Basic OR Knowledge
How many zones are in the operating room?
Three
Unrestricted, Semi-restricted, Restricted
What is the nurses' role regarding a surgical consent.
Verifying the consent has been signed and completed.
Tachypnea, increased ETCO2, Tachycardia, Dysrhythmias, muscle rigidity
Name at least 4 items that should be removed before sending a patient to the OR.
Jewelry, underwear, dentures, contacts/glasses, hearing aids
What attire do you need to be wearing when crossing the red line?
Scrubs, scrub cap, mask
(if there are open sterile supplies)
What consents must be signed before surgery?
Procedural, anesthesia, and blood
What are the last signs of MH? List at least 2.
If a patient is on the ESR Pathway what should they drink before surgery and when?
Carbohydrate drink or Gatorade drink 2 hours before surgery
The OR circulating nurse has many roles in the operating room. Name at least 3.
Patient assessment, patient advocate, control of environment, coordination of activities r/t patient care, maintenance of asepsis/aseptic technique, communication, monitoring of patient, supervision of ancillary staff, documentation, HVAC tech, runner for supplies, secretary, DJ (just to name a few)
T/F: Abbreviations are allowed to be used on consents.
False
What is the antidote/medication used to treat MH?
Dantrolene Sodium/Ryanodex
Name two actions that must be done if a patient refuses to remove their jewelry.
They must sign a waver form and be aware of the risk of wearing jewelry in surgery.
This is the name of the person in the OR who focuses on establishing and maintaing the sterile field, passes instruments and supplies, and keeps surgical counts w/circulating RN.
Scrub Tech or Surgical Technologist (CST)
A surgical consent must have these items on it to be considered complete. Name at least 3.
Name of the surgeon completing the procedure; name of the specific procedure and location; patients signature (or legal representation), date and time; witness signature, date and time; surgeon's signature, date and time.
What are the triggering agents of MH?
Succinylcholine & inhalation anesthetic gases (isoflurane, Desflurane, Sevoflurane)
When must an H&P be updated?
Within 24 hours PRIOR to surgery