Wk 6

Question 1

Recovery room - airway

Answer 1

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

Question 2

Recovery room - breathing

Answer 2

Resps counted and recorded
Ease of resps
Abdomen and chest resps
Failure to breathe
Obstruction of airway
Muscle relaxant

Question 3

Recovery room - circulation

Answer 3

SaO2 - pulse oximetry
Peripheral and general perfusion
Dynamap attached HR, BP
Neuro obs
ECG

Question 4

Recovery room - pain management

Answer 4

Epidural
PCA
Nerve block
Local infusion
Opioids
NSAIDS
Paractemol
Assess verbal nonverbal cues
Comfort measures
Positioning
Regular analgesia PRN

Question 5

Conscious state - recovery room

Answer 5

Orientation
Sleep
Sedated
Unrousable
Awake
Able to lift head from pillow

Question 6

Wound assessment - recovery room

Answer 6

Check drains and dressings

Question 7

Other things to be dealt with in RR

Answer 7

IDC
X-ray
Postnatal
Anti-embolism
Meds
IV hydration

Question 8

Discharge protocol - RR

Answer 8

Written parameters a pt must meet to be discharged from RR to ward

Question 9

Minimum LOS - RR

Answer 9

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

Question 10

What is sterilisation

Answer 10

Process that kills all living micro-organisms including spored

Question 11

What is disinfection

Answer 11

Kills as many organisms on an item as possible with the exception of high numbers of bacterial spores

Question 12

CSSD, TSSD, HSSD

Answer 12

Cleaned, prepared, processed, stored and distributed

Question 13

Thermal sterilisation

Answer 13

Steam under pressure
Raise temperature to kill heat resistant bacteria and spores
Re-evaporation of condensation must effectively dry items

Question 14

EO sterilisation

Answer 14

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

Question 15

Per acetic acid sterilisation

Answer 15

Contains acetic acid and hydrogen peroxide
Causes cell death
20-25 min process, heated 50-55 degrees

Question 16

PACU

Answer 16

Post anaesthetic care unit