Hemostasis
Chemical, Thermal and Mechanical methods
What are 3 methods of hemostasis?
Used to control bleeding from vascular structures, superficial bleeders, and diffuse oozing of blood.
What is an Argon Beam Coagulator?
A surgical technologist and an RN or two RNs
Who can perform surgical counts?
A device for holding, joining, or compressing tissue together during a surgical procedure.
What is a clamp?
A reversible state of unconsciousness, consisting of amnesia, analgesia and muscle relaxation.
What is General Anesthesia?
Pledgets, Bonewax and Ligatures
What is Mechanical Hemostasis?
Used to apply electrical current through the patient's tissue, to cut and/or coagulate the tissue.
What is electrosurgery?
Sponges, towels, sharps, instruments and miscellaneous items
What are countable surgical items?
An instrument with a single beveled cutting edge for cutting or chipping bone.
What is a chisel?
Surgical procedure, physiological status, age, postop recovery time, length of surgery and position of patient.
What are considerations to determine the type of anesthesia?
A category referred to as "stand-alone" or "mechanical" agents that do not contain thrombin
What is Passive Agents?
May be implemented by hand, sponge, digit or "packs" for pressure.
What is Manual Pressure?
When a body cavity is entered, such as the thorax, abdomen and pelvis.
When do you count instruments?
A hammer-like instrument used for striking objects.
What is a mallet?
Induction, Maintenance and Emergence.
What are the three phases of anesthesia?
Used to help protect and pad delicate tissues and organs, as well as absorb fluids.
What are laparotomy sponges?
Example of an absorbable topical hemostatic agent.
What is Avitene or Microfibrillar Collagen?
Call for an xray.
What do you do when you have an incorrect count?
The feature that locks the instrument in a closed position.
What is the ratchet?
Used to facilitate intubation and allow exposure to the surgical site.
What are muscle relaxants?
This product should not be used with blood salvage devices.
What is Fibrin Sealants ( Tisseel)?
A product that swells, forming a clot, and absorbs 40-50 times its weight in 20-40 days.
What is Gelfoam or Absorbable Gelatin Sponge.
Time-out periods, critical dissections, confirming and opening implants.
What is, do not perform surgical counts?
The working end of an instrument.
What is the jaw?
Starting IVs, setting up arterial lines, double-checking blood and obtaining emergency equipment
What are intraoperative responsibilities of the perioperative nurse caring for a patient undergoing a procedure with general anesthesia?