Nursing Interventions
How do SCD - Sequential Compression Devices work? What are we trying to prevent?
What is alternating compression (inflation) and deflation of leg stockings...to prevent venous stasis and DVT's
The _______ explains the procedure , available alternatives, and risks of procedure and anesthesia.
The _____ makes sure consent forms list correct surgical procedure and is signed by the patient and physician.
_____ _____ is called when the patient enters the OR to prevent the risk of the wrong patient, wrong site, and wrong surgery.
What is a time-out.
Insertion of an endotracheal tube into the patient's trachea to maintain an open airway and ventilate the patient. ( this is done after sedating the patient)
What is Intubation
Absolute #1 priority
What is PATIENT SAFETY (Infection control, positioning, electrical safety, continuous monitoring, aspiration prevention...)
What is the minimum laboratory test for all preoperative Patients
What is CBC (hgb, hct, wbc, plt) , UA and EKG
A type of anesthesia where the patient is asleep but not totally unconscious and can breath on his/her own.
What is Conscious Sedation.
Type of anesthesia where the patient is totally unconscious and must be intubated
What is general anesthesia.
If a patient does not have a foley, the patient must void within ____ hours, if not an order may need to be obtained to either perform a straight catheter or insert an indwelling catheter.
What is 8 hours.
Interventions to prevent Ineffective breathing or ineffective airway clearance
What is side lying position to protect airway, TCBD, Incentive spirometry, splint incision, control pain, encourage fluids as tolerated, ensure gag reflex before offering liquids
How do you perform TCDB exercises & how often?
What is splint incision, offer pain medication, deep breath in through nose, hold and cough 10x/hour, or every 2 hours
Responsible for sustaining the patients life and ensuring that the patient remains comfortable and will monitor patient's v/s during surgery.
What is the Anesthesia Provider
What are the suffixes for the words describing the surgical procedures:
_____: to remove
_____: to create an opening
What is ectomy and ostomy
How often are post operative VS completed
What is Q15x4, Q30x4, Q1x4, Q2x4, Q4x4, then Q8
Intervention if surgical dressing presents with drainage.
What is use an ink pen, draw circle around drainage noting date and time.
If dressing is saturated with blood, reinforce with sterile gauze 4x4s or large Abd dressing and notify TPCN who will notify the surgeon.
DO NOT remove the initial surgical dressing without a physicians order!
How do you measure for thigh high TED hose?
What is measure the length of the leg from the gluteal fold to the bottom of the heel, measure the circumference of the calf and the thigh at their long diameter (cross-reference measurements on TED chart to determine size)
Serves as the primary patient advocate and is responsible for ensuring that everything is done in the OR is in the best interest of the patient. Responsible for coordination of the surgical team. Maintaining a safe environment and will also take sponge and needle count during, and after surgery.
What is the Circulating Nurse
Repairs anatomical or congenital defect.
What is Corrective Surgery
What is plan to have patient lie supine for minimum of 15 minutes prior to application. Apply hose preventing fabric from bunching together. Assess pedal pulses to ensure arterial blood flow to the feet. Plan to remove the hose at least twice per day to precent excessive pressure of tension. (before morning bath and bedtime care) Allow 45 minutes to a hour before reapplying.
Sets up the sterile field with all the appropriate sterile instruments and supplies and ensures that the sterility of the field is maintained while actively assisting
What is the Scrub Nurse
Alleviates symptoms and provides comfort, but does not necessarily cure the disease or heal the injury.
Ex: removing as much of a tumor as possible, known as debulking tumor, which can decrease pain an relieve pressure , though it will not cure cancer.
What is Palliative Surgery
What is an initial assessment with V/S (o2 <95)
Apply supplemental O2 if ordered and status indicates a need
Assessment of airway and gas exchange
Assess Respiratory: Rate, Depth, Pattern
Assess color of the skin