Preoperative
The surgical procedure checklist includes
What is signed operative permit and signed anesthesia pre-op note
name the 4 types of anesthesia
WHAT IS ..General, Regional, Procedural and local
Etiology
what is cause
Superficial Burn (First-degree)
WHAT IS Only effects the epidermis.
Appearance: mild to severe erythema, skin dry, small thin-walled blisters, blanches with pressure, painful
Sensation: painful, hyper esthetic, tingling, pain eased by cooling
Inflammatory Phase
WHAT IS Phase immediately after injury (3-4 days) where blood vessels constrict with platelet aggregation/clumping.
Scab is formed to protect against pathogens. Epithelial cells form over a wound within 48 hours.
Some clinical signs for this phase include: Swelling or edema, erythema, increased temperature, pain, possible loss of function.
Depilatory
WHAT IS cream or lotion that is uses to remove hair (Nair)
the number one priority when a patient is coming to PACU
what is AIRWAYS
Serous drainage
WHAT IS Clear to straw color, watery fluid (e.g., fluid found in a blister).
Circumferential burns
WHAT IS Burns that go completely around a body part such as an arm, foot, or chest.
Proliferation Phase
WHAT IS phase begins the 3rd-4th day after injury and lasts 2-3 weeks; tissue is deep pink in appearance and scarring is influenced by the degree of stress of the wound. New capillaries provide oxygen and nutrients to support tissue healing.
What Must be verified prior to surgery
what is the surgical procedure to be performed and the site of the surgery
PNEUMONIA...
Name signs and symptoms for cool points..
What is Inflammation of alveoli involving one or several lobes of lungs
Fever, increased Sputum, Purulent sputum, cough, dyspnea, malaise, abnormal breath sounds
Autolytic Debridement
WHAT IS Uses the body's enzymes to break down the nonviable tissue in small, uninfected wounds (this type of dressing could encourage bacterial growth)
Classification of Burns
WHAT IS Method of assessing burn severity by examining its depth and extent to determine whether burn is severe, moderate, or minor.
Wound visual inspection
Check for signs and symptoms of systemic infection including fever greater than 101F, increased WBC, feelings of malaise, drainage (serous, sanguineous, purulent), size of the wound (length, depth, and width), tautness (tightness) and swelling, assess for fruity or foul smelling odors.
time out include the following 5 personnel
What is
individual performing procedure
anesthesia providers
circulating nurse
OR Tech
Other participants that will be involved with procedure
Atelectasis
what is collapse of alveoli in the lungs with retained mucus secretions
Second line of defense
WHAT IS The body produces different antibodies to help destroy pathogens. Leukocytes are released in response to microorganism entering the body.
7 FACTORS THAT AFFECT HEALING
1. Type of wound
2. Nutrition
3. Lifestyle
4. Medications,
5. Age
6. Patient's health status
7. Infection.
Avulsion
Tearing away of a structure or a part.
Universal protocol was instituted by the ... to prevent mishaps
What is The Joint Commission
Hypoxemia
name s/s and why it can occur for cool points
what is
inadequate concentration of oxygen in arterial blood
restlessness, confusion, dyspnea, High or low BP, Diaphoresis, Cyanosis
Artificially acquired immunity
WHAT IS Achieved through injection of vaccines or immunizing substance that contain dead or inactive microorganisms or toxins (e.g., vaccinations against polio, measles, hepatitis B, and diphtheria).
The Rule of Nines
Divides the body into sections of approximately 9% of the total surface area. A quick assessment for classifying burns in a pre-hospital setting.
steps the provider take to prevent Pressure Ulcers?
WHAT IS 1. Check the color of the skin frequently.
2. Change the patient's position every two hours.
3. Avoid positioning the patient directly on their trochanter.
4. Use a pressure reducing device in the bed or chair.
5. Restore circulation to the area by rubbing around a reddened area, not massaging directly on it or on bony prominences
6. Provide good skin care and ensure the patient is provided adequate nutrition and hydration.