Intraoperative Nursing Flashcards
What is the benefit of reducing the time length of surgery?
It reduces risk of infection
When does the intraoperative phase begin?
When you go through the OR doors to when you leave the OR doors
Is the circulating nurse clean or sterile?
Clean!
What is the main job of the circulating nurse?
They go and get supplies and makes sure the sterile field is not broken
True or false:
The scrub role can only be a nurse
False!
It can be a nurse or a scrub tech
How many counts are when in the surgical area?
3
When is the first count of supplies done?
Before the surgery begins
When is the second count of supplies happen?
When the surgery is complete
When is the last count of supplies happen?
After the patient is closed
What happens during the time out?
The patient, surgery, area of body and correct doctor are all verified.
Who physically counts the supplies?
The scrub role
Who repeats back the count and records the count?
The circulating nurse
What is an open surgical procedure?
The incision is open and the surgeons HANDS are inside
What is a laparoscopic surgery?
2-3 small incisions are made and hands DO NOT go in
What are the benefits of laparoscopic surgeries?
Less invasive, quicker recovery, decreased risk of SSI and blood loss.
True or False:
The longer the procedure the greater risk of hyperthermia?
False:
The patient is at a greater risk for hypothermia due to the decreased temperature of the room and greater blood loss.
If a patient is in surgery for this amount of time or longer than need to wear SCDS
30 minutes or more
What does the suffix ectomy mean?
Removal of, surgical incision to remove
What does the suffix ostomy mean?
Surgical creating of a permanent opening.
What does the suffix plasty mean?
Surgical repair or reconstruction of
What does the suffix scopy mean?
Use of a scope to view or look into an area. Usually done laparoscopic.
True or False:
The circulating nurse is responsible for monitoring the surgical team?
True.
The circulating nurse is responsible for monitoring the surgical team-they provide thorough documentation about the intraoperative period.
How many deep breaths do you need to take before you cough to clear the anesthesia from their alveoli?
3
Do older people need more or less anesthesia than a middle aged adult.
Less
What areas of the body are considered sterile?
Front, above the waist, and 2 inches above the elbow.
What age range are more susceptible to complications during surgery?
Pediatrics and older adults
What range of BMI’s are more susceptible to complications?
Very low 18 or less and very high 30 or more
Where is the unrestricted zone in the surgical environment?
Outside of the OR
Where is the semi restricted zone of the surgical environment?
The scrub area
Where is the restricted zone of the surgical environment?
In the OR room itself
If you are not part of the surgical team what do you need to wear in order to enter the OR?
A bunny suit
What needs to be on top of the tables in order to be considered sterile?
A blue drape
How do the items need to be dispensed in order to preserve sterility?
The hands need to be behind the package when opening in order to keep sterility,.
In terms of maintaining sterility- what are the movements of the surgical team?
Sterile to sterile. Unsterile to unsterile.
How far away is movement allowed to be in order to maintain a sterile field?
1 foot distance
If the sterile area is breached what is it considered?
Contaminated
If the circulating nurse is unsure of the sterility of an object what is that object now considered?
Contaminated
When do you start the preparation of the surgical site?
Just prior to sterile draping of the client
When prepping the surgical site what direction do they move in?
Start at the incision site and move outward
What is used to prep the surgical site?
Clorhexadine
What is the patient at risk for if they are nauseous or vomiting?
Aspiration
Why should the patient avoid consuming anything red prior to surgery?
So it is not mistaken for blood in the case of vomiting
What are the symptoms of malignant hyperthermia?
Tachycardic- 150 or higher
Rigid muscles
Increased Temp - as high as 107
Why are fires a risk in the OR?
Combustible skin cleansing solution + sparks + O2 = surgical fire
True or false:
The most frequent early sign for a patient at risk for malignant hyperthermia subsequent to general anesthesia is bradycardia.
False:
They become tachycardic
Why would a sore throat and cracked or chipped teeth be a adverse effect of surgery?
Due to the patient being intubated
True or False:
The OR is all latex free?
True
Why would a light restraint need to be used on a patient during surgery?
An excitement stage occurs due to an adverse reaction the anesthesia.
What does the lab do with the patients blood prior to surgery?
They type and cross match it.
