Peri-Operative Panopto

Question 1

How many Perioperative Phases are there? What are they named?

Answer 1

Preoperative Phase
Intraoperative Phase
Postoperative Phase

Question 2

Preoperative phase =

Answer 2

Before surgery

Question 3

Intraoperative phase =

Answer 3

During surgery

Question 4

Postoperative phase =

Answer 4

After surgery

Question 5

What is an Ablative surgery?

Answer 5

Removes or repairs a diseased part. It is curative surgery

Question 6

What kind’ve surgery is a palliative one?

Answer 6

Alleviates or reduces symptoms. Doesn’t cure.

Question 7

A cosmetic improvement surgery’s purpose is to-

Answer 7

Restore function or appearance

Question 8

What is the difference between a diagnostic and explorative surgery?

Answer 8

Diagnostic = Determines presence or extent of a pathologic condition

Exploration = Determines presence or extent of a disease

Exploration is done when you know what the problem is, you just wanna know how bad it may be or if there’s anything accompanying it.
Diagnostic is you know the symptoms, but you’re unsure what’s going on with the pt and you want more clarity.

Question 9

Examples of Diagnostic surgeries:

Answer 9

Endoscopic Procedures (Bronchoscopy or Colonoscopy)

Question 10

Examples of cure or ablative surgeries:

Answer 10

Extraction of a diseased Gallbladder (Cholecystectomy), Removal of a ruptured Appendix (Appendectomy), Infected Cyst Removal

Question 11

Examples of Palliative Surgeries:

Answer 11

Remove a lung tumor to help respirations, cut nerve pathways to stop intractable pain

Question 12

Examples of Preventive Surgeries:

Answer 12

Prophylactic Mastectomy, Gene Testing (Prophylactic Removal of the Breast or a Skin Mole)

Question 13

Examples of Cosmetic Improvement Surgeries:

Answer 13

Scar Revision, Breast Reconstruction, Dental Implants

Question 14

Examples of Exploration surgeries:

Answer 14

Laparotomy

Question 15

Name some examples of Functional Surgeries:

Answer 15

Breast Reconstruction, Cleft Lip / Palate Repair, Burn Trauma Repair

Question 16

Do surgical settings vary?

Answer 16

Yup, could be inpatient or outpatient. Could be in a hospital, clinic, or provider’s office

Question 17

What is surgery based on?

Answer 17

It’s Ergency

Question 18

Describe Elective Surgery:

Answer 18

Pt’s choice of scheduling.
Not Life-Threatening.
Surgery can be delayed.

Question 19

Describe Emergency Surgery:

Answer 19

Immediate, to save life or preserve function of a body part

Question 20

Describe Ambulatory / Same-Day / Outpatient Surgery:

Answer 20

Less than a 24-hour stay
Post-op recover shifts from hospital to home

Question 21

Give some examples of Elective Surgeries:

Answer 21

Hernia Repair, Joint Replacement like a Knee Replacement, A Bunionectomy, a Breast Reconstruction, Mole/Wart Removal, Kidney Stone Removal

Question 22

Give some examples of people who’d need Emergency Surgery:

Answer 22

Pt’s with internal hemorrhages, Trauma pt’s, Ruptured Appendix

Question 23

Nearly 50% of surgeries are now what kind of surgeries?

Answer 23

Outpatient

Question 24

What are the benefits of Outpatient surgery?

Answer 24

Less Cost, Less Invasive, Less Anesthesia, Decreased chance of getting an HAI / Nosocomial Infection

Question 25

What are the 2 Surgical Degrees of Risk?

Answer 25

Major and Minor

Question 26

What kind of anesthesia do you take with surgical procedure that are a Major degree of risk?

Answer 26

General Anesthesia

Question 27

What kind of anesthesia do you take with surgical procedure that are a Minor degree of risk?

Answer 27

Moderate Sedation, Local Anesthesia, Short Period of General Anesthesia

Question 28

A surgery with a Major degree of risk will-

Answer 28

Be a more complicated surgery, involve vital organs, result in a large loss of blood, complications are expected

Question 29

A surgery with a Major degree of risk will-

Answer 29

Have few expected complications, will be available via an outpatient setting

Question 30

Examples of surgeries that are a Major degree of risk?

Answer 30

Coronary Artery Bipass Graft (CABG), this is Open Heart Surgery. A Thoracotomy. A Colon Resection

Question 31

Examples of surgeries that are a Minor degree of risk?

Answer 31

Alterations to body parts, Cataract Extraction, Hernia Repair, Tooth Extraction

Question 32

What problems can a Colon Resection cause?

Answer 32

Infection, Non-Closure of the Incision, an Abdominal Bleed, Adhesion, Paralytic Ileus. With the Anesthesia, you’ll be at a high risk of respiratory and CV complications.

Question 33

Pre-existing conditions, regardless of age =

Answer 33

Co-Morbid Health Problems

Question 34

List some Acute Co-Morbid Health Problems:

Answer 34

Fever, Upper Respiratory Infection, any other kind’ve Infection

Question 35

List some Chronic Co-Morbid Health Problems:

Answer 35

CV Problems, Respiratory Problems like COPD, Diabetes, Renal Disease, Immune Disorders (Leukemia, AIDS)

Question 36

A diabetic may have-

Answer 36

Poor wound healing + a poor capillary refill status

Question 37

Elderly age related changes include:

Answer 37

Decrease in hepatic and renal function Co-morbidities Increased risk of adverse reactions to preop medications Physiological reserve is decreased Reduced muscle mass and body water Sensory deprivations Alterations orally Less perspiration Decrease in subcutaneous tissue

Question 38

Provider’s Role in Informed Consent:

Answer 38

Describe treatment/procedure Professionals involved in treatment Risks of anesthesia Benefits of treatment/procedure Describe potential harm, pain, and/or discomfort which can occur Other options Recognize the right to refuse treatment

Question 39

Nurse’s Responsibility in Informed Consent:

Answer 39

Witness the consent Ensure that provider gave necessary information Patient understood information Competent to sign consent Notify HCP if more questions or if patient doesn’t understand Document patient questions Document teaching (reinforcement) Provide interpreter if needed (not a family member or friend) Document use of interpreter in medical record

Question 40

The nurse prepares a patient for surgery and notes that the surgical consent is not signed. What action does the nurse take? A.) Ask the patient if sufficient information has been received to sign the consent. B.) Call the operating room and notify the staff that surgery needs to be cancelled. C.) Notify the surgeon of the need to return to the room to obtain informed consent. D.) Sign the form in serving as a witness to the patient’s verbal consent for the procedure.

Answer 40

A

Question 41

What do you always do prior to surgery?

Answer 41

Remove any nail polish, make-up, or accessories. Remove artificial body parts, glasses, dentures, etc. Notify O.R. if hearing aids left in place