OR Protocol Flashcards

1
Q

Academic role of attending surgeon

A

responsible for surgical team and their patients, train residents, perform surgeries

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2
Q

Private role of attending surgeon

A

leader of team

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3
Q

Who is the fellow

A

has completed surgical residency and is continuing to train

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4
Q

Who is the 5th year resident

A

perform surgery, instructs junior residents and students, responsible for management of patient

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5
Q

Who is the junior resident

A

responsible for the minute to minute care of the patient, rotates in other places besides surgery

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6
Q

Who is the intern

A

first year resident, everyday tasks

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7
Q

Medical or PA student

A

Responsible for basic patient care

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8
Q

Anesthesiologist

A

ensures patient safety at initiation of anesthesia, helps with postop

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9
Q

Anesthesiology assistants or CRNAs

A

central or peripheral anesthesia but not regional

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10
Q

Circulating nurse

A

supervises the OR, preps patient, trouble shoots equipment, gets and returns patient from pre/post op

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11
Q

Scrub nurse or ST

A

assists surgeon by providing instruments, does the count before the case

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12
Q

OR Director

A

RN, administrative director that manages overall staffing of the OR

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13
Q

Floor supervisor

A

RN, responsible for scheduling

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14
Q

Head nurse

A

RN, liaison between staff and surgeon

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15
Q

Specialty supervisor

A

Knows a particular specialty, maintains those instruments, trains new members

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16
Q

OR supervisor

A

manages OR day to day

17
Q

Periphery of the OR is what

A

unrestricted area that is not sterile

18
Q

Intermediate zone of the OR is what

A

Behind closed doors and well marked, restricted to hospital personnel in scrubs

19
Q

Sterile zone of the OR is what

A

areas immediately adjacent to OR suite and the OR suite, needs protective equipment worn

20
Q

MC cause of glove tears

A

needles

21
Q

What portion of the gown is sterile

A

nipple to hips, elbow to fingertips

22
Q

Supine patient positioning

A

most common complication is pressure points

23
Q

Prone patient positioning may cause what common injury

A

brachial plexus and decreased chest expansion

24
Q

Lithotomy (stirrup) position can injure what

A

strained lumbosacral muscles, peripheral nerve damage, saphenous vessel and nerve injury

25
Q

Jackknife position may cause

A

decreased airway accessibility, decresed BP and chest movement, femoral artery occlusion