Chapter 1 (Part 6) Flashcards
INTRAOPERATIVE NURSING MANAGEMENT GOALS
- Asepsis
- Homeostasis
- Safe administration of Anesthesia
- Hemostasis (First stage of wound healing)
SURGICAL SETTING
- Unrestricted Area
- Semi-Restricted Area
- Restricted Area
Entrance and exit from surgical suite for personal, equipment and patient
Unrestricted Area
Access tot the procedure rooms and the peripheral support areas within the surgical suite such as storage areas
Semi-Restricted Area
Procedure room where the surgery is performed and adjacent to the room is the sterilization area
Restricted area
The surgical team
- Patient
- Anesthesiologist/Certified Nurse anesthesiologist
- Surgeon
- Nurses
- Registered Nurse First Assistant
- Surgical technicians
Primary responsible for preop medical history and physical assessment
Surgeon
Primary decision maker
Surgeon
May assist with positioning and prepping
Surgeon
Resident, Intern, physician’s assistant, or perioperative nurse
First assistant to the surgeon
Selects anesthesia and administer it
Anesthesiologist
Intubates and maintains overall wellbeing of the patient (unsterile)
Anesthesiologist
Assist and prep the room
Scrub nurse
Scrubs, gowns, gloves other members
Scrub nurse
Dropping, Passing and Counting the equipments
Scrub nurse
Boss of Sterility
Circulating nurse
Responsible and accountable for all activities
Circulating nurse
Management of personal equipment, supplies, and the environment
Circulating nurse
Medical Asepsis
- Reduce number of pathogens
- Clean technique
- Enema, tube feeding
Surgical Asepsis
- Eliminate all pathogens
- Sterile technique
- Dressing changes, intubation
Principles of surgical asepsis
- All materials and instruments must be sterilized except scissors (soaked in sterile solution)
- Proper sterile technique and downing of gloves and gown
- Sterile to sterile
- Unsterile to unsterile
Positions during surgery
- Supine (Dorsal Recumbent)
- Prone
- Trendelenburg
- Reverse Trendelenburg
- Lithotomy Position
- Modified Fowlers
- Jack Knife Position