Surgery

Question 1

layers of the abdominal wall in order

Answer 1

1. Skin
2. Fatty Layer of Superficial fascia (Camper’s fascia)
3. Membranous layer of superficial fascia (Scarpa’s fascia)
4. External Oblique M.
5. Internal Oblique M.
6. Transverse Abdominis Muscle
7. Fascia Transversalis
8. Extraperitoneal Tissue
9. Parietal layer of peritoneum

Question 2

first assistant location

Answer 2

person directly opposite of the surgeon at the OR table who actively participates in the conduct of the procedure.

Question 3

assesses post-operative hemodynamic and cardiopulmonary stability

Answer 3

Recovery Room Nurse

Question 4

determines and enforces OR policy and usually an RN

Answer 4

OR Director

Question 5

oversees daily OR activities, usually an RN

Answer 5

OR Supervisor

Question 6

“traffic coordinator” schedules surgeries and personnel

Answer 6

Control Room Supervisor

Question 7

manages the OR to ensure smooth and efficient operation

Answer 7

Head Nurse

Question 8

prepares patient and supplies for the operative procedure, troubleshoots, connects tubes and wires

Answer 8

Circulating Nurse

Question 9

• assists surgeon by providing all instruments, sutures and supplies required for smooth execution of procedure

Answer 9

Scrub Nurse

Question 10

Surgical PA Responsibilities

Pre-Operative

Answer 10

Admission H&P
Admission Orders
Pre-operative Orders
Pre-operative Note

Question 11

Surgical PA Responsibilities

Peri-Operative

Answer 11

Accompany patient to the OR/assist at procedure
Operative Note
Post-operative Orders
Post-operative Check

Question 12

Surgical PA Responsibilities

Post-Operative

Answer 12

Daily patient care
An early a.m. evaluation, assessment, plans for the day.
Morning rounds with patient progress reports.

Question 13

Routine Admission Orders Acronym

Answer 13

A.D.C.V.A.N.D.I.I.M.A.L.

Question 14

A.D.C.V.A.N.D.I.I.M.A.L.

Answer 14

Admit patient: room#, attending physician or service.
Diagnosis: give patient’s admission diagnosis
Condition: good, stable, fair, guarded, critical, etc.
Vital signs: blood pressure, pulse, respirations, and temperature
Activity: bed rest, up as tolerated, up in chair, etc.
Nursing: dressing changes, compressing stockings, neuro checks, preventive measures
Diet: regular, ADA (diabetic), NPO, low sodium, clear liquids.
Intake & output (I & O’s)
IV fluids: kind and rate
Meds: pain, home, antibiotics, insulin, etc
Allergies: specific meds, NKDA
Labs: CBC, x-rays, urine, ECG, etc

Question 15

A.D.C.V. of

A.D.C.V.A.N.D.I.I.M.A.L. (Short List)

Answer 15

Admit Patient
Diagnosis
Condition
Vital Signs

Question 16

A.N.D.I of

A.D.C.V.A.N.D.I.I.M.A.L. (Short List)

Answer 16

Activity
Nursing
Diet
Intake & Output

Question 17

.I.M.A.L. of

A.D.C.V.A.N.D.I.I.M.A.L. (Short List)

Answer 17

IV Fluids
Meds
Allergies
Labs

Question 18

Emergency Admission

Answer 18

Diet: NPO
Medication
Fluid Therapy
Antibiotics

Question 19

Operative Note

Answer 19

Pre-op diagnosis
Post-op diagnosis
Procedure(s)
Surgeon(s)
Assistant(s)
Anesthesiologist / CRNA
Intra op findings
Type of anesthesia
EBL
Urine output
IV F's
Specimens
Drains
Tubes and lines
Implants
Complications
Disposition

Question 20

How often should post-op orders be revised

Answer 20

at least daily