LO 2 - Consent & Pre-Set Up Flashcards
Informed consent (3)
Voluntary
Informed
Capacity
Can be written or oral
Levels of consent (3)
Informed
Simple
Inadequate/ignorant
Simple consent - (2)
Permission to perform without knowledge of procedure
Expressed and implied
Inadequate/ignorant consent
Not informed adequately
Example of inadequate consent
A thousand families not told that oxygen levels for extremely premature babies increased risk of blindness / death
t/f catheters are disposable
Yes
Physician vs sono role with catheters
Physician = choice of catheter for specific procedure, sono orders/maintains materials
Catheter materials (3)
Teflon
Polyurethane
Polyethylene
Teflon advantages (5)
High strength Stiffer Retains shape Large inner diameter Higher potential to kink
Polyurethane advantages (7)
Tissue compatibility
Increased flow rate
Ease of use
Low tissue trauma
Polyethylene advantages (2)
High tissue compatibility
No additives - soft and flexible
What catheter has better torque
Polyethylene
How are catheter sizes expressed (3)
Inches
Millimeters
French number/French gauge system
What is the French gauge system (
DIAMETER x3 relationship, where Fr = D * 3
1 Fr = 0.33 mm
Where can you find catheter sizing information
The hub which is the prox portion of the catheter that provides an attachment for the syringe
How are needles measured?
Stubs needle gauge system, where the gauge number describes the outer diameter of the needle
With the stubs needle gauge system, the smaller the gauge number, the _____ the outer diameter
Larger
For intramuscular injections, what gauge needle is best for adults?
21-23
For intramuscular injections for children, what gauge #
25-27
T/f intramuscular injections have differing gauge numbers for adults/children whereas for subcutaneous they are the same. Are there any exceptions?
True - for subcutaneous it’s 25-27 gauge for both
Diabetes medication Byetta recommends 30-31 gauge
The universal set up protocol is created to prevent wrong (3)
Wrong person
Wrong procedure
Wrong surgical site
What are the 3 main steps to set up
1- pre-procedure verification process
2- marking procedure site
3- a time out AKA PAUSE (final verification)
Pre-procedure verification includes (3)
- Patient identification (2 identifiers - either of name, MRN, DOB)
- History and physical in medical record
- Signed consent with procedure verified
Who might the site marking be done by (4)
Medical Residents
Fellows
Physician assistants
RNs
What does the time out verify (5)
Patient identity Procedure + consent Sight/side Allergies Availability of special equipment
