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M.H.R School Of Nursing > Unit 5 - Intra Op > Flashcards

Unit 5 - Intra Op Flashcards

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1
Q

Intraoperative Period

A

time enter OR until go to Post Anesthesia Care Unit (PACU)

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2
Q

Main concern for perioperative nurses

A

Patient Safety and Advocacy

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3
Q

physical environment of OR

4 fundamental purposes

A

geographic isolation
bacteriological isolation
centralize equipment
centralize trained personnel

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4
Q

geographic isolation of OR

A

restrict flow of people traffic and decrease contamination

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5
Q

3 Distinct Areas of OR

A

Unrestricted
Semi-restricted
Restricted

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6
Q

Unrestricted

A

street clothes-point of entry for patients

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7
Q

Semi-restricted

A

Authorized personnel must wear scrubs

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8
Q

Restricted

A

OR, scrub sink, clean core

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9
Q

biggest risk for contamination

A

PEOPLE

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10
Q

Bacteriological Isolation

A

Primary

special clothing & footwear, separate water supply, airflow system, laundry & disposal systems

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11
Q

Processing rooms

A

utility rooms for clean-up, instrument prep, storage

Part of Clean Core

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12
Q

Centralization of Equipment

A

contains all equipment to facilitate safe & effective surgery

clean core

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13
Q

Centralization of Trained Personnel

A

teamwork in an isolated, restricted environment

who recognize common goals & coordinate efforts to achieve them–>psychologically & physiological prepared pt to surgery

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14
Q

Scrubbed sterile team

A

enter sterile field

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15
Q

Scrubbed sterile team includes

A

operating surgeon
assisting surgeons
scrub nurses and technicians

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16
Q

Un-scrubbed, unsterile team:

A

Do NOT enter sterile field

anesthesiologist, circulating nurse, x-ray, patho

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17
Q

Surgeon’s Responsibilities

A 
preop h & p
assessment/management
OR consent form
patient safety & management in OR
performing surgical procedure
post-op management of patient
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18
Q

Surgeon assistant

A

(MD, PA or RNFA)
Sterile
assists surgeon during procedure

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19
Q

of gas exchanges per hour in OR

A

25

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20
Q

Anesthesiologist/ CRNA

A

Non-sterile
Admin agents during surgery
Mont. cardiac/respiratory function –>Alert Surgeon to any problems
Post anesthesia recovery in PACU & first 24h post-op
Supervises PCEA for duration of use

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21
Q

Three phases of anesthesia

A

Induction
Maintenance
Emergence

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22
Q

Induction

A

Administration of agent

23
Q

RNFA

A

Registered Nurse, First Assistant

24
Q

CRNA

A

Must work under supervision of anesthesiologist or surgeon

25
Q

Scrub Nurse

sterile

A 
Establish sterile field/ assist w/ room prep
Scrub, gown, & glove self and others
Assist with draping
Pass instruments to surgeon & assistants
Monitor aseptic technique
26
Q

Holding Area Nurse

A

ensures patient ready for surgery

27
Q

Ensures needed are available & sterile

A

Circulating Nurse

28
Q

Receives and identifies pt

A

Circulating Nurse

29
Q

Completes the intraoperative record

A

Circulating Nurse

30
Q

Counts syringes, needles, instruments with scrub nurse

A

Circulating Nurse

31
Q

Endogenous

A

from within the patient

32
Q

Exogenous

A

from outside the patient

33
Q

Essence of Aseptic Technique

A

eliminating all modes and sources of contamination to the extent that is possible

34
Q

Two Types of Contamination

A

Endogenous

Exogenous

35
Q

Modes of Transmission

A

Contact (Direct/ Indirect)
Vehicle (Food, Water, Drugs, Blood)
Airborne
Vector (Insect, rodent, etc)

36
Q

Surgical hand scrub

A

length of Time determines effectiveness
AT LEAST 5 minutes
Rinse from cleanest area to less

37
Q

If sterile item touches non-sterile

A

it becomes contaminated!!

Only Sterile can touch Sterile

38
Q

Contact Contamination

A

surgeon’s back touching sterile basin
puncture of sterile glove
contact by circulating nurse to sterile field

39
Q

surgical conscience

A

Specific principles of aseptic technique must be followed

40
Q

Margin of safety between sterile and unsterile

A

at least 1 foot

41
Q

Supine

A

On back, face UP

42
Q

Prone

A

ON belly

Used for laminectomy, hemorrhoidectomy

43
Q

Position used for total hip, femoral, chest surgeries

A

lateral

44
Q

Lateral Kidney Position

A
  • used fr=or nephrectomy/ nephrourectertomy

- can → eye, ear, ulner nerve damage, shoulder and neck pain, femoral head necrosis

45
Q

Lithotomy

A

supine, feet in stirrup; used for vag. Hysterectomy, abdominal perineal resection, bladder procedures

46
Q

Hematogenous

A

contaminated from pt blood

47
Q

Jackknife

A

back and rectal procedures

high risk of skin breakdown

48
Q

Time Out

A

Required on All procedures
Final verification of patient, procedure, site
Entire OR team
Correct pt, correct surgery, etc

49
Q

First Stage of General Anesthesia

A

Analgesia, relaxation, sedation

50
Q

Prepare instrument table & organize equipment

A

SCRUB NURSE

51
Q

Count sponges, needles, and instruments

A

SCRUB NURSE

52
Q

preop h & p

A

Surgeon’s

53
Q

OR consent form

A

Surgeon’s

M.H.R School Of Nursing (32 decks)

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