Wk 6 Flashcards
Recovery room - airway
ETT removed in OR
LMA removed in RR by nurse
Manual airway support as required (obstructions)
O2 administered
Suction available
Watch for laryngospasm, bronchospasm
Atelectasis:partial collapse of lung due to mucous
Recovery room - breathing
Resps counted and recorded Ease of resps Abdomen and chest resps Failure to breathe Obstruction of airway Muscle relaxant
Recovery room - circulation
SaO2 - pulse oximetry Peripheral and general perfusion Dynamap attached HR, BP Neuro obs ECG
Recovery room - pain management
Epidural PCA Nerve block Local infusion Opioids NSAIDS Paractemol Assess verbal nonverbal cues Comfort measures Positioning Regular analgesia PRN
Conscious state - recovery room
Orientation Sleep Sedated Unrousable Awake Able to lift head from pillow
Wound assessment - recovery room
Check drains and dressings
Other things to be dealt with in RR
IDC X-ray Postnatal Anti-embolism Meds IV hydration
Discharge protocol - RR
Written parameters a pt must meet to be discharged from RR to ward
Minimum LOS - RR
No sedation: one set of obs
Minor surgery: 20 mins with relaxant, 30 mins with no relaxant
Major surgery: min 30 mins
Opioid analgesia: 15 mins after last bolus
HDU (high dependency unit) : one set of obs
Regional anaesthetic: min 20 minutes
What is sterilisation
Process that kills all living micro-organisms including spored
What is disinfection
Kills as many organisms on an item as possible with the exception of high numbers of bacterial spores
CSSD, TSSD, HSSD
Cleaned, prepared, processed, stored and distributed
Thermal sterilisation
Steam under pressure
Raise temperature to kill heat resistant bacteria and spores
Re-evaporation of condensation must effectively dry items
EO sterilisation
Chemical alkylating agent that kills micro-organisms
Highly flammable
Interferes metabolism of proteins and reproduction of cells
Long and slow process
Expensive
Aeration period required
Per acetic acid sterilisation
Contains acetic acid and hydrogen peroxide
Causes cell death
20-25 min process, heated 50-55 degrees
