Medical Surgical 1

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  1. The main concern of perioperative nurses are the?
    • Safety
    • and advocacy for the patient's during surgery
  2. Once in the OR the patient is at risk for?
    • infection
    • altered body temperature
    • impaired skin integrity
    • increased anxiety
    • and injury related to positioning and other hazards
  3. Nursing care during the perioperative phase is critical for what reasons?
    • Physical & Spiritual needs
    • Comfort & Safety
    • Dignity
    • and Psychological status
  4. Members of the surgical team consists of who?
    • Surgeon
    • One or More Surgical assistants
    • The Anesthesia Provider
    • and the OR Nursing Staff
  5. Perioperative or OR Nursing Staff include who?
    • Holding Nurse
    • Scrub Nurse
    • Circulating Nurse
    • Specialty Nurse
  6. In a minor surgery what two nurses would be needed in addition to the surgeon?
    • Scrub Nurse
    • Circulating Nurse
  7. Who is and What is the role of the sergeon?
    • A Physician
    • Assumes responsibility for the surgical procedure and judgements about the patient
  8. Who might the surgical assistant be?
    • Another surgeon or physician such as a resident or intern
    • Physician Assistant
    • Certified Registered Nurse First Assistant
    • or a Surgical Tech
  9. What is the Surgical Assistants role?
    • Under the direction of the surgeon and according to state law the assistant may;
    • Hold retractors
    • Suction the wound(to improve viewing for the surgeon)
    • Cut tissue
    • Suture and Dress the wounds
  10. Who is and What is the role of the Anesthesiologist?
    • A Physician
    • Specializes in giving anesthetic agents
  11. Who also is an anesthesia provider and gives assistance to the Anesthesiologist?
    CRNA(Certified Registered Nurse Anesthetist) with additional education and credentials who delivers anesthetics under the supervision of an Anesthesiologist, Surgeon. Dentist or Podiatrist
  12. What  is the role of the anesthesia provider?
    To give anesthetic drugs and other drugs to support the patient during surgery
  13. What does the Anesthesia provider monitor during surgery?
    • Level of Anesthesia (EEG or peripherial nerve stimulator)
    • Cardiopulmonary function( ECG, sPO2, end tidal carbon dioxide, ABG's, and blood monitoring via aterial lines and pulmonary arterial cath)
    • Vital Signs
    • Input & Output
  14. Does anesthesia give anything else besides anesthetic drugs?
    • Yes
    • IV Fluids
    • Blood & Blood Products
  15. What is the role of the Holding Area Nurse?
    • Cordinates & manages pt's care
    • Greet pt on arrival
    • Review medical record & preoperative check list
    • Varify that operative consent form is signed
    • Document risk assessment
    • Assesses physical & emotional status
    • Gives emotional support
    • Answer questions
    • Provides additional education as needed
  16. The Holding area nurse is also responsible for the following?
    • Starting IV's
    • Inserting Epidurals catheters
    • Promoting an atmosphere of comfort, privacy and confidentiality
  17. Who is and What is the role of a Circulating Nurse?
    • Registered nurses that cordinates, oversee and are involved in the patient's nursing care in the OR.
    • They are vital to the smooth flow of events before, during and after surgery.
    • They set up the OR and ensures that supplies(including blood products) and diagnostic support are available as needed.
    • They make up the OR bed with gel pads(to prevent Ulcers), safety straps and armboards(to aide in positioning) and heating pads or blankets (to prevent hypothermia)
  18. If there is no holding area nurse who assumes this role?
    The circulating nurse
  19. What tasks do the holding and circulating nurse share?
    Greeting the patient and reviews findings with the holding area nurse
  20. What are the circulating nurses duties during surgery?
    • Monitors traffic in room
    • Assesses the amount of urine and/or blood loss
    • Reports findings to the surgeon and the anesthesia provider
    • Ensures that sterile technique is maintained throughout OR
    • Anticipates the pt's and team needs, & provide supplies and equipment
    • Communicates to pt's family members
    • Documents care, events, interventions and findings(drains or catheters, length of surgery and count of all supplies)
Card Set:
Medical Surgical 1
2012-10-23 01:56:45
Intraoperative chp17

Chapter 17
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