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ST > Test L, M > Flashcards

Test L, M Flashcards

1
Q

goals for positioning

A

provider exposure for surgeon
safe, comfortable position
access for anesthesia

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2
Q

what you need to know for proper positioning

A

anatomy
equipment
types of surgical positions/why

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3
Q

who determines the position for the patient?

A

the surgeon

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4
Q

who places patient in correct positioning?

A

CN, anesthesiologist may assist

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5
Q

why does anesthesiologist assist positioning patient?

A

unobstructed airway
IV accessibility
support of head/neck

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6
Q

when do they position the patient?

A

after anesthesia

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7
Q

factors that affect time of positioning

A

site of operation
age/size of patient
pain
anesthesia given

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8
Q

what should you always remember when positioning the patient?

A

the patients diginity

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9
Q

pressure points

A

breakdown of tissue which may lead to decubilis ulcer

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10
Q

good respiration position

A

maintain airway
unhindered diaphragmatic movement
arms not over chest

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11
Q

accessibility for anesthesiologist

A

airway
BP
monitoring equipment
IV

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12
Q

special needs of patient

A

arthritis
obesity
cardiac or asthma

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13
Q

where do you place safety strap

A

2-3” above knees for supine, below knees for prone

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14
Q

extremity table

A

looks like ironing board, used for arm and hand surgeries

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15
Q

bardene pad

A

elevate chest from table in prone position

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16
Q

kidney brace

A

slipped in from table edge to stabilize patient in lateral position

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17
Q

rule for patient contacting table

A

patient should never touch the metal on table

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18
Q

patient positioning when conscious

A

explain what you’re doing
avoid exposure
make the most comfortable

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19
Q

patient positioning when anesthetized

A

get approval from anesthesiologist before moving
avoid exposure
get help for moving

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20
Q

dorsal position

A

patient laying on back

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21
Q

uses for dorsal position

A

appendectomy
thyroidectomy
T&A
inguinal hemiorrhaphy

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22
Q

another name for supine

A

dorsal recumbent

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23
Q

where are arms for supine position?

A

beside body secured under lifter

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24
Q

supine-arm extension

A

arms positions not more than 90 degrees

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25
Q

how are palms on arm board?

A

facing up to prevent ulnar nerve damage

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26
Q

uses for supine-arm extension

A

mastectomy
bowel resection
breast biopsy
exploratory laparotomy

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27
Q

body for trendelenburg

A

table tilted head down about 45 degrees, knees over break in table

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28
Q

what is trendelenburg used for?

A

displacing the abdominopelvic organs to provide better visualization

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29
Q

what surgeries are trendelenburg used for?

A

abdominal hysterectomy
ovarian cystectomy
prostatectomy

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30
Q

reverse trendelenburg

A

table tilted so head higher than feet

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31
Q

uses for reverse trendelenburg

A

cholecytectomy
gastrectomy
thyroidectomy

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32
Q

where are on the body does reverse trendelenburg used for?

A

upper abd cavity or upper anterior body

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33
Q

lithotomy uses

A

D&C
vaginal hysterectomy
hemorrhoidectomy

34
Q

where are arms for lithotomy?

A

at side or on armboards

35
Q

where is buttock for lithotomy

A

at break in table

36
Q

what can you add for lithotomy position

A

SCD for leg circulation

37
Q

when do you turn patient for prone?

A

once the anesthesiologist gives the okay

38
Q

uses for prone position

A

lumbar laminectomy

cyst removal

39
Q

what do you need to place with prone position?

A

bardene pad/get pads for chest
pillows under ankles and feet
donut for head

40
Q

kraske (jackknife)

A

same as prone with hips over center break, leg section lowered 90 degree, hips are elevated above body

41
Q

uses for jackknife position

A

hemorrhoidectomy

pilonidal cystectomy

42
Q

lateral(kidney) use

A

lung resection
nephrectomy
hip arthroplasty

43
Q

what can be added for lateral position

A

double armboard

44
Q

sims position

A

typically patient remains on stretcher

patient is usually awake

45
Q

what side is patient on for sims position?

A

left

46
Q

uses for sims position

A

colonoscopy
endoscopic procedures of the anus
BMBX

47
Q

where are arms for sitting position?

A

on lap

48
Q

head for sitting position

A

head section of OR table is removed, head is placed in cranial headrest

49
Q

legs for sitting position

A

pad area to prevent sciatic nerve damage

50
Q

uses for sitting position

A

craniotomy

cervical laminectomy

51
Q

fowlers

A

same as sitting except patients head rests on OR table so no cranial headrest, patient at 45 degree angle

52
Q

uses for fowlers position

A

dental extractions
rhinoplasty
shoulder arthroscopy

53
Q

body parts used for fowlers position

A

breast
head/neck
shoulder

54
Q

final checks after patient is positioned

A 
nerves free from pressure
airway is present
circulation not impaired
good alignment
junk check
feet not crossed
no metal
IVs ok
55
Q

moving anesthetizied patient

A

move patient slowly to allow cardiovascular system to adjust

56
Q

what happens if you move anesthetized patient fast?

A

hypotension

elevated cerebral pressure

57
Q

your safety for transporation

A

used good body mechanics

58
Q

patient fears and concerns

A

protect from embarrassment, be supporting

59
Q

patient safety

A

iID verified
no injury
protection of lines

60
Q

what should you do first when moving a patient?

A

move lines before the patient

61
Q

opening doors with patient in stretcher

A

open door first then push stretcher through

62
Q

how do you push a stretcher?

A

from head end

63
Q

patient observation

A 
children
medications
elderly
motion sickness
be on offensive
64
Q

when is standard stretcher used?

A

awake patient only

65
Q

uses for multipurpose stretcher

A

transporting critical patients
as recovery bed
as OR table for minor procedures

66
Q

trans lift stretcher

A

used for transfer of critically injured patient- won’t have to move them as much

67
Q

air beds

A

for bedridden patients to prevent skin breakdown

68
Q

cribs

A

patients under 3 years old

69
Q

when do you need to remember for crib

A

keep side rails up when transporting

70
Q

used for isolettes

A

newborn and premature infants

71
Q

what is a isolettes

A

portable incubator

72
Q

wheelchairs

A

local or no anesthesia

73
Q

last step for wheelchair

A

put warm blanket on

74
Q

confirm patients identity

A

staff examines identification band
ask patient to state name
ask patient to tell you the procedure

75
Q

do wheelchairs have safety straps?

A

yes

76
Q

when entering an elevator

A

pull patient in so that they can see when they come out of the elevator

77
Q

people with transferring conscious patient

A

2 people

78
Q

people with transferring unconscious patient

A

4 people

79
Q

steps for moving mobile patient

A

notify unit cleark and collect chart
knock on pts door
introduce yourself, verify pt
lower bed rails on stretcher and align with bed, lock wheels
identify and free up all tubing, guide pt slowly across bed to stretcher

80
Q

What type of procedures are wheelchairs used for?

A

Diagnostic procedures

ST (35 decks)

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