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Intraoperative Eiea > INTRAOPERATIVE EIEA > Flashcards

INTRAOPERATIVE EIEA Flashcards

1
Q

Three distinct zone in a department

A

(1) Unrestricted
(2) Semi-restricted
(3) Restricted

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2
Q

Found within the semi-restricted area where face mask should be worn

A

Restricted

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3
Q

Where people in street clothes interact with those in scrub attire

A

Unrestricted

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4
Q

Surrounding support areas and corridors. Inside the OR, staff are the only ones allowed.

A

Semi-restricted

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5
Q

Relatives are not allowed unless they wear a gown

A

Semi-restricted

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6
Q

Holding area and where patient identification and assessment takes place

A

Intraoperative care/area

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7
Q

A unit separated from other clinical units. Next to the PACU and ICU

A

Traditional operating room

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8
Q

True or false.

All equipment is checked frequently to ensure proper functioning and electricity safety

A

True

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9
Q

Kept within a narrow range or temperature and humidity to prevent bacteria growth

A

Traditional operating room

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10
Q

True of false.

in, traditional operating room, positive air pressure in the rooms prevents air from entering the OR from the halls & corridors

A

True

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11
Q

Name the members of the surgical team (8)

A
  1. Perioperative nurse
  2. Circulating nurse
  3. Scrubbed nurse
  4. LPN or Surgical Technician
  5. Surgeon
  6. Surgeon Assistant
  7. Anesthesia care provider
  8. Nurse anesthetist
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12
Q

Patient’s advocate during surgery

A

Perioperative nurse

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13
Q

Non-sterile activities are done by this personnel

A

Circulating nurse

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14
Q

Maintaining the patient’s safety, dignity and confidentiality

A

Perioperative nurse

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15
Q

He/ she Performs scrubbed or circulating function. Passess instruments and implements other technical functions during procedures

A

LPN/ Licensed Practical Nurse

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16
Q

He/she is the one who performs the sterile activities and assists with room preparation

A

Scrubbed Nurse

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17
Q

Who Maintain accurate counts of sponges, needles, and instruments on the sterile field

A

Scrubbed Nurse

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18
Q

Who Obtains the informed consent

A

Surgeon

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19
Q

He/she can be another physician, RN. Holds the retractors

A

Surgeon Assistant

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20
Q

Who Performs and documents a pre-anesthetic assessment & evaluation

A

Nurse Anesthetist/CRNA

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21
Q

Who Manages patient’s airway and pulmonary status

A

Nurse Anesthetist/CRNA

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22
Q

Who Monitors cardiac and respiratory status and VS throughout the procedure

A

Anesthesia Care Provider or Nurse Anesthetist/CRNA

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23
Q

Nursing management before surgery includes (4):

A

(1) Psychosocial Assessment
(2) Physical Assessment
(3) Chart review
(4) Admitting the patient

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24
Q

Nursing surgery, this is when we ensure privacy and safety. Prevention of infection

A

During surgery

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25
Q

What to do when transferring patient?

A

Maintain privacy and safety

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26
Q

It is required to do for all sterile members

A

Surgical hand antisepsis

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27
Q

Range of distance to maintain from sterile field

A

12-18 inches

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28
Q

True or flase.

The hands should always be held away from surgical attire and higher than the elbows

A

True

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29
Q

Purpose of surgical handwashing (scrubbing) (2)

A

To remove debris and & transient microorganism

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30
Q

Recommended length of time for surgical handwashing by the AORN

A

2-3 minutes

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31
Q

As a part of the intra-op nurses role is being a client’s advocate. What is an advocacy activity of the intra-op nurse?

A

Respecting the client’s cultural values

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32
Q

Break is recognized immediately

A

Type 1 break

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33
Q

Break is recognized later

A

Type 3 break

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34
Q

Break is not recognized at all

A

Type 4 break

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35
Q

Recognized shortly after it occurs

A

Type 2 break

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36
Q

2013 AORN recommended practices, where long sleeved jacket snapped closed with cuff down to the wrists

A

Recommended I - Proper Attire

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37
Q

Gown large enough to adequately warp around the body and completely cover the back

A

Recommended II - Selecting Gowns of Appropriate Size and Sleeve length

38
Q

Use at the initial gowning and gloving

A

Closed Assisted Gloving

39
Q

Used when closed assisted gloving is not possible

A

Open Assisted Gloving

40
Q

What to do during cases with potential for exposure to blood, body fluids, or other infectious materials

A

Wear 2 pairs of surgical gloves

41
Q

How often we change the outer pair (Surgical gloves) intraoperatively

A

q 2hrs

42
Q

What is the recommendation after each client procedure

A

Recommendation III - Changing sterile gloves

43
Q

What to do when suspecting or actual contamination occurs

A

Recommendation III - Changing sterile gloves

44
Q

When gloves begin to swell, expand, and become loose on hand as a result of fluids and fats

A

Recommendation III - Changing sterile gloves

45
Q

In draping, what are considered as sterile

A

Only the top surface of the drape

46
Q

Items that fall below the sterile are considered as

A

Contaminated

47
Q

What portion of the C-arm is considered as contaminated

A

Upper portion

48
Q

What recommendation states that sterile should be constantly monitored

A

Recommendation V

49
Q

What increases the likelihood of detecting a breach in sterility

A

Observation during surgery

50
Q

True of false,

Once created a sterile field can be left unattended during the operation

A

False

51
Q

Placed with the cuff at the hall point

A

1st drape

52
Q

Place from the opposite side and completely covers the cuff of the 1st drape

A

2nd drape

53
Q

They should not leave the sterile field to retrieve items from the sterilizer

A

Scrubbed team members

54
Q

What should a scrubbed team member should wear when X-rays are needed so they will not leave the room

A

Lead apron

55
Q

The scrubbed team members should keep their hands and arms _________
(where) and _____ (when)

A

Above waist, at all times

56
Q

During the entire procedure, to limit movement around the sterile field the scrubbed team members should

A

avoid changing levels

57
Q

When should the scrubbed team should be seated during a procedure?

A

When the entire procedure is done at a level

58
Q

Who should face the sterile field on approach

A

Unscrubbed personnel

59
Q

Distance to maintain from sterile field

A

12 inches

60
Q

Technique where sterile objects remain sterile only touched by the sterile object

A

Basic aseptic technique

61
Q

Conditions where a sterile object is considered contaminated (4)

A
  1. below the waist
  2. out of range of vision
  3. came in contact with wet surface
  4. edges of sterile field
62
Q

When are gowns considered sterile (2)

A
  1. from chest to the level of the sterile field

2. sleeves to 2 inches above the elbows

63
Q

What is the principle we should always remember in sterile technique

A

Sterile to sterile

Non-sterile to non-sterile

64
Q

If the equipment is still moist what should we do

A

Return to autoclave

65
Q

The situation where all viable microorganisms and organisms are not able to reproduce, this is called

A

Sterile process

66
Q

When a tool or surface that has been made contamination free and the tool or surface do not regenerate pathogenic microorganism is called

A

Aseptic technique

67
Q

It prevents transmission of microbes from personnel to clients

A

Wearing surgical attire

68
Q

Zones where it requires personnel to wear special surgical attire

A

Semi-restricted and restricted zone

69
Q

The surgical attire consists of (5)

A

(1) Scrub gowns
(2) Hair coverings
(3) Mask
(4) Shoe covers
(5) Protective eyewear

70
Q

Where are surgical attire be worn only?

A

Within surgical site

71
Q

This should be worn within surgical environment to contain bacterial shredding from thorax and abdominal skin

A

Clean scrub suit

72
Q

If two piece scrub suit is worn, what should be secured at the waist?

A

The top

73
Q

What allows for surgical handwashing to 2 inches above the elbow

A

Short enough sleeves

74
Q

How often should the scrub suit should be changed

A

Daily

75
Q

It is the first surgical piece to be donned

A

Surgical hat or hood

76
Q

What is the purpose of wearing a surgical hat or hood

A

To prevent hair from collecting on the scrub clothes

77
Q

Should we wear shoe covers? WHy?

A

Yes, for sanitation

78
Q

Why are mask worn in specified restricted areas of the surgical site

A

To filter organism from the exhaled air

79
Q

What should not be allowed for surgical masks (clue: bawal din ngayon satin sa COVID pag nakamask)

A

Hang around the neck

80
Q

This is unacceptable because it becomes a barrier rather a filter

A

Use of double mask

81
Q

This is worn to reduce the incidence of contamination of mucus membranes whenever contamination can be a result of splashes, sprays, or splatters of blood

A

Protective eyewear or goggles

82
Q

This should not be worn in the surgical site

A

Jewelry

83
Q

What method should be used to don sterile gown and gloves when a SN enters the operating room

A

Closed method

84
Q

To ensure ease of handling of OR instruments and supplies glove should?

A

Fit properly

85
Q

Who says when to begin positioning of the patient

A

ACP

86
Q

This can result to muscle strain, joint damage, pressure injuries to the patient

A

Improper positioning

87
Q

Position for hernia repair, bowel resection, Bartholin’s Cysts removal

A

Dorsal Recumbent

88
Q

Position for laminectomy, surgery of the posterior surface of the body, Surgery involving the buttocks, spinal surgery

A

Prone

89
Q

Position for abdominal surgery, chest/breast surgery, neck surgery, ear surgery, abdomino-thoracic surgery, lower extremity procedures

A

Supine

90
Q

Position for lower abdomen surgery and pelvic surgery

A

Trendelenburg

91
Q

Position for Perineal repair, vaginal repair, D&C

A

Lithotomy

Intraoperative Eiea (1 decks)

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