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.
What is Informed consent?
This member of the surgical team remains in sterile gown and gloves and monitors sterile procedure throughout the surgery.
What is Scrub nurse or scrub tech?
The patient who is still unconscious post-op should be placed in this position.
What is side-lying?
This classification of medication is often given pre-operatively for its anti-anxiety and sedative effects.
What is a Benzodiazepine?
This information is collected by the nurse and should always be in a surgical patient's chart.
What is the Medical History?
This type of surgery alleviates symptoms but does not cure the patient's condition.
What is 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, charts the entire process and takes the patient to the PACU when the surgery has ended.
What is the Circulating nurse?
These are your priority assessments for any patient in post-anesthesia care: They stand for what?
A, B, C
What is Airway, Breathing, Circulation?
This type of anesthesia is injected near a nerve or a nerve pathway or around an operative site.
What is a Regional anesthetic?
A woman of childbearing age who reports irregular menstrual periods must have this done before any surgery.
What is a Pregnancy test?
A patient who is having abdominal surgery should always receive teaching on this exercise for the lungs in the pre-op stage.
What is Coughing and deep breathing or incentive spirometry?
In this checklist, the patient's identification, surgical site marking, signed consent and procedure to be done are all verified.
What is Pre op checklist, or Time-out?
This is the most likely cause of post-anesthesia (emergence) delirium.
What is Decreased oxygenation, or anesthetic medications?
Post-op pain management often consists of a combination of two or more of these classes of medication.
What is an NSAID 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.
Hint: I vs I
What is Inflammation versus Infection?
This type of surgery is performed to restore function to tissue.
What is reconstructive surgery?
A patient with this type of problem will need extra precautions in positioning for surgery.
What is a Musculoskeletal problem?
This is a common and normal affect of anesthesia in the immediate post-op period but must still be addressed.
What is Hypothermia?
These labs are monitored to assess kidney function.
What are BUN and creatinine?
Early ambulation helps reduce these three potential problems after surgery
Clue: 1)Respiratory, 2)venous, and 3)GI disorder
What is 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.
What is Notify surgical team, especially the surgeon and anesthesia provider?
This person is in charge of monitoring the patient's airway and vital signs throughout the surgery.
What is the Anesthesia provider?
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.
What is Wound Dehiscence/Evisceration?
Alterations in this electrolyte, both high and low, put a patient at risk for cardiac arrhythmias.
What is Potassium?
This common surgery requires extra protocols for infection because the consequences of an infection in the surgical site are so serious.
What are Joint replacement/ Implant/ Stents?