Surgical Environment Flashcards
1
Q
Postprocedure cleaning
A
- 3 ft around sx field
- sharps=biohazard waste
2
Q
terminal cleaning
A
- entire sx suite (OR, utility room, scrub areas…)
- EVERYTHING (clean soap bottles, change HEPA filters)
3
Q
areas of restricted zone
A
- substerile areas
- sterile core
4
Q
conditions of restricted zone
A
- 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
5
Q
areas of semi-restricted zone
A
- sterile processing/decontamination area
- supply (sterile too) storage
6
Q
areas of unrestricted zone
A
- PACU
- endoscopy suite
- procedure room
- locker room/break room
- labs, blood bank
- periop holding area
7
Q
duties of circulating RN
A
- all 3 phases of periop
- primary role in intraop=pt advocate
8
Q
7 steps of RN process
A
- assessment (ongoing)
- diagnosis(critical, primary/secondary based on frequency)
- outcome identification
- planning
- implementation
- evaluation
- documentation (for continuum of care)
9
Q
RN process in preop
A
-assessment, diagnosis, planning of care
10
Q
RN process in intraop
A
- implement/coordinate/evaluate interventions
- document
11
Q
RN process in postop
A
- evaluate
- communicate care given
12
Q
2 critical diagnoses
A
- Risk for periop positioning injury
- risk for infection
13
Q
3 levels of RN intervention
A
- primary (prevention)
- secondary (attainment)
- tertiary (maintenance)
14
Q
goal of implementation
A
SSEE (safely, skillfully, efficiently, effectively)
15
Q
max weight on OR bed
A
500 lb
