Aseptic Practice
The principle of “Items of doubtful sterility are considered contaminated” is most directly related to the concept of a _____.
What is Surgical Conscience?
Surgeons routinely use electrocautery to _____ & _____ the burned tissue.
What is cut & coagulate?
The best method for transferring medications to the sterile field.
What is use a sterile transfer device?
Once the patient has been securely transferred to the operative table, what are the first three things that must be done prior to intubation?
1) Apply safety belt, 2) provide a warm blanket, 3) Apply SCDs
To ensure proper handling of surgical specimens, which unique identifiers should the perioperative nurse verify BEFORE the patient enters the OR? (2)
1. Patient's medical record number 2. Spelling of the patient's name
Begin this environmental cleaning task with higher surfaces and finish with the lowest.
What is Damp Dusting?
This contains metal which could attract current and impede return current flow.
What is an implanted prosthesis?
The action that the perioperative nurse should take if the patient states that they break out in hives when a specific prep is used?
What is alter the surgeon for the need for the appropriate selection of prep?
An area of painful skin that is abraded, blistered, or has shallow craters would be classified as this stage of ulcer.
What is Stage II?
After a surgical specimen is procured by the surgeon, the scrub person should: (2)
1. Keep it in a labeled sterile basin until it can be passed to the circulating nurse 2. Keep it moist with saline
A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which skin prep agent is contraindicated for use in this case?
What is CHG?
In this phase of the nursing process, the RN arranges for appropriate positioning equipment.
What is planning?
When the patient is in the supine position, where should the safety belt be placed?
What is 2” above the knee?
During this phase of the nursing process, the RN identifies the patient’s spiritual needs.
What is assessment?
True or False – Not all removed foreign objects need to be sent to Pathology.
What is False?
In which surgical wound category should a total abdominal hysterectomy be classified?
Clean Contaminated
The type of clamp that would be most appropriate to control bleeding during an open abdominal procedure is:
What is a Kelly?
This is the most consistent early indicator of a malignant hyperthermia crisis.
What is an increase in end-tidal CO2?
Which route are antibiotics most commonly administered by the PERIOPERATIVE nurse during the INTRAoperative phase?
What is Irrigation Solution?
Renal stones are sent to Pathology as what type of specimen?
What is fresh?
Which are true clinical manifestations of a true allergic response to latex? (name 3)
1. Contact urticaria 2. Periorbital edema and itching 3. Wheezing
May act as insulation if a dispersive pad is placed on it.
What is scar tissue?
A designated area on the sterile field where the scrub person and the surgeon place all sharp instruments.
What is a neutral zone?
What practice violates a patient's ethical right to self-determination?
Automatic INTRAoperative suspension of a do-not-resuscitate decision
Proper handling of an explant removed because of an apparent defect of failure includes: (2)
1. Documentation of the serial number in the medical record and on the pathology requisition 2. Completing a risk management report