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*Surgical Care > Welcome to the operating room > Flashcards

Welcome to the operating room Flashcards

1
Q

What patient positioning is shown in the picture?

A

Beach Chair

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2
Q

What patient positioning is shown in the picture?

A

Jack Knife

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3
Q

What patient positioning is shown in the picture?

A

lateral

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4
Q

What patient positioning is shown in the picture?

A

lithotomy

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5
Q

What patient positioning is shown in the picture?

A

prone

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6
Q

What patient positioning is shown in the picture?

A

Reverse Trendelenburg

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7
Q

What patient positioning is shown in the picture?

A

supine

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8
Q

What patient positioning is shown in the picture?

A

Trendelenburg

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9
Q

what things should you do before the operation? (4)

A

Position and secure patient

Place Foley catheter if indicated

Connect sequential compression device (SCD)

Assist with prepping and draping

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10
Q

for the Supine position, you should pad what areas of the patient?

A

Pad pressure points and bony prominences

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11
Q

Why should you not cross patients legs in the supine position?

A

can lead to pressure ulcers

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12
Q

You can not abduct the patient’s arms more than ___degrees in the supine position.

A

90

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13
Q

when the patient is in the supine position where should you attach the safety strap?

A

Attach safety strap just above knees

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14
Q

what are some surgical uses for placing patients in the supine position?

A

abdomen, distal extremity, anterior neck, face, cardiothoracic

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15
Q

if the patient is in the prone position, you need to avoid compression on the ____

A

eyes

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16
Q

how should you position the breast or penis when the patient is in the prone position?

A

Position breasts laterally and penis in downward position

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17
Q

when the patient is in the lateral position, it is important to Keep C-spine in ___ position

A

neutral

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18
Q

surgical uses for placing patients in the lateral position

A

retroperitoneal, flank, lateral face/neck

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19
Q

surgical uses for placing patients in the prone position

A

posterior neck, spine, upper and lower back, posterior leg

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20
Q

when the patient is in the prone position, you should place a roll under where?

A

ankles

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21
Q

in the Trendelenburg position, you should Avoid use of _____

A

shoulder braces

22
Q

surgical uses for the trendelenburg position

A

lower abdomen, pelvis

23
Q

in the Reverse Trendelenburg position, you should use well padded _______ for thr patient

A

foot board

24
Q

what should you make sure of when the patient is in the Reverse Trendelenburg position?

A

Ensure no toes are curled under

25
Q

in the Reverse Trendelenburg position, what is there an increased risk of?

A

Increased risk of hypotension- correctable when placed back in supine position

26
Q

surgical uses for Reverse Trendelenburg

A

upper abdomen

27
Q

surgical uses for beach chair position

A

breast, shoulder

28
Q

surgica uses for the jack knife position

A

anus, buttock

29
Q

in the jack knife position, where should you align the patient’s hip?

A

Align hips over the table break

30
Q

in the Lithotomy positon, what nerve is at risk of being injured?

A

peroneal nerve

31
Q

in Lithotomy position, you should do what to avoid risk of peroneal nerve injury?

A

Pad stirrups well

32
Q

when placing patient in the _____ position, you should Lift both legs into stirrups at the same time

A

lithotomy

33
Q

surgical uses for the lithotomy position?

A

perineum, genitals, cystoscopy

34
Q

what Position is thought to be highest risk for DVTs

A

lithotomy

35
Q

when prepping the patient, how should you remove hair?

A

Remove hair using electric clippers

36
Q

what can you use to prep the surgical area with?

A

Iodine

Chlorhexidine

With or without alcohol

37
Q

6 scrubbing tips

A

Wash hands with soap at start of day

Clean under nails with first scrub

Turn water off while scrubbing

Clean up to 1 inch above elbow

Practice scrubbing with every case

Use avagard only if directed by preceptor

38
Q

Once scrubbed, gowned and gloved, touch only -____above the waist

A

blue drapes

39
Q

once scrubbed in, The only sterile areas on your body are ____

A

hands, arms, and chest

40
Q

once scrubbed in, you should not let your hands do what?

A

Do not let hands drop below your waist

41
Q

When changing positions, keep your __ to the person with whom you are changing positions

A

back

42
Q

The Universal Protocol- Mandatory requirement of The Joint Commission of what 3 components?

A
  1. Conduct a pre-procedure verification process
  2. Mark the site
  3. Perform Time Out
43
Q

how do you Conduct a pre-procedure verification process? (4)

A

Verify correct patient, procedure and site

Confirm relevant documentation (H&P, consent)

Confirm availability of labeled diagnostic/radiology tests

Confirm availability of necessary blood, implants or special equipment

44
Q

how do you mark the site?

A

Performed by licensed member of the health care team who will be present when procedure performed

Done before the procedure

Involve patient when possible

Mark as close as possible to surgical site with method sufficiently permanent to be seen after prepping and draping

45
Q

how do you Perform Time Out?

A

Immediately before procedure

Involves all members of the surgical team

Confirm correct patient, correct site and correct procedure

Documentation of time out is required

46
Q

Electrosurgical Device: Monopolar

how does it complete the circuit?

A

Uses the patient to complete the circuit

47
Q

Electrosurgical Device: Monopolar

where should you place grounding pad?

A

Place grounding pad over well vascularized muscle at site free from lotion, oils or significant hair

48
Q

Electrosurgical Device: Bipolar

where is current?

A

Current remains between the 2 forceps tines

49
Q

is grounding pad needed for Electrosurgical Device: Bipolar

A

No grounding pad necessary

50
Q

Electrosurgical Device: Safety (4)

A

Allow alcohol based preps to dry before using to avoid fire

Consider use of bipolar in patients with pacemaker

Deactivate defibrillators before use- do this by magnet

Check grounding pad site after surgery

51
Q

After the Operation what things should you do? (5)

A

Remove gloves and gown using sterile technique

Put on non-sterile gloves

Disconnect electrosurgery grounding pad and SCDs

Document skin appearance at site of grounding pad

Assist with transfer of patient

*Surgical Care (1 decks)

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