Pre/Post Op Quiz Flashcards
what needs to be signed prior to surgery?
consent form
what are examples of pre-op orders?
- diet
- meds
- labs
- IV therapy
- Skin prep
- Bowel prep
- urinary cath
a consent from must be? (4)
- signed
- dated
- witnessed
- timed
who can witness a consent form? (2)
- nurse
2. doctor
a parent signature is not required if minors 16-19 are supporting themselves. T/F
true
in cases of a minor under the age of 16 - consent must be obtained unless in an emergency situation. T/F
true
if a patient is unable to sign consent, who can sign for them? (3)
- parent
- sibling
- guardian
if it is an emergency situation and cannot get consent, what does the doctor have to sign?
need for emergency surgery/procedure form
a telephone consent can be accepted in an emergency situation only if what? (2)
- consent is heard by 2 people
2. consent is signed by those 2 people
who orders pre-op meds?
anesthetist
what lab test is done on a patient before surgery?
type and crossmatch
what 2 antibiotics are commonly ordered together prior to surgery?
- flagyl
2. ancef
how long does a patient spend in PAR
1-3 hours
Mr. John just got back from the OR what are our duties?
- return old/thinned chart
- file all forms from PAR
- process orders if not already done
- kadex date, time, and procedure
what records might we find paper clipped to the front of a patients chart after surgery?
- consent
- OR check list
- OR record
- PAR Record
- Record of anesthesia
- surgical procedure performed
what does PCA stand for?
patient controlled analgesia
what are 2 kinds of PCA?
- epidural
2. intravenous
who cancels PCA orders?
anesthetist
what is an example of a NG order?
NG to low suction
why is skin prep done ?
to prevent contamination during surgery
why is bowel prep done?
to prevent contamination and prevent blocking the surgeons view of the abdominal organs
if a doctor orders bowel prep what does the NUA do?
- MAR
2. Symbolize
if the doctor orders skin prep what does the NUA do?
- kardex
2. symbolize
what does a catheter allow?
drainage of fluids
all pre-op orders written prior to surgery are automatically discontinued and replaced by post-op orders. T/F ?
true
what is PCA?
pain relief system by pushing a button that gives out medications
there are 2 functions of the PCA pump to ensure you don’t over medicate yourself, what are they?
- safety timer - called lockout
2. limit to how much meds you can give yourself in 48hrs
PCA pumps are stopped when pain meds can be taken orally. T/F
true
who orders “monitor I&O”
doctor
what is I&O?
patients fluids intake and output is monitored throughout the nurses shift and recorded
what sheet would we grab for the nurse for I&O orders?
fluid balance sheet
why are dressings used?
to protect surgical incisions/wounds
who are dressings applied by?
- doctor
2. nurse - and examined by the nurse regularly
for an ostomy nurse to see a patient the doctor must what?
write an order
what would we enter into medi-tech if the doctor ordered an ostomy nurse?
ET nurse
define catheter
flexible tube inserted into a body cavity, duct or vessel
define surgical drain
tube used to remove pus, blood or other body fluids from a wound
who places a surgical drain
- surgeon
2. radiologist
define jackson-pratt drain
tube connected to a see through collection bulb. used to remove fluid pr air so bulb can be squeezed to create suction
define penrose drain-A
removes fluid from a wound area - used to prevent the area from accumulating fluid (inserted into the abdomen and used to remove post -op secretions)
define negative pressure wound therapy
involves the use of enclosed foam and a suction device attached
define redivac drain
fine tube - attached to an evacuated glass bottle providing suction - used to drain blood beneath the skin
define pigtail drain
has an exterior screw to release the internal “pigtail” before it can be removed
define davol
suction device has a rubber bulb on top of the drain that acts as a pump to inflate the balloon in the drainage bottle - used to remove pus, blood, or other fluids from a wound
define chest tube
tube inserted through the chest wall and into the pleural space or mediastinum - used to remove air or fluid or pus from the intrathoracic space
define t-tube
tube consisting of a stem and cross head - placed into the common bile duct while the stem is connected to a small pouch - used as a temporary post-op drainage of common bile duct
oral suction is performed on what basis for a patient?
PRN
what are the 2 common types of suction devices?
- wall mount
2. gomco
gastric gomco suction - what is it used for?
to suction the stomach
what are the most common incisional suction devices?
- hemovac
2. davol
where are incisional suction devices inserted ?
in the OR by surgeon to remove post-op drainage
what is an example of a incisional suction device order?
davol drain to continues suction
what does the NUA do with incisional orders?
kardex and symbolize
what is the most common abdominal drain?
penrose drian
what is an example of a abdominal drain order?
shorten penrose drain 25cm OD
define pneumothorax
when there is air in the intrahoracic space
define pleural effusion
when there is fluid in the intrathoracic space
define empyema
when there is pus in the intrathoracic space
