perioop HUP

Question 1

QSEn set fourth by ION

Answer 1

1. pt centered care
2. teamork and collaboration
3. EBP
4. quality improvement
5. safety
6. informatics

these competencies further your knowledge, skills and attitudes

Question 2

primary focus of periop RN?

Answer 2

safety

Question 3

AORN

Answer 3

developed standards and guidelines for periop RNs

• does not replace hospital or policies
• not mandatory

Question 4

3 phrases of perio

Answer 4

1. preop-collect data, asses, rn diagnoses. develop plan of care
2. intraop-implment plan of care, document care given, cordinate interventions, evaluate interventions
3. postop-evaluate interventions, identify complications, comunicate given care

Question 5

nurses roles in OR

Answer 5

1. scrub
2. circulator- pt. advocate. uses nursing process, safe pt care
3. RNFA

Question 6

who (world health organization)

Answer 6

examines pt safety

1. clean and safe care (hand hygene)
2. safe surgery saves lives (preop checklists)
3. hand prep

Question 7

4 elements required to build a culture of safety

Answer 7

1. trust among teammenbers
2. dissemination and verification of all info among all staff
3. supportive approach rather than blaming appraoch
4. safety is nr one priortiy

Question 8

errors can be….

Answer 8

skill based
situational
knowledge based

Question 9

OR managment team is responsible for

Answer 9

• making a plan for outages
• fire policies
• safety and policy procedures
• educating staff
• schedule and documentation

Question 10

floorplan design

Answer 10

racetrack

Question 11

there is unidirectional trafic in the

Answer 11

semirestricted zones

Question 12

do this first before putting on ppe

Answer 12

cover hair first

no skull caps

Question 13

surgeons is the

Answer 13

primary decision maker of surgery

Question 14

mayo stand

Answer 14

draped and has sterile objects

Question 15

back table

Answer 15

bigger, holds sterile objects

keep all sterile tables 18 inches away from walls and stuff like that

Question 16

ring stands

Answer 16

hold water basin

Question 17

PNDS

Answer 17

perioperative nursing data sets

Question 18

dont use

Answer 18

vinyl gloves

Question 19

periop nurse should comunet

Answer 19

positioning
time out
instruments
skin rep
position used

Question 20

wash hands for at least

Answer 20

15sec

Question 21

dont use spray methods

Answer 21

nly use wet moping or damp dusting

Question 22

endogenous sources

Answer 22

bacteria that lives in surfaces

Question 23

exogenous sources

Answer 23

bacteria thats mainly in air

Question 24

confine and contain pronciples

Answer 24

recommend prompt clean up time in OR

Question 25

safety data sheets SDS

Answer 25

provide info on appropriate precautions when selecting disinfectants

Question 26

turbeculocidal labe disinfetants

Answer 26

need to demonstrate potency against myobacteria

Question 27

dont use alchohol

Answer 27

santitation for big surfaces

Question 28

hospital disinfectant has passed potency test when it protects against

Answer 28

1. pseudomonas aeruginosa
2. staph aeruous
3. salmonella cholarea

Question 29

use mechanical friction

Answer 29

“scrubbing” when cleaning

Question 30

terminal cleaning

Answer 30

is done at end of working day q24h

Question 31

any area of constructiion

Answer 31

wqatch for fungi and aspergillus
or when water popes are damaged
do terminal cleaning after this before puting equiptments

Question 32

critical thinking

Answer 32

clinical resoning-process of how a clinician deals with a pt or a problem

clinical judgment- outcome, final decision or conclusion

Question 33

the clinical setting reflects a culture that is affected by

Answer 33

beliefs
attitudes
values

Question 34

mentors and preceptors

Answer 34

teach
nurture
empower

Question 35

introspection

Answer 35

use of self assessment to identify learning needs