LO 2 - Consent & Pre-Set Up

Question 1

Informed consent (3)

Answer 1

Voluntary
Informed
Capacity

Can be written or oral

Question 2

Levels of consent (3)

Answer 2

Informed
Simple
Inadequate/ignorant

Question 3

Simple consent - (2)

Answer 3

Permission to perform without knowledge of procedure

Expressed and implied

Question 4

Inadequate/ignorant consent

Answer 4

Not informed adequately

Question 5

Example of inadequate consent

Answer 5

A thousand families not told that oxygen levels for extremely premature babies increased risk of blindness / death

Question 6

t/f catheters are disposable

Answer 6

Yes

Question 7

Physician vs sono role with catheters

Answer 7

Physician = choice of catheter for specific procedure, sono orders/maintains materials

Question 8

Catheter materials (3)

Answer 8

Teflon
Polyurethane
Polyethylene

Question 9

Teflon advantages (5)

Answer 9

High strength
Stiffer
Retains shape
Large inner diameter
Higher potential to kink

Question 10

Polyurethane advantages (7)

Answer 10

Tissue compatibility
Increased flow rate
Ease of use
Low tissue trauma

Question 11

Polyethylene advantages (2)

Answer 11

High tissue compatibility

No additives - soft and flexible

Question 12

What catheter has better torque

Answer 12

Polyethylene

Question 13

How are catheter sizes expressed (3)

Answer 13

Inches
Millimeters
French number/French gauge system

Question 14

What is the French gauge system (

Answer 14

DIAMETER x3 relationship, where Fr = D * 3

1 Fr = 0.33 mm

Question 15

Where can you find catheter sizing information

Answer 15

The hub which is the prox portion of the catheter that provides an attachment for the syringe

Question 16

How are needles measured?

Answer 16

Stubs needle gauge system, where the gauge number describes the outer diameter of the needle

Question 17

With the stubs needle gauge system, the smaller the gauge number, the _____ the outer diameter

Answer 17

Larger

Question 18

For intramuscular injections, what gauge needle is best for adults?

Answer 18

21-23

Question 19

For intramuscular injections for children, what gauge #

Answer 19

25-27

Question 20

T/f intramuscular injections have differing gauge numbers for adults/children whereas for subcutaneous they are the same. Are there any exceptions?

Answer 20

True - for subcutaneous it’s 25-27 gauge for both

Diabetes medication Byetta recommends 30-31 gauge

Question 21

The universal set up protocol is created to prevent wrong (3)

Answer 21

Wrong person
Wrong procedure
Wrong surgical site

Question 22

What are the 3 main steps to set up

Answer 22

1- pre-procedure verification process
2- marking procedure site
3- a time out AKA PAUSE (final verification)

Question 23

Pre-procedure verification includes (3)

Answer 23

1. Patient identification (2 identifiers - either of name, MRN, DOB)
2. History and physical in medical record
3. Signed consent with procedure verified

Question 24

Who might the site marking be done by (4)

Answer 24

Medical Residents
Fellows
Physician assistants
RNs

Question 25

What does the time out verify (5)

Answer 25

Patient identity
Procedure + consent
Sight/side
Allergies
Availability of special equipment