Surgical Environment Flashcards
Postprocedure cleaning
- 3 ft around sx field
- sharps=biohazard waste
terminal cleaning
- entire sx suite (OR, utility room, scrub areas…)
- EVERYTHING (clean soap bottles, change HEPA filters)
areas of restricted zone
- substerile areas
- sterile core
conditions of restricted zone
- 68-75F or 20-24 C (can be inc)
- 20-60% humid ONLY
- air exchanges via 2 HEPA filters w/ 90% efficiency
- at least 25 air exchanges w/ at least 5 from outside air
- only accessible via semi restricted area
areas of semi-restricted zone
- sterile processing/decontamination area
- supply (sterile too) storage
areas of unrestricted zone
- PACU
- endoscopy suite
- procedure room
- locker room/break room
- labs, blood bank
- periop holding area
duties of circulating RN
- all 3 phases of periop
- primary role in intraop=pt advocate
7 steps of RN process
- assessment (ongoing)
- diagnosis(critical, primary/secondary based on frequency)
- outcome identification
- planning
- implementation
- evaluation
- documentation (for continuum of care)
RN process in preop
-assessment, diagnosis, planning of care
RN process in intraop
- implement/coordinate/evaluate interventions
- document
RN process in postop
- evaluate
- communicate care given
2 critical diagnoses
- Risk for periop positioning injury
- risk for infection
3 levels of RN intervention
- primary (prevention)
- secondary (attainment)
- tertiary (maintenance)
goal of implementation
SSEE (safely, skillfully, efficiently, effectively)
max weight on OR bed
500 lb
sterile draping of surgical furniture
18 inches away from nonsterile surfaces
kick bucket
lined w/ clear bag for dirty sponges
ring stand
sterile draping for basin
what is the first form of documentation
pt charting
