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Patient-Centered Care II > Safety > Flashcards

Safety Flashcards

1
Q

Why was the Surgical Safety Care improvement initiated?

A

to reduce surgical complications

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2
Q

What does the Surgical Safety Checklist aim to improve?

A

wrong-site surgery, patient falls, hospital-acquired pressure injuries, and vascular/catheter associated infections

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3
Q

Why was TeamSTEPPS designed?

A

to facilitate communication between health care providers to enhance patient safety and quality of care

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4
Q

What are CUS words?

A

express concern

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5
Q

What are check backs?

A

restate what a person said to verify understanding

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6
Q

What are call outs?

A

shout out important information for everyone to hear

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7
Q

What is the two-challenge rule?

A

state a concern twice as needed; if ignored, follow chain of command

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8
Q

What is urgent surgery?

A

may be life-threatening if treatment is delayed more than 24-48hrs

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9
Q

What does ambulatory status mean?

A

returns home same day of surgery

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10
Q

What are the 5 responsibilities of the nurse preop?

A
  1. Pay attention to patient’s stress levels
  2. Interpret last lab tests before surgery
  3. Understand risks of surgery
  4. Assessment
  5. Patient Interview
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11
Q

What are the 5 steps to a safer surgery?

A
  1. briefing
  2. sign-in
  3. timeout
  4. sign-out
  5. debriefing
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12
Q

What are a patient’s top 5 fears before surgery?

A
  1. death
  2. pain
  3. anesthesia
  4. mutilation
  5. disruption of life
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13
Q

What 2 things associated with cardiovascular function should a nurse be aware of before surgery?

A
  1. EKG
  2. Blood thinners
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14
Q

What 3 things associated with the respiratory function should a nurse be aware of before surgery?

A
  1. smoker/vaper
  2. asthma
  3. COPD
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15
Q

What should the nurse be aware of concerning the urinary function before surgery?

A

frequency

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16
Q

What should the nurse be aware of concerning the musculoskeletal system before surgery?

A

bone demineralization

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17
Q

Why do old people pee a lot at night?

A

Laying down allows for more perfusion in body

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18
Q

What two things are considered before surgery on an obese person?

A
  1. BMI
  2. measurement of neck
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19
Q

What are 3 complications of surgery on an obese person?

A
  1. wound dehiscence and infection
  2. slows recovery
  3. adipose tissue absorbs and stores anesthesia
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20
Q

When are prophylactics used for surgery?

A

if it has a high risk of infection

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21
Q

What are benzodiazepines?

A

sedative; amnesia

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22
Q

What is the perioperative nurse’s role?

A

to prepare room
patient advocate
one last check

23
Q

What is the circulating nurse’s role?

A

not scrubbed in
recorder and documentation

24
Q

What is the scrub nurse’s role?

A

second set of hands

25
Q

What is the LPN/surgical technician’s role?

A

hands instruments

26
Q

What are two additional responsibilities of the nurse before surgery?

A
  1. prepping site
  2. positioning patient
27
Q

What is general anesthesia used for?

A

quick onset
long periods of time

28
Q

What is an example of an IV induction agent used for general anesthesia?

A

versed

29
Q

How are inhalation agents excreted by a patient?

A

rapid ventilation

30
Q

What are 3 examples of local anesthesia?

A

EMLA cream
lidocaine
novacaine

31
Q

What is MAC?

A

monitored anesthesia care
(maintains own airway)

32
Q

What is a regional nerve block?

A

agent injected into or around specific nerve or group of nerves

33
Q

How long does a regional nerve block last?

A

24-48hrs

34
Q

What is the difference between spinal anesthesia and an epidural block?

A

in spinal anesthesia the agent enters the CSF

35
Q

Spinal anesthesia is injected into what space?

A

subarachnoid

36
Q

What 4 things should a nurse be aware of while using spinal anesthesia?

A
  1. Spinal headache
  2. vitals q15min (BP & HR)
  3. administration of benadryl
  4. O2 on during injection
37
Q

What is the position the patient should be in before spinal or epidural anesthesia is injected?

A

knee to chest

38
Q

What is malignant hyperthermia?

A

inherited trait of hypermetabolism of skeletal muscle resulting in altered control of intracellular calcium

39
Q

How is malignant hyperthermia triggered?

A

exposure to certain drugs used for anesthesia

40
Q

What are the 4 manifestations of malignant hyperthermia?

A
  1. tachycardia
  2. tachypnea
  3. hypercarbia
  4. ventricular arrhythmias
41
Q

What are 3 common respiratory complications post-op?

A
  1. atelectasis
  2. pneumonia
  3. airway obstruction
42
Q

What are 4 common circulatory complications post-op?

A
  1. hypovolemic shock
  2. fluid overload
  3. DVT
  4. pulmonary embolus
43
Q

What 4 medications can be administered for DVT prevention?

A
  1. heparin
  2. Coumadin
  3. LMW heparin
  4. Xarelto
44
Q

How are heparin and LMW heparin administered?

A

subcutaneously

45
Q

How are Coumadin and Xarelto administered?

A

orally

46
Q

What is dehiscence?

A

surgical incision opens

47
Q

What is evisceration?

A

after incision opens organs protrude out

48
Q

If the patient has a temp >100 when could it mean infection?

A

after 48hrs

49
Q

What score on the Aldrete Scoring System indicates readiness for transfer or discharge to the next phase of recovery?

A

9 or 10

50
Q

How often do you check lungs during the first 24hrs following surgery?

A

4hrs

51
Q

How often do you check LOC during the first 24hrs following surgery?

A

4-8hrs

52
Q

How to appropriately instruct the patient on how to use spirometer?

A

seal lips tightly around the mouthpiece, inhale spontaneously, and hold breath for 3-5 seconds

53
Q

What 3 things do you ask about pain?

A

type
location
intensity

54
Q

How often do you monitor BP and respirations after administering pain medication?

A

every 15-30min

Patient-Centered Care II (7 decks)

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