Surgical Nursing Flashcards
Three Phases of Perioperative Care
Preoperative
Intraoperative
Postoperative
Intraoperative
Time frame from when patient enters OR until patient is transferred to PACU
Includes the time from the decision to have surgery until the patient is transferred to the OR
Preoperative
Pt’s admission to PACU through follow up after discharge.
Postoperative
Inpatient surgery
Patient may be admitted to a hospital unit before surgery, transferred to the OR from the unit, then to PACU, then back to the unit
Outpatient surgery
Patient arrives for surgery, is prepped in pre-op area, goes to OR then to PACU or recovery area, then returns home
Who is in charge until the patient is unconscious?
CRNA/Anesthesiologist
Who is in charge once patient is unconscious?
Surgeon
Who assists the surgeon by hold retractors and counts supplies before/after
Scrub nurse
Who is not sterile and brings supplies?
Circulating nurse
TeamSTEPPS model
Stresses importance of communication and teamwork using a variety of tools to ensure safety and understanding
Everyone is expected to step up and advocate for patient
Everyone’s opinion is of equal importance
OR Time Out
Introduction of team, identification of patient, pertinent information (allergies, anything that needs to be known), statement of procedure, correct surgical site marked
A patient just had spinal surgery, what is the best method to move the patient?
Logrolling, to prevent bending back
