Surgical Energy
These are the 3 components that form a complete circuit in electrosurgery
What are: Generator, Active Electrode, Return Electrode
These are the 3 Stages of wound healing
What are inflammation, proliferation and modelling
According to the VCH Surgical Count Policy, an initial SSMI count should be performed when entering one of these 4 body cavities
What are: Peritoneal, Retroperitoneal, Pelvic, Thoracic
According to the VCH Surgical Site Identification Policy, these are the two conditions that must be met to waive site marking.
What are: non-lateralized procedure and through a mid-line natural orifice
CMS
Center for Medicare and Medicaid Service: Administers HIPAA and Medicare/Medicaid
This is the most likely cause of an error alarm sounding on the ESU.
This type of wound healing has the following features: Significant tissue loss, wound remains open to heal from the bottom up
What is Granulation or Secondary Intention
During a Laparoscopic Appendectomy, the circulating nurse notes that the appendix is inflamed with purulent drainage. The Wound Classification should be recorded as this.
What is: Class 4 (dirty)
These are two characteristics of Polypropylene Sutures
What are
Non-absorbable and Monofilament.
It's initiatives include "Clean Care is Safe Care" "Safe Surgery Saves Lives" and "Surgical Hand Preparation"
What is the WHO
This is when you should plan ahead and place a footpedal for cautery use.
What is when bipolar cautery will be used or for MIS surgery
This type of Wound Healing occurs when a wound is left open initially due to infection or swelling, but is closed at a later date.
What is Delayed Primary Closure
These are the most common early signs/symptoms of local anesthetic toxicity.
What are: Metallic taste, tinnitus (ringing in the ears), tingling around lips, dizziness
These are the two categories of muscle relaxants (and examples of each)
What are: Depolarizing (Succinylcholine) and Non-Depolarizing (Rocuronium)
The Joint Commission established the NPSGs which promote improvement in patient safety by highlighting problematic areas in healthcare and focusing on system wide solutions. NPSG stands for this.
What is National Patient Safety Goals
What are : Surgical Considerations; delicate tissues (neuro, plastics, ent) Patient considerations; Implanted electrical devices (pacemaker, icd, brain stimulator)
These are pre-operative factors that affect wound healing
What are: Inadequate nutrition, physical conditions, medications, age, preop skin preparation, stress and existing infections
This would be a reason to hold pre-op Heparin
What is: Planned Spinal or Epidural Anesthetic, Pending INR, Pt has not stopped blood thinners
These are the two types of staplers you will require for a Sigmoid Colon Resection with End to End Anastamosis
What are: GIA/TLC x 2 firings and EEA/CDH x 1
The IOM released their report "To Err is human: building a safer healthcare system" in 2000. IOM stands for this:
What is: Institute of Medicine
These are intraoperative factors that affect wound healing
What are: length of surgery, location of wound, complications, foreign bodies in wound, unplanned hypothermia, failure to close dead space in wound.
Your patient reports having allergies to Kiwi, Bananas and Avocado - this concerns you as you know these allergies have a cross sensitivity to this product.
What is Latex
These are the two suture materials that can be characterized as Natural and Non-absorbable
What are: Silk and Stainless Steel
ASA scores are assigned to every surgical patient and represent Morbidity/Mortality risk based on patient co-morbities. ASA stands for this
What is American Society of Anesthesiologists