Pre-Op Detective
What is the Exact name of the preoperative checklist nurses should find on Meditech Expanse worklist?
What is the Checklist: Pre-OP Care
This preoperative restriction reduces aspiration risk and helps prevent surgical delays or cancellations
What is NPO status?
This Is When Nurses should begin discussing discharge plans and identifying potential barriers to going home.
What is before surgery?
Your patient is scheduled for a large Orthopedic Surgery with potential blood loss, you notice this lab result is not in the chart?
What is a group and screen?
A medication list, follow-up appointment instructions, patient education materials, wound care instructions, surgical information, and specialist contact details or business cards are all important components of this document collection provided to patients before they leave the hospital.
What is the Discharge Package?
Clicking on "Mode" will show you this...
What is previous Entries and what is left to be done on the pre-op checklist
Documenting this before Surgery helps prevent bladder distention and improves patient comfort during anesthesia.
What is the last void?
Assessing this before surgery helps nurses establish postoperative mobility goals and plan for a safe return to the patient's previous level of independence.
What is the patient's preoperative mobility status or baseline mobility?
Your patient is scheduled for surgery this morning. Their potassium level is 2.7 mmol/L, putting them at increased risk for cardiac dysrhythmias. This electrolyte imbalance must be addressed before surgery.
What is hypokalemia?
Your newly diagnosed diabetic patient is preparing for discharge. Before leaving, the nurse asks the patient to demonstrate how to administer insulin and explain when and how much to take. This education technique confirms the patient's understanding.
What is the Teach-Back Method?
The OR is considered a coercive environment, there for this must be completed before arrival in the OR. There are two parts to this, and they must be signed by the surgeon.
What is the Consent and Blood Consent.
The OR must be notified in advance of these to prevent the transmission of infections and antibiotic resistant organisms (AROs)
What are infection precautions?
Following orthopedic surgery, nurses should collaborate with these healthcare professionals to assess mobility, identify equipment needs, and determine whether the patient can safely return home.
Who are physiotherapists and occupational therapists?
Your postoperative patient is preparing for discharge but continues to report 8/10 pain despite oral analgesics. Their pain is preventing them from mobilizing safely. This unresolved issue puts their discharge readiness at risk.
What is inadequate postoperative pain management?
Before discharge following orthopedic surgery, patients and families must be taught to recognize these warning signs: increasing redness, warmth, swelling, wound drainage, fever, or worsening pain around the surgical site.
What are signs and symptoms of a surgical site infection?
These are commonly ordered pre-op to determined surgical/anesthesia risks, and include...
What are pre-op tests? This included blood work and/or ECGs
This provides a structured check that is required before surgery to assure that pre surgery preparations and issues have been addressed.
What is the Pre-Op Care checklist?
Teaching patients about postoperative care, medications, and wound management doesn't have to wait until discharge day. This is when education can begin to help patients prepare for recovery at home.
What is before surgery, during the preoperative assessment and throughout the patient's hospital stay?
Your postoperative patient is medically ready for discharge but tells you that a family member living at home has been stealing their money to support a substance use problem. The patient is afraid to return home. This healthcare professional should be involved to help assess safety and explore discharge options.
Who is the Social Worker?
Your patient is being discharged following orthopedic surgery. They have been instructed to follow specific weight-bearing restrictions and mobility precautions. Ignoring these instructions at home could result in these serious complications that may delay healing or require further surgery. **4 possible answers here. 100 extra points if you can name all 4.
What are falls, further injury, impaired healing, or failure of surgical fixation?
This Comprehensive self history is valuable in gauging the patients health status in relation to the anesthetic risk.
What is the Pre-Anesthetic Questionnaire and OSA Screening?
Before surgery, this medication safety check ensures drugs such as apixaban are withheld according to the prescribers orders.
What is verifying that medications ordered to be held are held.
Your patient has just returned from PACU. To ensure a safe transition of care, the nurse must complete at least four of these essential tasks in Meditech Expanse.
What are:
Processing the patient transfer
Reviewing and activating applicable post-op orders
Reconciling IV infusions and medications
Adding the appropriate Surgical Standard of Care interventions
Completing and documenting the patient assessment
Updating the patient's location
Your 68-year-old patient with type 1 diabetes is scheduled for surgery tomorrow. She mentions that she hasn't taken her insulin for two days because she hasn't been eating much. She feels unusually tired, has little appetite, and complains of mild abdominal discomfort. Her blood glucose is 19.8 mmol/L, blood ketones are 3.8 mmol/L, and venous pH is 7.28. These findings suggest this serious diabetic complication.
What is Diabetic Ketoacidosis (DKA)?
Your 82-year-old patient lived independently before surgery but now requires two-person assistance to transfer, has 12 stairs at home, and lives alone. Before discharge, the healthcare team must address these three major concerns.
What are mobility and functional independence, home accessibility, and available support or assistance?