250 Intra-op

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Author:
elevatedsound7
ID:
231546
Filename:
250 Intra-op
Updated:
2013-08-29 09:28:26
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250 Intra op
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250 Intra-op
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  1. there are three zones to a surgical suite
    • unrestricted area
    • semi restricted area
    • restricted area
  2. members of the surgical team include
    • surgeon and surgical assistant
    • anesthesiologist and nurse anesthetist
    • holding area nurse
    • circulating nurse
    • scrub nurse and surgical tech
    • specialty nurse
  3. holding area nurse does what
    • manages the client's care while he or she is in the holding area
    • reviews chart and preop checklist, ensures consent forms are signed
    • IV insertion and cath placement if ordered
  4. Circulating nurse does what
    • coordinate, oversees, and participates in pt care while in OR
    • circulator sets up OR and ensures that necessary supplies are available
    • preps pt in OR
    • assists anesthesiologist
    • positions pt on OR table
    • assess amount of urine an blood lsot during surgery
  5. What does the scrub nurse do
    • assists in prep of OR
    • assists in scrub prep of OR staff
    • hands instruments to surgeon
    • monitors aseptic technique
  6. surgical attire =
    • surgical hat
    • suits
    • shoe covers
    • masks
    • face shield and eye wear
  7. reduce surgical site infections through
    • sterile technique
    • antibiotics
    • awareness of pt risk factors
    • advocacy
  8. when positioning a patient for surgery care must be used to ....
    • provide correct skeletal alignment
    • prevent undue pressure in nerves, skin, over bony prominences, and eyes
    • allow adequate breathing
    • provide modesty
    • recognize individual needs of pt
  9. surgical time out is
    where team verfies pt ID, surgical procedure, and site
  10. instrument counts need to be done when
    • before the procedure
    • befroe closure of cavity
    • before wound closure
    • staff change
  11. Anesthesia is...
    the limited or total loss of feeling with or without loss of consciousness
  12. anesthesia classifications
    • general
    • regional
    • local
    • monitored anesthesia care (MAC) formerly called conscious sedation
  13. general anesthesia administered via
    • inhalation
    • IV
  14. regional anesthesia example =
    epidural
  15. anaphylactic reactions in OR are most oftened caused by and what are symptoms
    • antibiotics
    • latex
    • hypotension
    • tachycardia
    • bronchospasms
  16. Malignant hyperthermia =
    • rare autosomal dominant trat
    • characterized by hyperthermia and rigidity of skeletal muscles
    • occurs in people at risk who have been exposed to certain anesthetic agents
  17. common manifestations of malignant hyperthermia =
    • muscle rigidity
    • heart arrhythias
    • hypotension
    • tachypnea
    • skin mottling
    • extreme high fever
  18. MH treatment =
    • stop all inhalation agents
    • ventilate pt with 100% o2
    • admin dantrolee sodium (Dantrium) Iv
    • use active cooling
    • treat arrythmias
  19. major focus of nursing interventions in intraop phase =
    • maintenance of pt safety
    • prevention of post op complications

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