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HEMOSTASIS
NAME THE DRAIN
PERIOP SAFETY: EQUIPMENT FOCUS
MORE SAFETY
MEDICATIONS AND SOLUTIONS
100
An intense and concentrated beam of light that coagulates and cuts at the same time while minimizing tissue destruction is a ______.
What is a LASER
100
Used for abdominal surgery, peritoneal cavity or skin wounds
What is PENROSE DRAIN
100
The best strategy to reduce the risk associated with ignition of prep solution vapor it to....
What is to ALLOW THE PREP SOLUTION TO COMPLETELY DRY AND FOR THE VAPORS TO DISSIPATE BEFORE DRAPING
100
The linens used in the surgical suite should be flame retardant. True or False.
What is TRUE. THE LINENS USED IN THE SURGICAL SUITE SHOULD BE FLAME RESISTANT.
100
In addition to hyponatremia, ______is a result of improper fluid management
What is HYPERVOLEMIA.
200
A device that uses ionized gas and electrical current to coagulate vessels is a _______.
What is ARGON BEAM
200
Decompression of the stomach.
What is NASOGASTRIC TUBE. Decompression of the stomach (Levin Tube), decompression of the small intestine (Miller-Abbott tube) and nasogastric suction (Salem sump tube).
200
Fire Triangle Elements are....
What is IGNITION SOURCE (electrosurgical unit, argon beam coagulators, lasers, fiber optic light source/cables, power tools/drills/burrs, defibrillator paddles, electrical equipment) OXIDIZER (oxygen, nitrous oxide, sevoflurane), AND FUEL (linens and drapes, prep solutions, intestinal gases, body tissues and patient hair, skin degreasers/tinctures/aerosols)
200
Do not use an ESU in an oxygen-enriched environment, such as the trachea. True or False.
What is TRUE. DO NOT USE IN AN OXYGEN-RICHED ENVIORNMENT, SUCH AS THE TRACHEA OR UNDER A SHEET WHEN OXYGEN IS BEING "BLOWN OVER" A PATIENT.
200
The adverse reaction to penicillin when topically administered is ______ _______
What is TISSUE DAMAGE
300
_________ is used to apply electrical current through the patients tissue to cut and/or coagulate the tissue.
What is ELECTROSURGERY
300
Inserted into the biliary tract to allow for drainage of bile. Generally left in place in 10 days or more in order to develop a tract through which bile can drain after the tube is removed.
What is T-TUBE
300
Surgical patients who are evacuated due to a fire have an increased risk for......
What is POSTOPERATIVE INFECTION
300
Basic fire safety guidelines include: A. Apply an extinguisher agent even after the flames are out B. Evacuate ambulatory patient last C. At a safe area, regroup/account for all patients and staff D. Have an evacuation plan posted in the surgical suite and review it frequently E. Hold routine fire drills or mock scenarios involving all members of the surgical team F. Move patients vertically
What is A. Apply an extinguisher agent even after the flames are out C. At a safe area, regroup/account for all patients and staff D. Have an evacuation plan posted in the surgical suite and review it frequently E. Hold routine fire drills or mock scenarios involving all members of the surgical team
300
_________ are a risk to patients allergic to iodine and shellfish.
What is RADIOGRAPHIC DYES
400
This method of hemostasis can include high frequency electric current provided from an electrosurgical unit to coagulate bleeding points; bipolar vessel sealing devices; laser energy sources; ultrasonic energy; and radio frequency energy generated by Argon gas.
What is THERMAL METHOD OF HEMOSTASIS
400
Used for Thoracic surgery and Cardiac surgery
What is CHEST TUBES
400
Potential sources of fuel for surgical fires include:
What is Patient and staff linens and drapes, prep solutions, skin degreasers/tinctures/aerosols, body tissues and patient hair, and intestinal gases
400
During an electrical power outage, the perioperative RN should be aware that a back-up generator should be activated within______
What is 10 SECONDS
400
Posterior pituitary hormonal agents are administered as ______.
What is REGIONAL INJECTIONS
500
Involves applying physical pressure on the wound to stop blood flow. Can include direct pressure using fabric pads/gauze sponges/sponges sutures, staples, or ligating clips
What is MECHANICAL METHOD OF HEMOSTASIS
500
Used for abdominal or breast surgery.
What is SUCTION DRAINS. Jackson-Pratt and Hemovac(Orthopedic Surgery) are two specific types of suction drains and both removed blood or other fluids that might build up at surgical site.
500
When lasers are in use risks to patient and staff include....
What is EYE INJURY, FIRE HAZARD, AND INHALATION OF LASER PLUME
500
_______ in the OR cause vapors or fumes that may be hazardous to our health and are hazardous because the vapors can easily ignite even without a direct connection to an ignition source
What is A VOLATILE LIQUID. MOST OFTEN ASSOCIATED WITH SKIN ANTISEPTIC AGENTS, ANESTHETIC GASES, SPECIMEN FIXATIVES, AND LUBRICANTS.
500
After a medication has been administered, documentation should include what 7 things:
What is NAME OF MEDICATION, NAME OF PATIENT, CONCENTRATION OF THE MEDICATION, CREDENTIAL OF THE PERSON ADMINISTERING THE MEDICATION, THE DOSE, ROUTE AND TIME OF ADMINISTRATION