Test I,J Flashcards
code of behavior
protects provider and client relationship
who falls under code of behavior?
doctors, nurses ST, lawyers
mode of behavior
ethical, moral, legal responsibilites
moral principles
what we try to instill in our children
how should ST’s be?
trustworthy and honesty
integrity for ST
don’t just continue if you contaminate, stay something and correct your mistake
concern for another well being and autonomy
quality of state of being independent, free, self directing
golden rule
do onto others as you would have them do onto you
actions
there may be consequences for your actions
what does every action have?
a re action
moral principles
govern my personal actions
what does ethics mean?
character
ethics
what is good for the individual and for society
ST ethical responsibities
respect pts beliefs
don’t discuss patients cases you aren’t involved in
what should ST’s always do with their responsibilites
always follow principles of sterile technique
AST motto
the patient first
what does aeger primo mean?
the patient first
what must the CT report?
any unethical conduct
what is a barrier to ethical decision?
stress
peer apathy
liability
obligation to do or not do something, different everywhere
what does the patient have the right to do with tx?
refuse it
patient decision making
right to make their own decisions on care
who is the primary decision maker?
the patient
tort
civil wrong, most not criminal wrongs
what does the patient usually want after tort?
money
assault
intentional act to make another person fearful
battery
harmful or offensive touching of another
assault and battery
offenses in both criminal and tort law
defamation
derogatory statement about a doctor or a co work, reputation
slander
person’s statement, hard to prove
libel
written statement that damages persons reputation
false imprisonment
use of restraints
intentional infliction of emotional distress
calling patient fat
invasion of privacy
disclosure of private information
what does HIPAA improve?
patient service
HIPAA
protects rights and privacy of the patient
unintentional tort
mistakes, not willful error
what is the most common charge brought against health care provider
negligence
negligence
departure from standard of care
example of negligence
if staff didn’t do a count or left a sponge in body cavity
negligence patient falls
strap not applied, and pt falls
example of unintentional tort
patient misidentification
loss of specimen
time out
everyone must stop what they are doing for the time out
know your limitations
don’t perform nursing duties, above scope of practice
hospital policies
responsible for knowing your facility’s OR policy
can the hospital support you if you don’t follow the policies and procedures?
no
malpractice
intentional conduct that places patient at risk
example of malpractice?
practicing outside scope of practice
plaintiff
person who initiates lawsuit
complaint
filed by plaintiff as to what happended
defendant
person being sued
subpoena
court order to appear
perjury
false testimony under oath
who is normally controlling the employees in the OR?
the surgeon
res ipsa loquitur
the thing speaks for itself
respondeat superior
let the master answer
primum non nocere
above all, do no harm
consent
permission to perform an action
voluntary act for consent
may be taken away at any time
implied consent
usually not used, health care provider would assume the patient would give consent
implied consent
usually not used, health care provider would assume the patient would give consent
emergency!!
general consent
signed at admission to hospital
special consent
needed for procedures that entail a higher than normal risk
ex: surgery
surgery without consent
battery
who is responsible for consent?
the surgeon
what should be noted on the patients medical record?
withdrawal of consent for refusal
vacuum source
portable or centralized
vac source tubing
connects the vacuum source with the collection unit
collection unit
disposable or line
tubing
connects collection unit to the fluid source, always 2 tubings
aragon plasma
argon gas and monopolar electrical energy to coagulate tissue
how is argon supplied to instrument?
electricity
argon charring
less than ESU
do you use a grounding pad with argon?
yes
tip on argon?
doesn’t touch the tissue
harmonic scalpel
ultrasonic energy, doesn’t use heat
what does harmonic scalpel do?
cut and coagulate
pneumatic tourniquet
bloodless surgical site in limb surgery
who determinces placement of tourniquet?
surgeon
cuff on tourniquet
rubber bladder similar to BP cuff
tubing on tourniqet
connects cuff to pressure source
pressure device tourniquet
air compressor, pressure controls, pressure gauge, timer
power source tourniquet
plugged into wall outlet, has battery if power failure
what goes under the tourniquet?
sheet wadding
exsanguinated
blood is forced out of the limb
esmarch
wrapped tightly around limb from distal to proximal
when is esmarch removed?
once tourniquet is inflated
two purposes of tourniquet
blood loss is minimized
visualization is improved
what determines time of inflation for tourniquet?
age, BP, size of limb
tourniquet time
cuff inflation to deflation
inflation and deflation
documented on patient’s intra op chart
what is the maximum time for inflated tourniquet?
1 hour upper extremity
lower extremity time
1.5 to 2 hours
solution seeping under tourniquet
cause severe burns
how long is the tourniquet deflated for?
10 minutes
how long is the tourniquet deflated for?
10 minutes
ST job with esmarch
re roll since it may be needed again
CN tourniqet
assess limb before and after tourniquet
lighting in OR
overhead fluorescent lights
halogen lamps
surgical lights
IMP
don’t turn light off unless rheostat has been turned down
how many lights are in the OR?
2-4
headlight and cord
aren’t sterile
headlight
must never be placed on a flammable surface because it can ignite the surface
OR and post op use of compression device
prevent venous stasis
