMENT NURSE (SCRUB)
A
- Checks and prepares equipment
- Surgical scrub
- Gowning and gloving
- Create and maintain a sterile field
- Completes surgical count
- Prepares/applies skin preparation
- Provides patient drapes
- Provides instrumentation
- Anticipates intraoperative events and acts accordingly
- Monitors sterile field
- Initiates the 2nd/3rd surgical count
- Assists with dressing the wound
- Assists with removal of the drapes
- Assists with the attachment of wound drainage systems
- Signs the count sheet
- Prepares instrument trolley for decontamination
- Disposes of sharps
- Disposes of waste.
7
Q
THE 8 P’S WHEN CONSIDERING SURGICAL PROCEDURE
A
- PROPER PLACEMENT
- PROPER FUNCTION
- PLACE IT ONCE
- POINT OF CONTACT
- POSITION OF FUNCTION
- POINT OF USE
- PROTECTED PARTS
- PERFECT PICTURE
8
Q
ASEPTIC TECHNIQUE
A
- “The methods by which microbial contamination is prevented in the environment”
- Also called Sterile technique
- And, To reduce service providers’ risk of exposure to potentially infectious blood and tissue during clinical procedures.
9
Q
COMPONENTS OF ASEPETIC TECHNIQUE
A
- Handwashing/Surgical scrub
- Using barriers
- Client prep
- Maintaining a sterile field
- Using safe operative technique
- Maintaining a safer environment in the surgical/procedure area
10
Q
NURSING ROLE IN OPERATING SUITE
A
- THE NURSE MANAGER
- THE FLOOR COORDINATOR
- THE STAFF DEVELOPMENT NURSE
- THE PRE-OP NURSE
- ANAESTHETIC NURSE
- THE INSTRUMENT (SCRUB) NURSE
- THE CIRCULATING (SCOUT) NURSE
- THE RECOVERY ROOM NURSE
11
Q
PRE-OP CHECKLIST
A
- Pre-op nurse verifies information (i.d., consent, right patient, right procedure on the list
- Mandatory examination results
- Allergies
- Patient property/ personal effects
- Dietary and fluid restrictions
- Any meds administered as ordered
12
Q
TYPE OF ANAESTHESIA
A
- GA Definition: reversible, unconcious state. Characterized by: Amnesia (sleep), Analgesia (freedom from pain), Depression of reflexes, Muscle relaxation “put to sleep”
-
Regional Anesthesia Definition:a reversible loss of sensation in a specific area or region of the body when a local anaesthetic is injected to purposefully block or anesthetize nerve fibres in and around the operative site.
e. g. spinal, epidural, and major peripheral blocks. - _Local Anesthesia _Definition: administration of an anesthetic agent to one part of the body by local infiltration or topical application.Nurse monitors.
13
Q
PRE-MEDICATION
A
- Sedatives/tranquilizers
- Narcotics
- Anticholinergics
- Antiemetics
- Desired Effects
- decrease anxiety
- reduce bronchial secretions
- analgesia
- amnesia
14
Q
PROCESS OF GA
A
- Induction – begins with administering of anaesthetic agents until pt ready for positioning or surgical prepping INTUBATION
- Maintenance – from this point until near completion of the procedure
- Emergence – starts as the pt begins to “emerge” and ends when pt ready to leave the OR. EXTUBATION
- Recovery from anaesthesia can be considered a 4th phase of GA.
15
Q
INHALATIONAL AGENTS
A
- NITROUS OXIDE (GAS)
- HALOTHANE (VAPORISER)
- ENFLURANE (VAPORISER)
- ISOFLURANE (VAPORISER)
