Chapter 1 Flashcards

1
Q

When does the periop period statrt

A

when the pat is informed of the need for surg

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2
Q

When does the peri-op period end

A

when the patient achieves his or her optimal level of postsurgical function.

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3
Q

When does intra-op begin and end

A

when transfered to OR room and when transfered to PACU

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4
Q

When does Post op begin and end

A

Trans to pacu

when optimal function returns

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5
Q

What does the AORN patient focused model include as its four domains

A

Patient safety
Physiologic response
Behavioral response
Healthcare team and system

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6
Q

What is the goal of periop nursing

A

care and support pats and their families and to help make decisions

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7
Q

What is the outcome periop nurses want

A

for the pat to achieve wellness equal or greater than that before sugery

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8
Q

What does PNDS mean

A

Perioperative Nursing Data Set

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9
Q

What is PNDS purpose

A

to standardize nursing vocabulary

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10
Q

What does PNDS help with

A

measurement and eval of outcomes

provides foundation for research

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11
Q

What are the roles of the periop nurse

A

Patient assessment before, during, and after surgery
Patient and family teaching
Patient and family support and reassurance
Patient advocacy
Performing as scrub or circulating nurse during surgery
Control of the environment
Efficient provision of resources
Coordination of activities related to patient care
Communication, collaboration, and consultation with other healthcare team members
Maintenance of asepsis
Ongoing monitoring of the patient’s physiological and psychological status
Supervision of ancillary personnel

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12
Q

What are some settings where periop nursing practices

A
Operating room
Freestanding surgical centers
Satellite surgery facilities
Mobile surgical units
Surgeons’ office−based operating rooms
Clinics
Interventional radiology
Cath lab
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13
Q

Who is included in the sterile surg team

A

Primary surgeon
Assistants to the surgeon
Scrub

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14
Q

Who is in the nonsterile surg team

A

Circulating nurse
Anesthesiologist or nurse anesthetist
Others including the perfusionist or radiology technician

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15
Q

What is the main focus of activities in the preop phase

A

patient support,
teaching
preparation for the procedure.

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16
Q

What is the focus of care for intra op

A

patient safety
emotional support
facilitation of the procedure, prevention of infection,
satisfactory physiologic response to anesthesia and the surgical intervention.

17
Q

What is the focus of care for post op

A

support of the patient’s physiologic systems.

18
Q

What do post op nurses start doing later on in the recovery before discharge

A

reinforce the essential information they need for discharge and that was given during pre-op

19
Q

What is the intra op doing most during surg

A

managing tech

documenting pat care

20
Q

What are some typical nursing diagnoses

A

knowledge deficit
risk for infeciton
Impaired transfer ability • Imbalanced nutrition: more than body requirement

21
Q

What data base should the peri op nurse use for their nursing process

A

PNDS

22
Q

What are some examples of PNDS desired pat outcomes

A

The patient is free of signs and symptoms of infection. • The patient is free of signs and symptoms of injury related to transfer/ transport. • The patient demonstrates knowledge of nutritional requirements related to procedures.

23
Q

What are some examples of interventions

A

Evaluates for signs and symptoms of skin and tissue injury as a result of transfer or transport
Provides instruction regarding dietary needs
Implements aseptic technique

24
Q

Is peri op nursing patient centric or task oriented

A

pat centric

25
Q

What is a pat outcome that relates to IDing surgical sites

A

The patient’s procedure is performed on the correct site, side, and level.

26
Q

What pat outcome relates to accounting for tools

A

The patient is free from signs or symptoms of unintended retained foreign objects.

27
Q

What outcome relates to proper medication admin

A

The patient receives appropriately administered medication

28
Q

What outcomes relate to perfusion

A

The patient has wound perfusion consistent with or improved from baseline levels.
The patient has tissue perfusion consistent with or improved from baseline levels.

29
Q

What outcomes relate to support pat physiological systems

A

The patient’s (system) status is maintained at or improved from baseline levels.

30
Q

What outcome relates to pat temp

A

The patient is at or returning to normothermia at the conclusion of the immediate postoperative period.

31
Q

What outcome relates to fam teaching

A

The patient or designated support person demonstrates knowledge of expected psychosocial responses to the procedure/nutritional management related to the operative or other invasive procedure/medication management/pain management/participates in decisions affecting his or her perioperative plan of care.

32
Q

What is a minimally invasive surgery

A

surgery performed through small puncture holes with specialized equipment.

33
Q

Who has the responsibility of surgical counts of equipment

A

the scrub