Safety

Question 1

Why was the Surgical Safety Care improvement initiated?

Answer 1

to reduce surgical complications

Question 2

What does the Surgical Safety Checklist aim to improve?

Answer 2

wrong-site surgery, patient falls, hospital-acquired pressure injuries, and vascular/catheter associated infections

Question 3

Why was TeamSTEPPS designed?

Answer 3

to facilitate communication between health care providers to enhance patient safety and quality of care

Question 4

What are CUS words?

Answer 4

express concern

Question 5

What are check backs?

Answer 5

restate what a person said to verify understanding

Question 6

What are call outs?

Answer 6

shout out important information for everyone to hear

Question 7

What is the two-challenge rule?

Answer 7

state a concern twice as needed; if ignored, follow chain of command

Question 8

What is urgent surgery?

Answer 8

may be life-threatening if treatment is delayed more than 24-48hrs

Question 9

What does ambulatory status mean?

Answer 9

returns home same day of surgery

Question 10

What are the 5 responsibilities of the nurse preop?

Answer 10

1. Pay attention to patient’s stress levels
2. Interpret last lab tests before surgery
3. Understand risks of surgery
4. Assessment
5. Patient Interview

Question 11

What are the 5 steps to a safer surgery?

Answer 11

1. briefing
2. sign-in
3. timeout
4. sign-out
5. debriefing

Question 12

What are a patient’s top 5 fears before surgery?

Answer 12

1. death
2. pain
3. anesthesia
4. mutilation
5. disruption of life

Question 13

What 2 things associated with cardiovascular function should a nurse be aware of before surgery?

Answer 13

1. EKG
2. Blood thinners

Question 14

What 3 things associated with the respiratory function should a nurse be aware of before surgery?

Answer 14

1. smoker/vaper
2. asthma
3. COPD

Question 15

What should the nurse be aware of concerning the urinary function before surgery?

Answer 15

frequency

Question 16

What should the nurse be aware of concerning the musculoskeletal system before surgery?

Answer 16

bone demineralization

Question 17

Why do old people pee a lot at night?

Answer 17

Laying down allows for more perfusion in body

Question 18

What two things are considered before surgery on an obese person?

Answer 18

1. BMI
2. measurement of neck

Question 19

What are 3 complications of surgery on an obese person?

Answer 19

1. wound dehiscence and infection
2. slows recovery
3. adipose tissue absorbs and stores anesthesia

Question 20

When are prophylactics used for surgery?

Answer 20

if it has a high risk of infection

Question 21

What are benzodiazepines?

Answer 21

sedative; amnesia

Question 22

What is the perioperative nurse’s role?

Answer 22

to prepare room
patient advocate
one last check

Question 23

What is the circulating nurse’s role?

Answer 23

not scrubbed in
recorder and documentation

Question 24

What is the scrub nurse’s role?

Answer 24

second set of hands

Question 25

What is the LPN/surgical technician's role?

Answer 25

hands instruments

Question 26

What are two additional responsibilities of the nurse before surgery?

Answer 26

1. prepping site 2. positioning patient

Question 27

What is general anesthesia used for?

Answer 27

quick onset long periods of time

Question 28

What is an example of an IV induction agent used for general anesthesia?

Answer 28

versed

Question 29

How are inhalation agents excreted by a patient?

Answer 29

rapid ventilation

Question 30

What are 3 examples of local anesthesia?

Answer 30

EMLA cream lidocaine novacaine

Question 31

What is MAC?

Answer 31

monitored anesthesia care (maintains own airway)

Question 32

What is a regional nerve block?

Answer 32

agent injected into or around specific nerve or group of nerves

Question 33

How long does a regional nerve block last?

Answer 33

24-48hrs

Question 34

What is the difference between spinal anesthesia and an epidural block?

Answer 34

in spinal anesthesia the agent enters the CSF

Question 35

Spinal anesthesia is injected into what space?

Answer 35

subarachnoid

Question 36

What 4 things should a nurse be aware of while using spinal anesthesia?

Answer 36

1. Spinal headache 2. vitals q15min (BP & HR) 3. administration of benadryl 4. O2 on during injection

Question 37

What is the position the patient should be in before spinal or epidural anesthesia is injected?

Answer 37

knee to chest

Question 38

What is malignant hyperthermia?

Answer 38

inherited trait of hypermetabolism of skeletal muscle resulting in altered control of intracellular calcium

Question 39

How is malignant hyperthermia triggered?

Answer 39

exposure to certain drugs used for anesthesia

Question 40

What are the 4 manifestations of malignant hyperthermia?

Answer 40

1. tachycardia 2. tachypnea 3. hypercarbia 4. ventricular arrhythmias

Question 41

What are 3 common respiratory complications post-op?

Answer 41

1. atelectasis 2. pneumonia 3. airway obstruction

Question 42

What are 4 common circulatory complications post-op?

Answer 42

1. hypovolemic shock 2. fluid overload 3. DVT 4. pulmonary embolus

Question 43

What 4 medications can be administered for DVT prevention?

Answer 43

1. heparin 2. Coumadin 3. LMW heparin 4. Xarelto

Question 44

How are heparin and LMW heparin administered?

Answer 44

subcutaneously

Question 45

How are Coumadin and Xarelto administered?

Answer 45

orally

Question 46

What is dehiscence?

Answer 46

surgical incision opens

Question 47

What is evisceration?

Answer 47

after incision opens organs protrude out

Question 48

If the patient has a temp >100 when could it mean infection?

Answer 48

after 48hrs

Question 49

What score on the Aldrete Scoring System indicates readiness for transfer or discharge to the next phase of recovery?

Answer 49

9 or 10

Question 50

How often do you check lungs during the first 24hrs following surgery?

Answer 50

4hrs

Question 51

How often do you check LOC during the first 24hrs following surgery?

Answer 51

4-8hrs

Question 52

How to appropriately instruct the patient on how to use spirometer?

Answer 52

seal lips tightly around the mouthpiece, inhale spontaneously, and hold breath for 3-5 seconds

Question 53

What 3 things do you ask about pain?

Answer 53

type location intensity

Question 54

How often do you monitor BP and respirations after administering pain medication?

Answer 54

every 15-30min