Aseptic Practice
This principle of sterile technique that is most directly related to the concept of a surgical conscience
Items that are questionable/doubtful regarding sterility are considered contaminated
In this phase of the nursing process, the RN arranges for appropriate positioning equipment.
the planning phase
During this phase of the nursing process, the RN ensures appropriate traffic patterns are maintained.
Implementation phase
During this phase of the nursing process, the RN identifies the patient's spiritual needs.
Assessment phase
The implementation of this is recommended when immediate-use sterilization is used.
Using a routine process challenge device (ie. chemical indicator)
An environmental sanitation practice that is used to limit the transmission of microorganisms to personnel when handling body fluid spills.
The use of personal protective equipment (PPE)
The type of clamp that would be most appropriate to control bleeding during an open abdominal procedure.
A Kelly clamp
A designated area on the sterile field where the scrub person and the surgeon place all sharp instruments.
The neutral zone
During this phase of the nursing process, the RN identifies that the patient is free from signs and symptoms of infection.
Outcome identification phase
The first step in the sterilization process of surgical instruments, that have been used in a procedure.
The initial pre-treatment cleaning process
What type of environmental cleaning involves cleaning higher surfaces and finishing with the lowest levels?
Damp dusting
Surgeons routinely use electrosurgery to ________ & _______ the burned tissue.
Cut & coagulate?
This is the most consistent early indicator of a malignant hyperthermia crisis.
An increase in end-tidal CO2
Sensory assessments include decreased color and depth perception and are more common with what patient population?
Elderly patients
This documents the efficacy of a specific sterilization cycle.
Biological monitoring
The AORN Guideline that most directly pertains to this phase of environmental cleaning in the Periop environment states, “a safe, clean environment should be reestablished after each surgical procedure.”
Interim post-procedure OR cleaning
In a total hip replacement procedure this contains metal which could attract current and impede return current flow.
An implanted prosthesis?
The best course of action when discovering an unlabeled medication container on the sterile field.
Discard the medication and replace it with new medication
An automatic intraoperative suspension of a do-not-resuscitate decision violates this patient's ethical right to this.
The right of self-determination
The Spaulding Classification categorizes items into 3 categories. Name them and what category reflects instruments that come in contact with mucous membranes but do not penetrate body surfaces.
3 categories: critical, semicritical, non-critical
Semicritical
The action that the perioperative nurse should take if the patient states he/she breaks out in hives when specific skin prep is used.
Alert the surgeon for the potential need to change the skin prep solution
May act as insulation if a dispersive pad is placed on it.
Scar tissue
The best method for transferring medications to the sterile field
Use "a sterile transfer device?"
An area of painful skin that is abraded, blistered, or has shallow craters would be classified as this stage of ulcer.
Stage II?