intraop ppt Flashcards
Surgical Suite
Controlled environment, designated to minimize spread of infections, allows smooth flow of patients, personnel, and instruments/equipment.
Unrestricted Areas
Personnel in street cloths interact with those in scrubs. Holding and information areas.
Semirestricted Areas
Peripheral support areas and corridors with only authorized people can go. Must wear surgical attire and cover all head and facial hair.
Restricted Areas
Operating rooms, scrub sink areas and clean core, Surgical attire, head coveres, and masks required.
Holding Areas: Waiting areas inside or adjacent to surgical area. Final identification and assessment. Minor procedures performed. Friends/family allowed.
Operating room:
Geographically, environmentally, bacteriologically controlled. Restricted inflow and outflow of personnel, Preferred location is next to postanesthesia care unit.
There are filters, controlled airflow, positive air pressure, materials resistant to corroding
Equipments are adjustable, easy to clean, and easy to move. Equipments are checked for electrical safety. Lighting provides low to high intensity for precise view of surgical site.
The temperature is controlled.
The room is private because the influx of personnel and visitors are restricted.
Perioperative Nurse
: prepares room with the team and serves as the patient advocate throughout the surgical experience
Circulating Nurse:
: Not scrubbed, gowned, or gloved. Remains in unsterile field. Documents. Pt advocate, transfers/positions
Scrub Nurse
Follows designated scrub procedure. Gowned and gloved in sterile attire. Remains in sterile field
Surgical Technician
Performs scrubbed function. Passes instruments and implements other technical functions during procedure. Supervised by RN
Surgeon:
Physician who performs the procedure. Responsible for preoperative medical history, physical assessment, patient safety
Surgeon Assistant
can be a physician or an RN, who functions in an assisting role. Holds retractors, assists with homeostasis and suturing, may perform portions of procedure under direct supervision
RN as the first assistant: Must have formal education, handles tissue, uses instruments, provides exposure to surgical site, assists homeostasis, suturing
Anesthesia care provider
Adminsters anesthesia, Can be anesthesiologist or nurse anesthetist, Maintenance of physiologic homeostasis throughout introperative period, Prescribes preoperative and adjunctive medicines, Monitors cardiac and respiratory status and vital signs throughout the procedure.
surgical time out
identify patient, surgery, body part
how are pt positioned?
Prevent occlusion of arteries and veins Provide modesty in exposure Prevent injury Secure extremities Provide adequate padding and support
circulating nurse
Counts and documents countable items with scrub
Responds to needs of sterile team members throughout procedure
Transport to recovery with anesthesia and report to recovery room nurse
scrub nurse
A sterile team member
Helps gather needed supplies and equipment
Creates sterile field, enters it, prepares it for use
Primary: maintain the sterile field
Also counts(with circulating nurse) instruments and sponges used in surgery
