Chapter 23: Perioperative Environment Flashcards
The first point in the medication-use process where the perioperative registered nurse can participate in is: A. Procuring B. Prescribing C. Dispensing D. Administering
A. Procuring
A patient safety strategy that reduces the opportunities for medication errors is:
A. Obtaining all medications from a single vendor
B. Storing chemicals, solutions, and medications in the same room
C. Arranging products in alphabetical order
D. Tracing the origin and insertion of all tubes and catheters
D. Tracing the origin and insertion of all tubes and catheters
In 1920, an organization that developed a standard curriculum of OR techniques was: A. AMA B. AORN C. Bellevue Hospital D. The National League of Nursing E. The Nightingale Society
D. The National League of Nursing
A patient safety strategy that reduces the opportunities for medication errors is:
A. Obtaining all medications from a single vendor
B. Storing chemicals, solutions, and medications in the same room
C. Arranging products in alphabetical order
D. Tracing the origin and insertion of all tubes and catheters
D. Tracing the origin and insertion of all tubes and catheters
Medications listed on preference cards are not considered to be standing orders unless they have been reviewed and signed by the prescriber.
A. True
B. False
A. True
When a perioperative registered nurse receives a verbal order, the first action would be to:
A. Copy the order onto a white board
B. Confirm by reading back the order to the prescriber
C. Enter the order in an electronic order system
D. Update the preference card
B. Confirm by reading back the order to the prescriber
In an environment of care, perioperative RN’s should:
A. Always follow the instructions of surgeons
B. Maintain the patient as the focus of all team activities
C. Minimize communication in order to work efficiently
D. Never deviate from protocol, even if an error may result
E. Strive for a culture of efficiency rather than safety
B. Maintain the patient as the focus of all team activities
Pharmacists should become involved in medication safety:
A. From the beginning when the safety plan is being created
B. When facilities design new forms
C. During the medication reconciliation process
D. In all of the above situations
D. In all of the above situations
Which of the following statements describe an important value of the medication reconciliation process?
A. The patient is the sole source of information
B. The patient’s list of medications can help identify underlying patient conditions
C. The patient’s literacy level is documented during discharge teaching
D. The patient’s weight in kilograms is obtained for medication calculations
B. The patient’s list of medications can help identify underlying patient conditions
Perioperative RN’s primarily use checklists to ensure that:
A. Lawsuits from the patient and their family are avoided
B. New nurses perform their work as expected
C. Surgical supplies are not wasted before or after surgery
D. Staff begin shifts on schedule and relieve one another as needed
E. The plan of care is implemented correctly before, during, and after surgery
E. The plan of care is implemented correctly before, during, and after surgery
Which one of the following is an important component of the nursing medication plan?
A. The plan begins when health care providers bring the patient into the room
B. The plan assists health care providers with planning for pre-procedural antibiotic administration
C. The plan directs health care providers how to order home care
D. The plan directs health care providers how to obtain all medications for all patients at one time in the medication room
B. The plan assists health care providers with planning for pre-procedural antibiotic administration
Key points for implementing safe practices include:
A. Obtaining medications for only one patient at a time
B. Avoiding distractions and interruptions when preparing medications
C. Preparing the medication as close as possible to the time of administration
D. Using safe injection practices
E. All of the above practices
E. All of the above practices
Obtaining medications for only one patient at a time, avoiding distractions and interruptions when preparing medications, preparing the medication as close as possible to the time of administration, and using safe injection practices.
Points at which the perioperative RN should verify the medication product include:
A. At the point when the medication is being retrieved using the original order
B. At the point when the RN circulator is ready to pass the medication to the scrub person
C. At the point when each product is being placed on the sterile field
D. All of the above situations
D. All of the above situations
At the point when the medication is being retrieved using the original order, at the point when the RN circulator is ready to pass the medication to the scrub person and at the point when each product is being placed on the sterile field
The pre-incision TIME OUT should be performed by which member(s) of the perioperative team?
A. All perioperative team members
B. All perioperative team members except anesthesia professionals
C. Perioperative RN’s
D. Scrub nurses only
E. Surgeons only
A. All perioperative team members
Safe injection practices:
A. Are only applicable when medications are given intravenously
B. Are only applicable to local anesthetics
C. Include using one syringe per injection
D. Require that all health care workers receive the hepatitis B vaccination series
C. Include using one syringe per injection
