Functioning outside of the sterile field, this caregiver is involved in all 3 phases of the patient's experience and serves as the patient's primary advocate and ensuring the delivery of safe patient care whether conscious or unconscious.
Who is the (OR RN) Circulating nurse
The red line indicates entering this zone
What is the Semi-restricted zone
Should be changed daily or when soiled
What is surgical attire
How we plan our nursing care
What is the nursing process
Horizontal surfaces are wiped at this time
What is Pre-procedure and during turnover
Focuses on establishing and maintaining a sterile field and assisting the surgeon with instrumentation during surgical procedures
Who is the Scrub person
Locker rooms, endoscopy suite, Pain Clinic and Procedure rooms are examples of what zone?
What is unrestricted zone
Major source of microbial contamination in the surgical environment
What is the human body
This part of the nursing process accounts for the care provided to the patient.
What is documentation.
*If you didn't document it, it didn't happen*
List two items that facilities must maintain documentation on
What are: Specimen logs, laser training and user logs, autoclave tests, equipment and maintenance records, chemical sterilant records
List the two roles that provide anesthesia
What are: Nurse anesthetists (CRNAs) and Anesthesiologists (MDA's)
The operating room, IR and other invasive procedural areas
What is the restricted zone
This personal item should be clean and never worn around the neck
What is stethoscope.
ID badge on lanyard also accepted
This step in the nursing process is continuous and ongoing throughout the patient's perioperative experience.
What is assessment
List 3 items to check upon entering your surgical suite
What are: Humidity, temperature, room appropriately cleaned, PPE readily available, equipment functioning (suction, OR lights, etc.), necessary PPE for hazardous chemicals or radiation, etc.
List 4 ancillary personnel that play an important role in the daily functions of the surgical suite
Who are: administrative support personnel, environmental services/ support staff, sterile processing technicians, anesthesia technicians, surgical services assistants (SSA's)
There is positive air pressure in this area
What is the restricted area
Should be used by visitors and those coming into the semi-restricted and restricted areas for brief amount of time (i.e. biomedical engineering and pathologists)
What is single-use jumpsuit
Information discovered in this phase of the nursing process can lead to changes in future patient care
What is evaluation
List 4 items that should be listed in a patient's perioperative record
What are: Preoperative and post operative skin assessment, allergies, nursing care plan using PNDS, etc.
This caregiver works under the direction of the surgeon They have advanced knowledge of physiology and tissue handling and manipulation. This role require additional education and training.
Who are: Registered Nurse First Assistant (RNFA)
List the temperature range, humidity range and air exchange requirement for the restricted areas
*double and triple points for correct identification in each category*
68-75 degrees F, 20-60% humidity and 20 air exchanges per hour- 4 of fresh air.
These head covering are permitted in Providence Health Care per policy
What are: Facility laundered cloth hat, disposable hat and disposable hat covering non-facility laundered cloth hat
List the 7 steps in the nursing process
What are: Assessment, Nursing diagnosis, Outcome Identification, Planning, Implementation, Evaluation and Documentation
This type of glove is worn to protect caregivers against Ethylene Oxide (EO) exposure.
What is thick, heavy-duty gloves