Environment
The humidity parameters required for an operating room suite
Joint commission developed this for preventing wrong site, wrong procedure, and wrong person surgery
What is universal protocol?
- patient participation
- identification
- marking the site
- time out
The three phases of anesthesia
What is induction, maintenance, and emergence?
What is 150 minutes?
RBAV
What is read back and verify ?
- used to prepare any medications requested by surgeon
- used to prepare any specimen orders
The OR rooms that need to be turned over even after the very last case of the day
What is OR 4, 6, 9, & 11 ?
Arm extension <90˚ to avoid compression of...
Technique used to prevent aspiration during induction
What is cricoid pressure?
- first ring below the thyroid cartilage
- hold firm pressure with thumb and index finger to occlude esophagus
- do not release until told to do so by Anesthesiologist
Gloving technique used for subsequent gloving and when performing procedures when a gown is not worn
What is open gloving?
MAC
- anesthesia provider monitors the patient, administers sedatives and other agents as needed, and provides medical services as needed
According to Spaulding Classification: BP cuffs and pulse oximeters that come in contact with patient's INTACT skin should be categorized as...
What is noncritical?
- receive intermediate or low-level disinfection bc intact skin serves as a barrier to most microorganisms
Minimum number of caregivers required to repositioning/transferring a prone patient
What is 4 caregivers?
A complication of anesthetic administration that presents as increased heart rate, increased end-tidal CO2, hyperthermia, dysrhythmia, mottling of the skin
What is Malignant Hyperthermia?
Gloving technique used for initial donning of the sterile gown and gloves
What is closed gloving?
CHG
What is chlorhexidine gluconate?
- most commonly chosen for patients with allergy to iodine
- must NOT be used above neck due to potential corneal damage and toxicity when introduced to auditory canal
- should never come in contact with the brain or meninges
- not recommended for vaginal or mucous membrane prep
All ____ _____ should be damp dusted before the first scheduled procedure of the day
NPO status for a patient who had breast milk at 1200?
What is 1600?
- Clears: 2 hours
- BM: 4 hours
- Formula: 6 hours
A complication of anesthetic administration that presents as ringing in the ears, tingling around the lips, metallic taste in mouth, and dizziness
What is LAST (local anesthetic systemic toxicity)?
The sterile area of the surgical attire includes the front of the gown from the table level or sterile field to...
What is 2 inches below the neck ?
What is nominal hazard zone?
- the space where the level of laser light exceeds maximum permissible exposure level for that specific laser type
- within the zone: appropriate eye protection, skin protection, and all healthcare personnel should be aware of all laser safety precautions
This type of cleaning includes anesthesia carts and equipment, mopping floors, OR beds and positioning devices, and substerile areas
What is terminal cleaning?
Name one priority nursing diagnosis for the patient who is being positioned for a posterior lumbar laminectomy
What is impaired gas exchange?
- also, risk for perioperative positioning injury
Medication used to treat Malignant Hyperthermia that should be administered within 10 minutes of the decision to treat
What is Dantrolene?
The sterile area of the surgical sleeve
What is 2 inches above the elbow to the cuff ?
PNDS
- standardized nursing language
- structured vocabulary providing nurses with common means of communication to describe patient problems, interventions, and outcomes
- example// performing a surgical count