IntraOperative Nursing Flashcards
Big concern intra op is …
Sentinal events (anything that happens to a pt that can cause death or serious injury) aka hospital mistake
Surgical Team members
Patient
Anesthesiologist or CRNA
Surgeon
Nurses (Scrub Nurse + Circulating Nurse)
Scrub Tech (maybe)
provides sterile instruments & supplies to surgeon; anticipates the surgical needs as the surgical case progresses.
Scrub Nurse or Scrub Technician
Coordinates & manages patient care in the OR
Controls OR environment
Protects the patient’s safety/health needs;
-Ensures pt rights are protected
-Monitors aseptic practices
-Coordinates activities of other healthcare personnel
Circulating Nurse
In the OR, you MUST (universal protocol) …
TIME OUT
Correct Site
Correct Patient
Correct Procedure
How far away should circulating nurse be?
1 ft away
Intra Op Nursing Interventions
Provide Emotional Support
Monitor vitals and EBL
Provide safe environment
Maintain Asepsis
Promote Wound Healing
Maintian positioning/skin integrity
Why is it important to anticipate needs of surgeon?
Helps to minimize the time the patient is anesthetized & the wound is open, thus decreasing potential complication
Air exchanges occur in surgical rooms to …
reduce microbes in air
sleep-like state that requires respiratory assistance * ET tube*
General anesthesia
produces decreased sensation and pain to selected body parts
Spinal/Regional Block
technique that numbs a specific area of the body without causing loss of consciousness
local anesthesia
most common; decreases consciousness; helps reduce aware of pain
Conscious sedation/ Moderate sedation
responsible for admin anesthesia
Anesthesiologist
CRNA
