w3_Ch9_OR Flashcards
1
Q
safety during the surgical experience
A
- national patient safety goal
- SBAR
- surgical care improvement plan (SCIP)
- surgical safety checklist
- teamSTEPPS
2
Q
role of nurse in PERI-op care
A
- prep pt for surgery
- assist/obs patient during operation
- prevent/treat postop complications
- prepare pt for discharge
3
Q
importance of nursing assessment
A
- ID risk factor
- assess ALL body systems
- correct, minimize, or prevent potential problems
- dev. preop & postop teaching plans (individualized)
- provides a baseline of physical & functional ability
4
Q
PRE-op focus of the nurse
A
- provide information (what is happening after surgery)
- ensure informed consent obtained
- ensure site marking
- implement dietary restrictions
- patient teaching
5
Q
PRE-op P.A.
A
- focus is on prep for surgery & ensuring safety
- obtain base line V.S.
- focus on problem areas ID by clients history & on all body sys affected by the surgical procedure (cardiovas. & resp)
- review labs & diagnostic tests
- report abnormal assess findings to surgeon & anesthesia ppl
6
Q
T/F: all patients get a chest xray & EKG
A
true
7
Q
PRE-op teaching prevent POST-op complications
A
- scheduled drugs used
- explain intestinal & skin prep
- explain tubes, drains, vascular access
- sensation & discomfort info
- methods to prevent resp & cardiovasc complications: breathing xcise, IS, splinting incision, coughing, leg xcise, ambulation & mobility (within 24hrs get out of bed)
8
Q
informed consent
A
- obtained from pt or legal guardian responsible guardian
- voluntary and revocable any time
- includes: condition requiring surgery, surgical procedure to be performed, risks/benefits of procedure, tx options and prognosis
(use common language & med terms)
9
Q
surgeon vs nurse role, informed consent
A
- surgeon: obtain signed consent before sedation is given & surgery is performed
- nurses role: to clarify facts presented by MD and dispel myths
10
Q
intestinal prep
A
- GI surgery
- bowel or intest prep are to prevent injury to the colon & reduce # of intest bacteria
- enema or laxative may be ordered by MD
11
Q
skin prep
A
- shower using antiseptic solution
- dont shave, just trim
12
Q
PRE-op EHR review
A
- documentation, preop procedures, orders are complete
- check surgical consent form for signature
- consent signed
- site marked
- doc allergies, ht & wt
- ensure NPO
- lab/test results in chart, abnormals noted
- notify surgical team of special needs, concerns, instructions
13
Q
general anesthesia
A
- complete loss of consciousness
- intubated
14
Q
complications of general anesthesia
A
- malignant hyperthermia= tx with dantrolene
- overdose
- unrecognized hypotension
- complications of specific anesthetic agent
- complications of intubation (sore throat)
15
Q
immediately after surgery
A
- focus on the nurse’s assessment & intervention
(pt safety, hemodynamic stability, recognition & prevention of postoperative complications) - history (rvw preoperative assess, ID potential surgical complications)
