perio 4

Question 1

Patient Positioning why

Answer 1

Need to position patient to allow surgical access

Question 2

pateint position must not be harmed by

Answer 2

Patient must not be harmed by positioning, prepping or draping
for the procedure

Question 3

Main objectives for patient positioning are…

Answer 3

• Optimise surgical exposure for surgeon
• Minimise risk for adverse physiological event
• Facilitate monitoring by the anaesthetist
• Promote safety and security for the patient

Question 4

Nursing Considerations patient position

Answer 4

Maintenance of physiological alignment
- Protection of muscles, nerves and bony prominences from
pressure and nerve injury (i.e. brachial plexus)
- Avoidance of any part of the patient touching any metal part of
the table
- Need for sufficient staff and equipment for the positioning of the
patient

Question 5

Venous thromboembolism is associated

Answer 5

with systemic alterations
in coagulability of blood, venous stasis and damage to blood
vessel walls

Question 6

Intraoperative risk vte

Answer 6

Length of surgery
- Venous compression
- Hypovolemia/Hypotension
- Hypothermia
- Use of Tourniquet

Question 7

Temperature
Prevention and Management:

Answer 7

• Pre-warming of patients in holding bays
• Use of warms fluids (IV and Irrigation)
• IV Fluid warmers
• Forced air warming devices (bair huggers)
• Intraoperative temperature monitoring (i.e. IDC, Nasal)
• Use of warm sterile irrigation solutions

Question 7

Temperature
Prevention and Management:

Answer 7

• Pre-warming of patients in holding bays
• Use of warms fluids (IV and Irrigation)
• IV Fluid warmers
• Forced air warming devices (bair huggers)
• Intraoperative temperature monitoring (i.e. IDC, Nasal)
• Use of warm sterile irrigation solutions

Question 8

All Intraoperative Care must be documented including

Answer 8

• Type of transfer to operating table
• Position and positioning aides
• Diathermy Pad placement > Integrity of site once removed
• Warming devices
• IDC insertion
• Use of Pneumatic Tourniquet (time, location, pressure)
• Fluids and Medications used
• Drains/Dressing/Pacing Wires
• Skin integrity before and after procedure

Question 9

Asepsis

Answer 9

Absence of infection causing pathogenic microorganisms on living
tissue

Question 10

Sterility

Answer 10

• Free from all microorganisms
• Sterile items used are wrapped and sterilized, and remain sterile
  until opened
• Indicators are placed to ensure items have been processed
  correctly
• Always check integrity and expiry of pack before opening
  i.e. look for holes, moisture, damage, etc.

Question 11

Principles of Asepsis

Answer 11

Aseptic/Sterile Technique
Surgical Conscience

Question 12

Aseptic/Sterile Technique
Method

Answer 12

employed to prevent microbial contamination
- Establish sterile field
- Aseptic non-touch technique

Question 13

Surgical Conscience

Answer 13

An individual’s professional honesty and inner morality systems,
which allows no compromise in practice whether breach occurs
within team or when alone.
If in doubt, throw it out!