SNursingI- Pre Sx Procedure.txt
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what 5 things should be verified before prepping?
Pt IDsex (check for previous sx scar, look for both testes)procedureconfirm fastingmedications (last given, need to be given?)
what vet test should be run if the animal is younger than 5 y.?
what vet test should be run if the animal is older than 5 y.?
general health profile
what 2 things should be up to date?
what 3 general tests should be up to date in the pt record?
what 2 tests may need to be performed, but are not routine?
what are the 7 parts of the hematology that should be performed?
- CBC (lasercyte)
- RBC indicies
- Differentials (WBC)
- Platelet ct
- Retic ct
- Clot time
what 3 things should be a part of the PE?
- test result confirmation w. dr.
- sx release forms have been signed
what are the 5 things to remember about clipping hair?
- pluck hair on scrotum
- clip w/ grain, then against
- keep blade flat
- fourty (40#) blade
- large area around incision site
with a spay, where should you clip?
ventral midline, caudal to umbilicus
dog neuter clip-
like a spay
dirty prep nurses procedures:
- preliminary scrub
- transfer to sx room
- position & tie to table
what is the preliminary scrub procedure?
- wet surrounding hair w/ water and 3x3 gauze
- scrub w/ nolvasan/betadine for 1 min
what happens after the animal is secured?
the sterile prep nurse preps the sterile items, and performs the final scrub
final scrub procedure:
- scrub for 1-5 mins
- rinse w/ 70% alcohol or sterile water
70% alcohol/sterile water
where does the scrub start at?
work outward from the incision site in a ___ ___ ___
spiraling circular motion
NEVER return to ___ after working away from it
perform a minimum of ___ scrubs
whats the contact time for the final scrub?
rinse w/ water gauze sponges- scrub pattern
wipe w/ 70% alcohol gauze sponges
- scrub pattern
- rinses away scrub residue that may irritate
what are the 2 major purposes for maintaining position?
- maintain airway
- maintain IV fluid flow
what is the most routine position?
dorsal (on back)
what are the 5 major sx that use a dorsal position?
- cervical disk sx
what is sternal aka?
what can be used to secure the legs in sternal position?
what are the 4 sx that use a sternal position?
- lumbar disc
- anal sacculectomy
- cranial sx
- ear sx
what 3 things can be used to maintain a dog in lateral?
what 5 sx may require a lateral position?
- long sx
affected leg is suspended from an overhead support or IV stand during prep
what are the adv. of hanging prep?
aseptic prep of entire circumference of a limb
what are the 2 sx that require a hanging prep?
aseptic technique includes all of the steps taken to prevent ____ of the sx suite by ____ agents
what 3 things can occur if asepsis is not done properly?
- delayed healing
- iatrogenic infx
prep- non sterile assist
what are some ex of exogenous routes?
- skin (pt)
ex of endogenous route?
infx to wound through the blood stream- like dermatitis, or bacteria from gingivitis
what 4 things determine whether or not contamination leads to infection?
- general health
- degree of tissue damage
what is an example of a dirty sx?
what is an example of a sx that needs to be completely aseptic?
orthopedic, like a joint sx or bone replacement
what 2 things can be better if aseptic technique is followed?
- faster healing
- comfort post-op
shoot for __ mins of contact time btw skin an sx scrub
if you mess up and break aseptic tech, you should:
what other 3 things need to be remembered as part of uniform?
- scrubs are clean
- fingernails short, no polish
- no jewelery
shirts should be ____ if possible to reduce skin debris
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