Intraoperative Flashcards
1
Q
what are the potential risks to patients having surgery?
A
- anaeesthetic
- burns
- retained surgical items
- postoperative infection
- positioning injury
- specimens
- bleeding
- incorrect procedure
2
Q
pre-operative assessment is undertaken to:
A
- check patients physical and psychological status
- identify potential problems
- perform pre-operative preparation
- identify the need to further investigations
- plan care
- develop a rapport with the patient
3
Q
Assessment of airways
A
- fasting -NBM
- solids
- fluids
- feeds
- medications
4
Q
premedication before surgery
A
= anxiety levels
- Pre-emptive analgesia and/or nausea
- Reduce secretions
- Reduce anxiety
- Induce amnesia
- Attenuate vagal reflexes
- Increase volume/decrease PH of gastric juices
- Treat pre-existing conditions
5
Q
On admission to operating theatre
Anaestheetic
A
patient will bee
* Taken to the anaesthetic bay or waiting area * Anaesthetic will be administered in the aesthetic bay of in the OR
6
Q
What is the anaesthetic traid?
A
- Narcosis
- Analgesia
- Relaxation
7
Q
What is the intraoperative care timeline?
A
- team time out
- infection control
- surgical count
- use of sharps
- specimens
- positioning
8
Q
What does time out mean?
A
= the suspension of activity immediately before commencing a procedure to undertake final verification
- involves everyone in OR
9
Q
Infection control
A
= steralisation - aseptic technique
10
Q
Surgical cound
A
- accountable items
Why:
- infection control
- legal requirement
- duty of care
- inventory control
WHAT GOES IN MUST COME OUT
How:
- two people (one RN)
- document all on the operating room nurse report
Who is responsibility:
- scrub nurse and surgeon
11
Q
Specimens
A
Everything is a specimen except: • Tonsils from children below the age of 14 years • Varicose veins • Bone chips • Skin trimmings
Types of specimens • Microbiology • Frozen section • Histopathology - routine • Blood • Tissue for disposal
12
Q
Positioning
A
Aims:
- surgical site
- anaesthetic - airway, venous/arterial access, monitoring
- body systems - prevent compromise to respiratory system, cardiac system, nervous system and integumentary system
