final Flashcards
what is the purpose of surgical hand scrub
reduce transient and resident flora & reduce hospital acquired infection rates
recommended practices for sponge count procedures
1- initial count
2- closing and final
only use radiopaque materials, two people count (one is RN)
ways RNs can assist with general anesthesia induction
1- cricoid pressure
2- remain at pt’s side to offer reassurance and safety
3 steps to be followed to remove of the gown and gloves at end of procedure
1- turn sleeves inside out
2- pull away from body
3- glove to glove, skin to skin
5 actions that should be included in the care of a patient with suspected latex allergy
1- assess cross sensitivity and previous reactions
2- door signs on every room the pt uses
3- use latex free from IV, dressings and other materials
4- verify tx team is aware of allergy
5- schedule for first case of day if possible
4 steps that should be followed in correctly draping sterile field
1- handle drapes as little as possible
2- time between tape and cut should be small
3- allow prep to dry before drape
4- keep drapes from touching non-sterile areas
4 reasons why patient and family education is important
1- discuss risk and benefit of treatment
2- family can help retain and understand information
3- legal/ethical regulatory mandates
4- increased healthcare safety
5- decrease communication errors and inconsistencies in care
2 characteristics included in the elements of a culture of safety within a healthcare organization
1- safety, communication, accountability
2- learning
4 ways to prevent of minimize electrosurgical unit injuries to the patient
1- allow alcohol prep to dry for at least 3 minutes
2- ESU in safety holster when not used
3- right size grounding pad for patient
4- no metal near grounding site
3 unique identifiers to ensure proper handling of surgical specimen verified by the RN before the patient enters the OR
1- name
2- DOB
3- MRN
psychosocial assessments should include what 4 aspects
1- assess their level of understanding for the procedure consented for
2- coping mechanisms
3- barriers to communication
4- evaluate response to instruction
documentation of skin prep should include the following 5 elements
1- verify allergies 2- surgical wound falsification 3- skin assessment prior to prep 4- prep/shaving 5- antiseptic used, area prepped, name of person who prepped
5 factors regarding the proper attire of the surgical team member
1- gown 2- gloves 3- mask 4- head covers 5- no jewelry/dictated OR shoes
4 phases of nursing process that the RN practices during the pre-op phase
1- assess
2- implement
3- planning
4- evaluation
4 practices you should follow during the surgical scrub procedure
1- scrub duration/counted strokes
2- arms up in front of body with hands above elbows
3- avoid plashing onto scrub attire
4- rinsing thoroughly
3 safety precautions when handling and caring for powered instruments
***
1- inspection (intact)
2- assembly
3- testing
if a patient is unable to move themselves independently, what 4 steps should be taken to prevent shearing?
1- sliding board
2- adequate staff for moving
3- procedure bed slightly lower than gurney
4- consider mechanical lift
name 3 practices recommended during decontamination of used instruments
1- begin immediately after use
2- separate clean from dirty instruments
3- cleaning person wears PPE
what are 5 things to consider when preparing and administering medications?
1- a “no interruption” zone
2- checking for allergies and contraindications
3- preparing for only one pt at a time
4- labeling name, concentration on syringe
5- performing “read backs”
name 3 responsibilities of the OR management team in regards to safety in the OR
1- establishing policies and protocols
2- ensure staff complete competencies
3- reporting safety violations
EPA registered germicides labeled as hospital disinfectants must demonstrate effectiveness against these 3 microorganisms
1- pseudomonas (MRSA)
2- streptococcus (VRE)
3- staph-areaus (c-diff)
what is the surgical wound classification for a total abdominal hysterectomy?
class 2- clean contaminated
name an enciromental sanitation device that is required to limit the transmission of microorganisms to personnel when handling body fluid spills
PPE
according to AORN RP for positioning the patient, the nurse should
use additional precautions based on unique patient considerations
what is aseptic technique
practice restricts microorganisms in environment, equipment and supplies
what source in the fire triangle are trading materials categorized as?
fuel
what is the safest way to pass a cutting instrument to a surgeon
the neutral zone
3 risks to patients and staff members associated with laser use
1- eye injury
2- fire
3- smoke
which nursing intervention can reduce a pre- op patients anxiety
provide a climate of privacy, comfort and confidentiality when providing care
a patient with L breast cancer is scheduled for a L mastectomy. the patient has informed the surgeon and RN that she is a Jehovah’s witness and does not want any blood transfusions. in preparation for intra-op care of this patient, what measures does the nurse take?
1- make physician aware of patients request
2- inform the patient of potential risks
