OR Protocol Flashcards
Academic role of attending surgeon
responsible for surgical team and their patients, train residents, perform surgeries
Private role of attending surgeon
leader of team
Who is the fellow
has completed surgical residency and is continuing to train
Who is the 5th year resident
perform surgery, instructs junior residents and students, responsible for management of patient
Who is the junior resident
responsible for the minute to minute care of the patient, rotates in other places besides surgery
Who is the intern
first year resident, everyday tasks
Medical or PA student
Responsible for basic patient care
Anesthesiologist
ensures patient safety at initiation of anesthesia, helps with postop
Anesthesiology assistants or CRNAs
central or peripheral anesthesia but not regional
Circulating nurse
supervises the OR, preps patient, trouble shoots equipment, gets and returns patient from pre/post op
Scrub nurse or ST
assists surgeon by providing instruments, does the count before the case
OR Director
RN, administrative director that manages overall staffing of the OR
Floor supervisor
RN, responsible for scheduling
Head nurse
RN, liaison between staff and surgeon
Specialty supervisor
Knows a particular specialty, maintains those instruments, trains new members
OR supervisor
manages OR day to day
Periphery of the OR is what
unrestricted area that is not sterile
Intermediate zone of the OR is what
Behind closed doors and well marked, restricted to hospital personnel in scrubs
Sterile zone of the OR is what
areas immediately adjacent to OR suite and the OR suite, needs protective equipment worn
MC cause of glove tears
needles
What portion of the gown is sterile
nipple to hips, elbow to fingertips
Supine patient positioning
most common complication is pressure points
Prone patient positioning may cause what common injury
brachial plexus and decreased chest expansion
Lithotomy (stirrup) position can injure what
strained lumbosacral muscles, peripheral nerve damage, saphenous vessel and nerve injury
Jackknife position may cause
decreased airway accessibility, decresed BP and chest movement, femoral artery occlusion
