Wk 5 Flashcards
Suture packaging
Protects from contamination
Accessed in an easy manner
Swaged are packaged in double envelope and boxed
Box states expiry, type of material, etc.
Other wound closing methods
Stapling devices
Skin tapes and adhesives
Drains
Dressings
Periop nurse responsibility
Patient advocate
They are accountable for safety of patient
Responsibility should not be assumed to belong to another
Consequences of poor positioning
Impaired skin integrity, compromised resp effort, altered tissue perfusion, neuromuscular/musculoskeletal damage
Desired pt outcomes post surgery
Skin: intact, smooth, free of abrasions, bruises and shear injury
CV status: HR, BP within range, pulses equal, skin warm to touch
Neuromuscular status: flex and extend extremities with no assistance, no numbing or tingling
Respiratory considerations
Prevent hypoxia
Maintain respiratory function
Facilitate induction by inhalation
Patent airway
Circulatory considerations
Adequate arterial circulation Maintain BP Perfuse tissues Facilitate venous return Prevent thrombus formation
Considerations for peripheral nerves
Supported and protected
Normal body alignment
Prevent prolonged pressure or stretching
Musculoskeletal consideartions
Support and protect normal body alignment
Prevent postop discomfort or pain
Soft tissue considerations
Padded and supported
Even body weight distribution
Weight not concentrated on bony prominences
No external, pressure
Surgical site access
Adequate exposure of operating site
Minimise trauma to surrounding tissue
Minimise operating time
Access for anaesthetist
Accessible airway
Observe effects of anaesthesia
Application of monitoring devices
Maintain IV access
Surgical position types
Trendellenburg: head tilted down Supine: flat on back Prone: flat on stomach Lateral position: on side Fowler: recliner chair position Lithotomy: legs up, birth
What are some pneumatic sequential compression devices
TEDS
Flowtrons
Antiembolism stockings
Needle holders
Sutures grasped by needle holders
Size of needle holder depends on suture area and needle size
Needle held one third distance away from eye end of curved needle
Swaged area of needle is the weakest point so avoid holding there
