Wk 3 Flashcards
Floor coordinator role
Staff allocation
Schedule elective lists and necessary equipment
Schedule emergency cases
Conflict resolution
Staff development nurse role
Orientation to suite Allocate preceptors Performance management Clinical support Conflict resolution
Pre-op nurse role
Pre-op checklist in holding bay
All documents are available
Info is recorded and correct
Documentation
Anaesthetic nurse and their role
Prepare anaesthetic induction room Prepare equipment Assist pt transfer Apply monitoring devices Assist in induction, intubation, maintenance and emergence
Instrument nurse and their role
Maintain/prepare sterile field Accurate surgical count Anticipate surgical events Apply surgical dressings and wound drain devices Document Check and prepare equipment Surgical scrub Gown ing and gloving Skin preparation Patient drapes Monitor surgical field Initiate 2nd and 3rd surgical count Signs count sheet Prepare instruments for decontamination Dispose sharps and waste
Role of circulating nurse
Pt safety/positioning Accurate surgical count Provide sterile supplies Intraoperative documentation Postoperative transfer Handover to recovery room Check and prepare OR/equipment Assist team to gown up Opens and dispenses item on sterile field Checks pt prior to anaesthetic Applies diathermy plate Attaches suctioning to suction canister Monitor blood loss Turns on operating lights Sends for next pt Transports pt to recovery room Assists with cleanup
Role of recovery room nurse
Maintain ABC Pain control Relive nausea and vomiting Assess wound site Manage fluid balance Documentation
ACORN standards (17) ACC, 3 Monkeys, 1 Ostrich, 3 Penguins, 2 Rhinos and 5 Snakes
Anatomy and physiology Care, cleaning instruments Communicate/participate Monitor aseptic technique Monitor pt transfer and position Medico legal OH&S Pharmacology Principles Practice standards Remain vigilant Reprocess reusable items Surgical procedures and items Supplies available Systemic planned approach Sterile setup Surgical count
Communication between surgeon and periop nurse
Two way exchange of info and objects
Appropriate timing of exchanges
Clear, comprehensible and appropriate tone and volume
Anticipate surgeon needs
Surgeon appreciate that nurse depends on other team members
8 P’s to consider when preparing for surgical procedure
Proper placement Place it once Position of function Protected parts Proper function Point of contact Point of use Perfect picture
What does a perioperative nurse do
Provides complex care for pt's in high dependency situation Provide safe physical environment Protect pt's from adverse effects Achieve optimum pt outcomes Acknowledge dignity of pt
