Patient & Staff Safety in the OR Pt 1

Question 1

Preoperative Nurse duties

1. Consent (3)

Answer 1

1. Pt consent, Anesthesia, hospital

Question 2

Check pt name against (4)

Answer 2

1. ID Band
2. Ask Pt
3. Chart
4. Surgery Schedule

Question 3

Fire Triangle

Answer 3

1. Oxidizer: Oxygen, nitrous oxide
2. Fuel
3. Ignition source

Question 4

In case of fire do and take what?

Answer 4

1. Cover surgical site with sterile drape or towels
2. Ambu bag
3. portable oxygen tank and mask
4. assist anesthesia provider with gathering meds etc

Question 5

Irrigation fluid temp NOT to exceed

Answer 5

110

Question 6

If alcohol prep used caution?

Answer 6

make sure completely dry before draping

Question 7

PASS

Answer 7

1. Pull pin
2. Aim
3. Squeeze
4. Swip

Question 8

RACE

Answer 8

Question 9

Fuiguration

Answer 9

Uses sparkfor large bleeders: Chars tissue eg TURP

Destruction of tissue by means of a high-frequency electric current: direct fulgurationuses an insulated electrode with a metal point, which is connected to the uniterminal of the high-frequency apparatus, from which a spark of electricity is allowed to impinge on the area to be treated; indirect fulguration involves directly connecting the patient by a metal handle to the uniterminal and using an active electrode to complete an arc from the patient.

Question 10

When using active electrode

1. Best not to use in oxygen rich environment
2. cavity fluid should be ____? such as (3)
3. Never use____?

Answer 10

1. Best not to use in oxygen rich environment
2. cavity fluid should be electrically inert fluid such as dextran, glycine, sorbitol.
3. Never use saline

Question 11

TURP

Answer 11

Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate. A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra).

Question 12

Dispersive Electrode/Pad needed for?

Answer 12

Dispersive Electrode/Pad needed for monopolar

Question 13

Bipolor equipment such as

Answer 13

Forceps

no grounding pad needed

Question 14

chloroprep caution

Answer 14

must dry for 3 minutes before draping

Question 15

Bipolar Cautery

counted?

Answer 15

YES

Question 16

How to remove eschar from tip of bovie pencil?

Answer 16

1. Scratch pad
2. Damp cloth

Question 17

Never use bovie when?

Answer 17

surgery in head and neck due to build up of oxygen