Assessment Flashcards
What are nurses doing by respecting the rights of the patient?
we can serve as the patient’s advocate
Every patient has the right to what?
- considerate, respectful care
- self-determination about care and treatments
- privacy
- confidentiality
- information as it relates to their diagnosis, treatment, and prognosis
Patients are responsible for what 3 things?
- providing accurate information
- providing information about their known conditions
- participation in their treatment and care decisions
SDOH. What can impact an individual’s availability for health care access?
transportation options
what is crime and violence an example of?
neighborhood and build environment
What is access to primary care an example of?
health and healthcare
What is discrimination an example of?
social and community
What is language and literacy an example of?
education
What is food insecurity an example of?
economic stability
What 3 reasons make an H&P super important prior to any procedure?
- to provide a patient-specific needs assessment
- to address a patient’s condition
- to include a plan of care
Who is the most reliable source for patient information?
the patient
Why is documentation of information essential to patient care?
- allows for evaluation of care provided
- provides information for planning patient care
- offers information in the event of a malpractice suit
What is the baseline for perioperative care>
data collected by Periop nurse
Where is patient date found?
in physician notes, medical history, physical exam, preoperative diagnostic studies, unit progress notes, nursing care plans, consultation with health care team members, patient and family interviews, observation, and physical assessment of the patient.
During the preoperative assessment and interview, what do you want to include?
- physiological status
- body size
- mobility
- preexisting health conditions
- planned duration of the procedure
- type of anesthesia
What happens during the preoperative visit?
- Introduce yourself to your patient and ask your patient how they would like to be addressed.
- Confirm your patient’s identity with two patient identifier according to the facility’s policy and procedure.
- Use the same scale for pain assessment throughout all patient care areas.
- Consider all elements of patient care needs prior to surgery.
- Consider how the required surgical position may impact a current condition that the patient contends with.
If your patient discusses suicidal thoughts during the preoperative visit what do you want to do?
report this immediately by following your
facility’s policy and procedure.
What are 3 key advantages of ERAS?
- shortened stay
- faster recovery
- fewer complications
define cisgender
biological sex aligns with gender identity
define intersex
infant with ambiguous or non-binary chromosomal make-up, and/or hormone levels
define gender expression
how an individual conveys their gender by mannerisms, clothing, hairstyle, etc.
Gender identity
how a person feels and believes to be in the category of gender
What are SDOH?
conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks
What are the 5 elements of SDOH?
- economic stability
- education
- social and community context
- health and health care
- neighborhood and build environment
What kind of effect can antibiotics have on anesthetic?
potentiate action of anesthetic agents
What kind of effect can antidysrhythmics have on anesthesia?
- reduce contractility
2. impair cardiac conduction
What kind of effect can anticoagulants have on anesthesia?
Alter normal clotting factors and increase risk of hemorrhage
What kind of effect can antihypertensives have on anesthesia?
- Cause bradycardia, hypotension, and impaired circulation due to anesthetic agent interaction
- Inhibit synthesis and storage of norepinephrine in sympathetic nerve endings
What are risk factors for hypothermia?
- Extremes in the patient’s age (eg, pediatric, elderly)
- History of diabetes
- Low body weight
- Peripheral vascular disorders
- Thyroid disorders
What is an example of a procedural risk for hypothermia?
open-cavity surgery
What are passive methods for warming a patient?
- reflective material
- cotton blanket
- thermal clothing
What are active methods for warming a patient?
- forced air warming blanket
- increased room temperature
- warmed IV fluids
What are the acute and chronic effects of cannabis?
Anxiety, euphoria, memory dysfunction Tachycardia, atherosclerosis Airway edema, chronic bronchitis Increased appetite, hyperemesis Paranoia, BIS elevation, unknown tolerance to analgesics Potential increase in pain
When should anticoagulants be discontinued prior to surgery?
48 hours
What is not a route of elimination for cannabis?
sweat
When assessing the patient for med use, it is important to ask questions about what?
- prescription meds
- herbal preps
- recreational/street drugs
- drugs, alcohol, smoking.
- patient risk factors due to alcoholism
How can herbal preparations effect surgery?
o may accentuate the toxicity of anesthetics.
o interfere with drug metabolism or clearance.
o might affect bleeding times.
close observation must be maintained for what?
symptoms of withdrawal from recreational/street drugs, especially during and after long procedures.
What kind of concerns might a chemically dependent patient have?
concerns about medication he or she is given
What can drugs, alcohol and smoking do?
alter lab values or system assessment
What are patient risk factors due to alcoholism?
- Lowered immunity
- Prolonged bleeding times
- Increased stress response
- Cardiac complications
what is a multidisciplinary team approach to surgical specialty management with the goal to reduce the
patient’s surgical stress response and facilitate recovery?
ERAS
What is program-specific safety issues that address Joint Commission topics such as sentinel event alerts and
performance measures?
national patient safety goals
What is a focus on the patient and the patient’s individual health care needs with the goal of engaging patients
as active participants in their health care?
patient centered care
