Week 3: Intraop/Periop/Anesthesia Flashcards
Ambulatory Surgery
include outpatient, same day, or short stay surgery that does not require an overnight hospital stay
Bariatrics
having to do with patients that are obese
Informed Consent
the patients autonomous decisions about whether to undergo a surgical procedure, based on the nature of the condition, the treatment options, and the risks and benefits involved
Intraoperative Phase
period of time that begins with transfer of the patient to the operating room area and continues until the patient is admitted to the postanesthetic care unit
Minimally invasive surgery
surgical procedures that use specialized instruments inserted into the body either through natural orifices’ or through small incisions
Perioperative Phase
period of time that constitutes the surgical experience; includes the preoperative, intraoperative, and postoperative phases of nursing care
Postoperative Phase
period of time that begins with the admission of the patient to the post anesthesia care unit and ends after follow up evaluation in the clinical setting or home
Preadmission Testing
diagnostic testing performed before admission to the hospital
Preoperative Phase
period of time from when the decision for surgical intervention is made to when the patient is transferred to the operating room table
Anesthesia
a state of narcosis or severe CNS depression produced by pharmacologic agents
Anesthesiologist
the physician trained to deliver anesthesia and to monitor the patients condition during surgery
Anesthetic Agent
the substance, such as a chemical or gas, used to induce anesthesia
Circulating Nurse (Or Circulator)
RN who coordinates and documents patient care in the OR
Laprascope
a thin endoscope inserted through a small incision into a cavity or joint using fiber optic technology to project live images of structures onto a video monitor; other small incisions allow additional instruments to be inserted to facilitate laparoscopic surgery
Malignant Hyperthermia
a rare life threatening condition triggered by exposure to most anesthetic agents inducing a drastic and uncontrolled increase in skeletal muscle oxidative metabolism that can overwhelm the bodys capacity to supply oxygen, remove CO2, and regulate body temperature, eventually leading to circulatory collapse and death if untreated; often inherited as an autosomal dominant disorder
Moderate Sedation
previously referred to as conscious sedation, involves the use of sedation to depress the level of consciousness without altering the patients ability to maintain a patent airway and to respond to physical stimuli and verbal commands
Monitored Anesthesia Care
Moderate sedation given by an anesthesiologist or certified registered nurse anesthetist (CRNA)
Registered Nurse First Assistance
a member of the OR team whose responsibilities may include handling tissue, providing exposure at the operative field, suturing and maintaining hemostasis
Restricted Zone
area in the OR where scrub attire and surgical masks are required; includes OR and sterile core areas
Scrub Role
RN, license practical nurse, or surgical technologist who scrubs and dons sterile surgical attire, prepares instruments and supplies, and hands instruments to the surgeon during the procedure
Semi restricted Zone
area in the OR where scrub attire is required; may include areas where surgical instruments are processed
Surgical Asepsis
absence of microorganisms in the surgical environment to reduce the risk of infection
Unrestricted Zone
area in the OR that interfaces with other departments; includes patient reception area and holding area
Most common orthopedic procedures in the US
total knee replacement/total knee arthroplasty