Anesthesia
ASA NPO Guidelines:
Clear liquids
Light Meal
Fried, fatty foods and/or meat
What are:
2 hours
6 Hours
8 Hours
When assessing the patient's medication history, it is important to review the following:
What are:
Prescription medications
Herbal supplements & vitamins
Recreational drugs
The patient is a full partner in their health care team. Patients & their family support systems should be actively engaged in their health care.
What is Patient-Centered Care?
The bladder is drained ________ the vaginal prep.
What is after?
The single most effective measure to prevent the transmission of pathogenic microorganisms.
What is hand hygiene?
Initiated during induction of anesthesia and not released until the ET tube cuff is inflated, tube placement is confirmed, and the anesthesia has given verbal confirmation that the pressure can be released.
What is cricoid pressure?
Examples of Social Determinants of Health (SDOH)?
What are:
Economic stability
Education access and quality
Social & community context
Health Care access & quality
Neighborhood & built environment
A process of communication between a clinician and the patient in which the patient authorizes or agrees to undergo a specific medical intervention. This is obtained by the physician and is given voluntarily by the patient.
What is Informed Consent?
This makes the concentration of the solution unknown, and contamination may occur during the mixing process.
What is diluting skin antiseptic products?
Note* We do not dilute skin antiseptic products!
When opening sterile items, key indicators of sterility include:
What are:
package integrity
expiration date
expected chemical indicator change
Triggered by inhaled anesthetic gases and/or succinylcholine.
What is Malignant Hyperthermia?
Conducted by the perioperative team immediately before the start of the operative or other invasive procedure.
What is Time Out?
Duty
Breach of Duty
The breach of duty caused an injury
The injury was harmful to the patient
What are the four elements of malpractice?
The three basic surgical positions.
What are supine, prone, & lateral.
Bonus* variations are:
Supine-lithotomy, sitting/semi-sitting, trendelenburg & reverse trendelenburg
Prone-jack-knife (Kraske)
Wound Class ____
The respiratory, alimentary, or genitourinary tract is entered under controlled conditions & without contamination. There is no evidence of infection or no major break in aseptic.
What is Wound Class II?
Most specific sign of Malignant Hyperthermia (MH).
What is unexplained increased end-tidal carbon dioxide (ETCO2)?
The treatment for a local anesthetic systemic toxicity event.
What are lipids?
Health______ is the difference in health between groups.
Health ________ is when everyone receives the same care.
Health________ is a customized distribution of resources & opportunities across a population to ensure no groups are at a disadvantage.
What are:
Health Disparity
Health Equality
Health Equity
These devices are not used in trendelenburg due to risk for a brachial plexus injury.
What are shoulder braces?
Actions to take prior to transporting contaminated instruments to SPD include:
What are:
discard sharps
separate sharp instruments from delicate & heavy instruments
Open hinged instruments
moisten instruments with a pre-treatment product
Keep instruments with their corresponding sets
Identify instruments that need repair
Role of the RN during _______ anesthesia is to provide patient monitoring and supportive care.
What is Local (anesthesia)?
One patient risk factors related to alcohol abuse.
What are:
Lowered immunity
Prolonged bleeding
Increased stress response
Cardiac complications
A model of care that included physicians, health care organization representatives, & other health care providers joining together to:
-provide high-quality, coordinated health care
-avoid duplication of services
-decrease errors
What is an Accountable Care Organization (ACO)?
Physiological changes that may occur from this position include:
-increased pressure on the diaphragm
-a shift in circulatory volume
-compromised circulatory & respiratory systems due to compression of the abdominal contents on the IVC & abdominal aorta
What is lithotomy?
Point of use cleaning is important to prevent_______.
What is biofilm?