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MEDICAL SURGICAL > Chapter 1 (Part 4) > Flashcards

Chapter 1 (Part 4) Flashcards

1
Q

Patient’s autonomous decision about whether to go surgical procedure.

A

Informed consent

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2
Q

Legal mandate

A

Informed consent

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3
Q

Purpose of Informed consent

A
  1. To protect the patient from unsanctioned/unauthorized surgery
  2. To protect surgeon from claims of an unauthorized operation or battery
  3. It helps to ensure that the patient understands the surgery to be performed
  4. To indicate that the patient’s decision was made without pressure.
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4
Q

Informed consent is necessary in the following

A
  1. Invasive procedure such as surgical incision
  2. Procedures requiring sedation or anesthesia
  3. Non-surgical procedures such as arteriography that carries more than a slight risk to the patient
  4. Procedures involving radiation
  5. Radiologic procedures, particularly if contrast dye is required
  6. Blood product administration
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5
Q

A valid informed consent includes:

A
  1. Voluntary (at least 18 yrs. old)
  2. Patient who is incompetent
  3. Informed subject
  4. Patient is able to comprehend
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6
Q

Individual who is not autonomous and cannot give or with-hold consent

A

Patient who is incompetent

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7
Q

Consent should be in writing; contains explanation of procedures, risk, description of benefits and alternatives

A

Informed subject

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8
Q

Goals:
1. Assessing and correcting physiologic and
psychologic problems as it may increase
surgical risk
2. Provide health teaching
3. Instruct & demonstrate exercises that will
benefit the patient during post op period
4. Planning for discharge & any projected
changes in lifestyle due to surgery

A

Preoperative phases (assessing to transferring)

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9
Q

PRE-ADMISSION TESTING

A

 Initiate initial preoperative assessment
 Initiate education appropriate to
patient’s needs
 Involves family in interview
 Verifies completion of preoperative
diagnostic testing
 Verifies understanding of surgeon
specific orders
 Discusses and reviews advance directive
documents
 Begins discharge planning by assessing
patient need for post operative
transportation and care

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10
Q

Initiate initial preoperative assessment

A

Pre-admission testing

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11
Q

Initiate education appropriate to patients needs

A

Pre admission testing

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12
Q

Involves in family interview

A

Pre-admission testing

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13
Q

Verifies completion of preoperative diagnostic testing

A

Pre-admission testing

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14
Q

Verifies understanding of surgeon specific order

A

Pre-admission testing

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15
Q

Discusses and reviews advance directive documents

A

Pre-admission testing

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16
Q

Begins discharge planning by assessing patient need for post operative transportation and care

A

Pre-admission testing

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17
Q

ADMISSION TO SURGICAL CENTER

A

 Complete preoperation assessment
 Assess for risk of post-op complication
 Report unexpected findings or any deviation from normal
 Verifies that operative consent has been
signed
 Coordinates patient education and POC,
with nursing staff, & other health team
member
 Reinforces previous education
 Answers patient’s & family questions

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18
Q

Complete pre-operation assessment

A

ADMISSION TO SURGICAL CENTER

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19
Q

Assess for risk of post-op complication

A

ADMISSION TO SURGICAL CENTER

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20
Q

Report unexpected findings or any deviation from normal

A

ADMISSION TO SURGICAL CENTER

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21
Q

Verifies that operative consent has been signed

A

ADMISSION TO SURGICAL CENTER

22
Q

Coordinates patient education and POC with nursing staff, & other health team member

A

ADMISSION TO SURGICAL CENTER

23
Q

Reinforces previous education

A

ADMISSION TO SURGICAL CENTER

24
Q

Answers patient and family questions

A

ADMISSION TO SURGICAL CENTER

25
IN THE HOLDING AREA
 Identifies patient using 2 identifiers  Assess patient’s status, baseline pain, and nutritional status  Reviews medical records  Verify surgical site that has been marked per institutional policy  Establish IV line  Administer medication if prescribed  Takes measures to ensures patient’s comfort  Provides psychological support  Communicate patient’s emotional status to the other appropriate members of Health Care Team
26
Identifies patient using 2 identifiers
IN THE HOLDING AREA
27
Assess patients status, baseline pain, and nutritional status
IN THE HOLDING AREA
28
Reviews medical records
IN THE HOLDING AREA
29
Verify surgical site that has been marked per institutional policy
IN THE HOLDING AREA
30
Establish IV line
IN THE HOLDING AREA
31
Administer medication if prescribed
IN THE HOLDING AREA
32
Takes measures to ensures patient's comfort
IN THE HOLDING AREA
33
Provides psychological support
IN THE HOLDING AREA
34
Communicate patient emotional status to the other appropriate member of the health care team
IN THE HOLDING AREA
35
PREOPERATIVE ASSESSMENT
1. The goal is for the patient to be healthy as possible 2. Presence of pain 3. Nutritional & fluid & electrolyte balance 4. Dentition 5. Drug or alcohol use 6. Cardiovascular function (X-ray, ECG) 7. Pulmonary Function (X-ray, pulmonary function test, Intensive Spirometry) 8. Renal & Hepatic unction (Creatinine, BUN) 9. Endocrine Function (check for hormonal imbalance) 10. Neurologic Function (prevent delirium) 11. Hematologic Function (CBC) 12. Use of medication 13. Presence of trauma &infection 14. Psychosocial factors 15. Spiritual & cultural beliefs
36
The goal is for the patient to be healthy as possible
PREOPERATIVE ASSESSMENT
37
Presence of pain
PREOPERATIVE ASSESSMENT
38
Nutritional & fluid & electrolyte balance
PREOPERATIVE ASSESSMENT
39
Dentition
PREOPERATIVE ASSESSMENT
40
Drug or alcohol use
PREOPERATIVE ASSESSMENT
41
Cardiovascular function (X-ray, ECG)
PREOPERATIVE ASSESSMENT
42
Pulmonary Function (X-ray, pulmonary function test, Intensive Spirometry
PREOPERATIVE ASSESSMENT
43
Renal & Hepatic unction (Creatinine, BUN)
PREOPERATIVE ASSESSMENT
44
Endocrine Function (check for hormonal imbalance)
PREOPERATIVE ASSESSMENT
45
Neurologic Function (prevent delirium)
PREOPERATIVE ASSESSMENT
46
Hematologic Function (CBC)
PREOPERATIVE ASSESSMENT
47
Use of medication
PREOPERATIVE ASSESSMENT
48
Presence of trauma &infection
PREOPERATIVE ASSESSMENT
49
Psychosocial factors
PREOPERATIVE ASSESSMENT
50
Spiritual & cultural beliefs
PREOPERATIVE ASSESSMENT

MEDICAL SURGICAL (28 decks)

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