Legalities of Documentation Name
Perioperative Normothermia
Pain Assessment
Peripheral Nerve Blocks
Hodge Podge
100

This department should be contacted for questions related to patient rights and legal issues.

What is Risk Management?

100

What is the recommended ambient room temperature for the preoperative area?

What is 68-77°F?

100

This scale is commonly used for assessing pain intensity in adults.

What is the UVA Pain Scale/Numeric Pain Rating Scale (NRS)?

100

This rare but serious event can occur from local anesthetic administration.

What is local anesthetic systemic toxicity (LAST)?

100

What is the estimated difference between axillary temperatures and core body temperature?

What is +/- 0.5-1.0 degree C?

200

This individual is responsible for obtaining consent from the patient or surrogate.

Who is the attending physician or designee?

200

Name two passive warming measures used to prewarm patients.

  • Covering the head    

  • cotton blankets

  • thermal clothing

  • blankets or garments made of reflective composite fabric (thermoflect caps).

  • Maintain ambient room temperature from 68-77 F

200

What are the benefits of setting a preoperative pain goal with a patient?

What are improved pain management, reduced anxiety, and enhanced patient comfort?

200

One major benefit is a reduction in the use of this class of medications.

What is opioids?

200

This type of communication must be documented when sharing information with the healthcare team.

What is communication with other healthcare professionals?

300

This is a mandatory step taken by the surgical team before starting a procedure.

What is a team time out?

300

Why is forced air warming recommended in the preoperative area?

What is to maintain the patient’s core temperature and protect against the rapid decrease in temperature caused by anesthetic-induced vasodilation?

300

This scale needs to be document before and after opioid administration?

What is the POSS (Passero Opioid Sedation Scale)?

300

Patients should be cautioned about this activity if they have a block in their leg.

What is standing without assistance?

300

What is the typical rapid reduction in core temperature in the first hour following induction of anesthesia?

What is 1.0-1.5°C?

400

This term refers to the failure of a medical practitioner to meet the standard of care.

What is negligence?

400

How long before entering the operating room should forced air warming be initiated?

What is at least 30 minutes?

400

Why is understanding the patient’s past pain experiences important in setting a pain goal?

What is to tailor the pain management plan to their specific needs and preferences?

400

These two blocks are required for surgeries impacting both sides of the ankle or foot.

What are sciatic and saphenous blocks?

400

An adverse effect of local anesthetic toxicity may result from this type of injection.

What is inadvertent intravascular injection?

500

A patient lacks capacity if they cannot understand this aspect of their treatment.

What is the nature, extent, and probable consequences of the proposed treatment?

500

Name two complications of perioperative hypothermia

What is increased risk of surgical site infections (SSIs), cardiac arrhythmias, blood loss, altered medication metabolism and increased pain. 

500

Name a key factor that can influence a patient's pain perception.

Cultural background

Past pain experience

gender

coping mechanisms

family dynamics


500

Recognized signs of a successful brachial plexus block may be?

HORNER’S SYNDROME

SUBJECTIVE SENSE OF DIFFICULTY BREATHING

500

Name 2 active rewarming measures for hypothermia?

Forced Air Warming

Warm IV Fluids