This period begins when the client is scheduled for surgery and ends at the time of transfer to the surgical suite.
What is the preoperative period
100
This member of the surgical team remains in sterile gown and gloves, assists the surgeon, and monitors sterile procedure throughout the surgery
What is scrub nurse or scrub tech.
100
The first priority in the care of a patient after anesthesia
What is establishing a patent airway
100
This condition occurs when there is partial or complete separation of the outer layers of the incision site.
What is wound dehiscence
100
This individual coordinates, oversees and participates in teh patient's nursing care while the patient is in the operating room.
Who is the circulating nurse
200
Review documentation, assess and interview surgical patient, administer preop medications, educate client and family regarding preoperative procedure
What is the role of the nurse in the preoperative setting
200
This member of the surgical team does not scrub in and uses nursing process in management of patient care activities in the OR suite
What is the circulating nurse
200
These groups are at higher risk for developing problems associated with postoperative hypothermia (temp < 36 degrees Celsius)
What are older adults and pediatric patients
200
A common early circulatory problem
What is bleeding or hemorrhage
200
This individual assumes responsibility for the surgical procedure and any surgical judgments about the patient
Who is the surgeon
300
The nurse may serve as a witness to the client's signature on this after the physician has explained the procedure, risks, benefits, & complications, before sedation is given and before surgery is performed.
What is informed consent
300
A type of anesthesia when patient loses all sensation, consciousness, and reflexes in clouding gag and blink reflexes
What is general anesthesia
300
This stimulates intestinal motility, enhances lung expansion, mobilizes secretions, promotes venous return, prevents joint rigidity and relieves pressure.
What is early ambulation
300
A rare but severe surgical complication where the surgical incision opens (dehiscence) and the abdominal organs then protrude or come out of the incision
What is wound evisceration
300
This individual sets up the sterile field, assists with the draping of the client, hands sterile supplies, sterile equipment and instruments to the surgeon.
Who is the scrub nurse or scrub tech
400
This assessment is often done by the surgeon and should always be in a surgical patient's chart
What is history and physical
400
Minimum time suggested for prewarming to reduce occurrence of hypothermia
What is 30 minutes
400
Examples of post-op exercises
What are diaphragmatic breathing, incentive spirometry, controlled coughing, turning, and leg exercises
400
This is frequently secondary to hypoxia, especially in older adults
What is postoperative confusion
400
This individual is a physician or master's prepared nurse who specializes in the administration of anesthetic agents.
Who is the anesthesiologist or nurse anesthetist?
500
1) Preoperative verification that ensures all relevant documents and lab results/diagnostic studies are available before start of procedure 2) marking of operative site with indelible ink to mark right/left distinction, multiple structures, and levels of spine and 3) "time out" just before starting procedure
What is the Universal Protocol?
500
Infection prevention and venous thromboembolism "VTE" - goal is to reduce incidence of surgical complications
What is SCIP (Surgical Care Improvement Project)
500
The three common types of wound drainage systems
What are closed drainage systems, negative pressure drainage systems, and open drainage systems
500
These groups of individuals are prone to develop complications such as atelectasis or pneumonia
Who are older patients, smokers, and patients with history of respiratory disease
500
These individuals are involved during the "time out" protocol