odds & ends
This type of surgery needs done to prevent life threatening complications, such as death.
What is "emergency" surgery.
Preop time from is from when the decision is made until _______.
What is "the patient reaches the surgical suite".
This step of the surgical process is where all participants pause and make sure the surgery is the correct surgery, on the correct patient, and on the correct part of the body.
What is a "time-out".
This part of the surgical team is responsible for maintaining the sterile field during the case.
What is the scrub tech or scrub nurse.
This time period starts from the arrival in PACU to the discharge to the post surgical care unit.
Immediate post-operative period
This reason for surgery is done to provide relief from symptoms, but will not cure the patient.
What is "palliative" surgery.
Who is ultimately responsible for obtaining the informed consent?
The surgeon
What member of the OR team is responsible for calling for and documentation of the time out?
This zone of the OR includes the corridors leading to the surgical suites.
What is the semi-restricted zone.
Visible signs of post operative hemorrhage include what 3 things?
Bright red blood
pooled blood
blood pressure changes
This must be present prior to offering oral fluids, postoperatively.
What is "gag reflex".
List 2 topics the nurse is responsible for educating on during the preop time frame.
Preop medications
Post op pain control
PACU/post op areas
post op routine (VS, monitoring, DBC, ambulation)
This stage of anesthesia is where the patient is over sedated and can easily result in death.
What is the medullary depression stage.
The Operating Room is considered part of what zone in the OR department?
The restricted zone
This is often exhibited with pallor, decreased blood pressure, rapid pulse, restlessness and cool/moist skin.
What is shock.
What is during the "preoperative" time period.
Voluntary consent requires a patient to be ______ years old OR an ___________________ minor.
This type of anesthetic blocks nerve impulses in specific regions of the body.
What is regional anesthesia.
This condition is a genetic disorder that can lead to death if not addressed immediately.
What is Malignant Hyperthermia
Immobility during the post op period leads to what 3 conditions?
thrombophlebitis
phlebothrombosis
embolism
After surgery it is not uncommon for a patient to have the urge to urinate, but only able to pass small amounts of urine. The nurse knows that this most likely indicates what condition?
What is "urinary retention".
Once the preoperative checklist is completed, what happens?
The OR staff assists in transporting to the OR.
This type of anesthesia is a type of regional anesthesia, in which the local anesthetic is placed in the subarachnoid space.
What is a spinal bloc.
List the 2 most prominent signs of malignant hyperthermia.
Elevated temperature (over 102*)
jaw rigidity (masseter muscle spasm)
Post operative pain tends to peak during what time period?
12-36 hours post operatively