Pre-Op
The nurse may serve as a witness to the client's signature on this form after the physician has explained the procedure, risks, benefits, & complications, before sedation is given and before surgery is performed.
I_ _ _ _ _ _ D Consent
Informed consent
This member of the surgical team remains in sterile gown and gloves and monitors sterile procedure throughout the surgery
Scrub nurse
This classification of medication is often given pre-operatively for its anti-anxiety and sedative effects
B_ _ _ _ _ _ _ _ _ _ _ _ E
Benzodiazipine
This information is collected by the surgeon and should always be in a surgical patient's chart
This type of surgery alleviates symptoms but does not cure the patient's condition.
P_ L L _ _ _ _ _ E Surgery
Palliative surgery
This member of the surgical team helps to get the operating room ready for the procedure, among other duties, and is not scrubbed in
Circulating nurse
These are your priority assessments for any patient in post-anesthesia care
A, B, C
Airway, Breathing, Circulation
Thrombocytopenia is when this type of cell is below this number
PLATELET
Bonus: What is a patient with thrombocytopenia at risk for?
A woman of childbearing age who reports irregular menstrual periods must have this done before any surgery
Pregnancy test
A patient who is having abdominal surgery should always receive teaching on this in the pre-op stage.
Clue: C & D
Coughing and deep breathing
In this checklist, the patient's identification, surgical site marking, signed consent and procedure to be done are all verified
Pre op checklist
This is the most likely cause of post-anesthesia (emergence) delirium
Decreased oxygenation
Post-op pain management often consists of a combination of two or more of these classes of medication
CLue : N, O, P,
NSAID, paracetamol and opioid
The nurse caring for a post-surgical patient must be able to assess the difference between this normal response to injury and this problem.
I versus I
Inflammation versus Infection
If a patient arrives for a scheduled surgery and says this, surgery will likely be cancelled (multiple options)
A. I don't have someone to drive me home
B. I had a smoothie this morning
C. I started antibiotics for a sinus infection yesterday
D. I'm having a panic attack because I know I'm going to die today
B,C,D
A patient with this type of problem will need extra precautions in positioning for surgery
Musculoskeletal problem
This is a common and normal affect of anesthesia in the immediate post-op period but must still be addressed
Hypothermia
These labs are monitored to assess kidney function
Clue: B and C
BUN and creatinine
Early ambulation helps reduce these three potential problems after surgery
Clue: 1)Respiratory, 2)venous, and 3)GI disorder
atelectasis/pneumonia, deep vein thrombosis and gas pains and constipation
If a patient states that she drinks a liter of wine a day and takes melatonin with temazepam to help her sleep at night, the nurse should do this
Notify surgical team
This person is in charge of monitoring the patient throughout the surgery
Anaesthetist/Anaesthesiologist
This is a wound condition more likely to occur in obese patients but can happen with any patient and is considered a post-op emergency
Wound Dehiscence
Alterations in this electrolyte, both high and low, put a patient at risk for cardiac arrhythmias
Potassium
This common surgery requires extra protocols for infection because the consequences of an infection in the surgical site are so serious
Joint replacement/ Implant/ Stents