Pre-Operative Phase
This includes the type of procedure to be performed, risks vs benefits of the surgery, postoperative care and potential complications of surgery. It is the surgeon's responsibility to obtain and the nurse's responsibility to verify and witness.
What is Informed Consent?
This is performed with the entire surgical team just before the start of the procedure to verify that it is the correct client and that the correct site has been marked.
What is a Time Out?
This is the priority assessment following the beginning of the post-operative period.
What is the airway?
This is a state of depressed central nervous system (CNS) activity, with depression of consciousness, loss of responsiveness to stimulation and muscle relaxation.
What is General Anesthesia?
This is the name of the organization that provides evidence-based guidelines and standards for perioperative nursing.
What is the Association of periOperative Registered Nurses (AORN)?
Name at least five common diagnostic tests that may be performed as part of the pre-operative screening process.
What are: CBC, Hgb, Hct, PT, INR, PTT, platelet count, electrolyte levels, creatinine, BUN, pregnancy test, urinalysis, chest x-ray, ECG, type and crossmatch
The nurse who is not scrubbed in to the surgical case but is responsible for knowing the type of surgery and anesthesia that is being used, placing the client in the appropriate position for the surgery, assisting the surgeon or anesthesiologist as needed, maintaining an aseptic environment, monitoring the client for any developing complications and completing documentation.
Who is the Circulating Nurse?
In the recovery room, nurses use and assign this as a means to to monitor the client’s recovery and readiness for transfer to another clinical area or discharge from the hospital.
What is the Aldrete post-anesthesia score?
This type of medication is recommended to be given about an hour before performing the incision and stopped within 24 hr after the surgery.
What is an antibiotic?
These are a set of patient safety standards established by The Joint Commission to help accredited healthcare organizations focus on and address critical areas of patient safety. There are specifically related to perioperative nursing care.
What are the National Patient Safety Goals?
This action begins in the pre-operative phase and is reinforced in the post-operative phase.
What is patient education or discharge teaching?
This type of environment is crucial for preventing contamination from microorganisms.
What is an aseptic environment?
Certain surgical procedures, prolonged operative time and immobility may put the patient at risk for this post-operative complication.
What is a venous thromboembolism (VTE)?
This commonly used class of medications may contribute to respiratory depression and should be monitored closely.
What are opioids?
This is the surgical purpose classification for a surgical procedure that provides relief or lessens pain.
What is palliative surgery?
This group of individuals are at greater risk for perioperative complications due to their potential for declining physiological and psychological status.
What are older adults (65 years and older)?
In addition to helping maintain sterility, a top priority for the circulating nurse is this...
What is safety?
This is the term for spontaneous opening of the surgical incisional wound.
What is dehiscence?
This class of medication induces skeletal muscle relaxation for surgery and is used in conjunction with IV anesthetic agents.
What are neuromuscular blocking agents?
Bonus $100-- Name one!
This is the surgical urgency classification for a surgery that has no urgency and can be planned to suit the client's schedule.
What is an elective surgery?
This classification system is used by anesthesia preoperatively as a risk assessment to help them and the surgeons provide best practices for clients according to their risk factors.
A life-threatening, inherited muscle disorder that may be triggered due to anesthesia.
What is Malignant Hyperthermia?
Bonus $100-- What is usually the earliest sign that this is occurring?
This surgical protocol that is implemented to drive client-centered processes postoperatively to improve client outcomes includes early mobility, early nutrition, pain control, early management of nausea/vomiting, appropriate discontinuation of IV fluids and continuing education with the patient and/or caregivers.
What is the Enhanced Recovery After Surgery (ERAS) protocol?
This class of medications are utilized in patients receiving a transplant with the aim of preventing graft and/or organ rejection.
What are immunosuppressive medications?
This is when the three perioperative phases begin and conclude.
What is "begin as soon as the client has been scheduled for surgery" and "conclude when the client has been transferred to the unit or discharged home?"