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Interventional Orders 170 > Pre/Post Op Quiz > Flashcards

Pre/Post Op Quiz Flashcards

1
Q

what needs to be signed prior to surgery?

A

consent form

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2
Q

what are examples of pre-op orders?

A
  1. diet
  2. meds
  3. labs
  4. IV therapy
  5. Skin prep
  6. Bowel prep
  7. urinary cath
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3
Q

a consent from must be? (4)

A
  1. signed
  2. dated
  3. witnessed
  4. timed
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4
Q

who can witness a consent form? (2)

A
  1. nurse

2. doctor

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5
Q

a parent signature is not required if minors 16-19 are supporting themselves. T/F

A

true

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6
Q

in cases of a minor under the age of 16 - consent must be obtained unless in an emergency situation. T/F

A

true

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7
Q

if a patient is unable to sign consent, who can sign for them? (3)

A
  1. parent
  2. sibling
  3. guardian
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8
Q

if it is an emergency situation and cannot get consent, what does the doctor have to sign?

A

need for emergency surgery/procedure form

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9
Q

a telephone consent can be accepted in an emergency situation only if what? (2)

A
  1. consent is heard by 2 people

2. consent is signed by those 2 people

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10
Q

who orders pre-op meds?

A

anesthetist

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11
Q

what lab test is done on a patient before surgery?

A

type and crossmatch

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12
Q

what 2 antibiotics are commonly ordered together prior to surgery?

A
  1. flagyl

2. ancef

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13
Q

how long does a patient spend in PAR

A

1-3 hours

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14
Q

Mr. John just got back from the OR what are our duties?

A
  1. return old/thinned chart
  2. file all forms from PAR
  3. process orders if not already done
  4. kadex date, time, and procedure
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15
Q

what records might we find paper clipped to the front of a patients chart after surgery?

A
  1. consent
  2. OR check list
  3. OR record
  4. PAR Record
  5. Record of anesthesia
  6. surgical procedure performed
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16
Q

what does PCA stand for?

A

patient controlled analgesia

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17
Q

what are 2 kinds of PCA?

A
  1. epidural

2. intravenous

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18
Q

who cancels PCA orders?

A

anesthetist

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19
Q

what is an example of a NG order?

A

NG to low suction

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20
Q

why is skin prep done ?

A

to prevent contamination during surgery

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21
Q

why is bowel prep done?

A

to prevent contamination and prevent blocking the surgeons view of the abdominal organs

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22
Q

if a doctor orders bowel prep what does the NUA do?

A
  1. MAR

2. Symbolize

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23
Q

if the doctor orders skin prep what does the NUA do?

A
  1. kardex

2. symbolize

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24
Q

what does a catheter allow?

A

drainage of fluids

25
Q

all pre-op orders written prior to surgery are automatically discontinued and replaced by post-op orders. T/F ?

A

true

26
Q

what is PCA?

A

pain relief system by pushing a button that gives out medications

27
Q

there are 2 functions of the PCA pump to ensure you don’t over medicate yourself, what are they?

A
  1. safety timer - called lockout

2. limit to how much meds you can give yourself in 48hrs

28
Q

PCA pumps are stopped when pain meds can be taken orally. T/F

A

true

29
Q

who orders “monitor I&O”

A

doctor

30
Q

what is I&O?

A

patients fluids intake and output is monitored throughout the nurses shift and recorded

31
Q

what sheet would we grab for the nurse for I&O orders?

A

fluid balance sheet

32
Q

why are dressings used?

A

to protect surgical incisions/wounds

33
Q

who are dressings applied by?

A
  1. doctor

2. nurse - and examined by the nurse regularly

34
Q

for an ostomy nurse to see a patient the doctor must what?

A

write an order

35
Q

what would we enter into medi-tech if the doctor ordered an ostomy nurse?

A

ET nurse

36
Q

define catheter

A

flexible tube inserted into a body cavity, duct or vessel

37
Q

define surgical drain

A

tube used to remove pus, blood or other body fluids from a wound

38
Q

who places a surgical drain

A
  1. surgeon

2. radiologist

39
Q

define jackson-pratt drain

A

tube connected to a see through collection bulb. used to remove fluid pr air so bulb can be squeezed to create suction

40
Q

define penrose drain-A

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)

41
Q

define negative pressure wound therapy

A

involves the use of enclosed foam and a suction device attached

42
Q

define redivac drain

A

fine tube - attached to an evacuated glass bottle providing suction - used to drain blood beneath the skin

43
Q

define pigtail drain

A

has an exterior screw to release the internal “pigtail” before it can be removed

44
Q

define davol

A

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

45
Q

define chest tube

A

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

46
Q

define t-tube

A

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

47
Q

oral suction is performed on what basis for a patient?

A

PRN

48
Q

what are the 2 common types of suction devices?

A
  1. wall mount

2. gomco

49
Q

gastric gomco suction - what is it used for?

A

to suction the stomach

50
Q

what are the most common incisional suction devices?

A
  1. hemovac

2. davol

51
Q

where are incisional suction devices inserted ?

A

in the OR by surgeon to remove post-op drainage

52
Q

what is an example of a incisional suction device order?

A

davol drain to continues suction

53
Q

what does the NUA do with incisional orders?

A

kardex and symbolize

54
Q

what is the most common abdominal drain?

A

penrose drian

55
Q

what is an example of a abdominal drain order?

A

shorten penrose drain 25cm OD

56
Q

define pneumothorax

A

when there is air in the intrahoracic space

57
Q

define pleural effusion

A

when there is fluid in the intrathoracic space

58
Q

define empyema

A

when there is pus in the intrathoracic space

Interventional Orders 170 (6 decks)

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