surgical classifications
removing an appendix is which type of surgery?
cure
clarifies information and witnesses signature
this ensures that the patient on the OR table is the right patient here for the right procedure on the right surgical site
time out
what would a focused assessment be for an orthopedic surgery on someone's leg?
assess circulation, total peripheral vascular assessment
giving the patient a CHG bath
pre op
olivia comes into the ER with a gunshot wound and the doctor takes her to surgery right away. what type of surgery is this
emergent
the nurse knows that before sending the patient to surgery, this gauge of IV should be inserted
18 gauge
why is proper alignment important in surgery
prevents nerve damage, does not compress/obstruct respirations, vascular supply, or nerves
sami is assessing Lenore's surgical dressing from her appendectomy 4 hours ago. the dressing has some redness and is drenched in drainage/pus/other stuff. what should she do?
reinforce the dressing, notify provider
EBL is documented during
booty implants are which type of surgery
reconstructive/cosmetic
optional
sami comes in for her preop assessment for her plastic surgery. she tells the nurse that she has recently started using herbal remedies. what should the nurse's main concern be about this?
herbal meds can increase bleeding, drop or raise HR or BP, and interact with anesthesia
in surgical asepsis, a _____ distance should be kept around the sterile field
1 foot
what are the benefits of deep breathing/coughing after surgery?
promotes lung expiration and oxygenation, prevents atelectasis and pneumonia
the patient has a CT scan after surgery. the scans show a surgical sponge was left in the patient's abdomen. which phase of the surgery process was this mistake made in?
intra op instrument count
sami's doctor recommends that she should have her tonsils removed, but she decides not to. the doctor explains that this would benefit her but it wont be catastrophic if she declines surgery. which type of surgery is this
elective
the patient is 18 years old, but they have already taken sedatives and mind altering medications. can they still sign consent?
thats a big no
the next of kin/parent should sign.
the patient's core temp in surgery is 105.4. their heart rate is 155 and their blood pressure drops to 80/45. what is the treatment for this?
IV dantrolene(malignant hyperthermia)
olivia is caring for a patient post op. she notices that the patient's skin is cool and clammy, low bp, and rapid pulse. olivia should ...
get a fluid bolus or blood transfusion
elevate legs 20 degrees
supine position
(hypovolemia)
using the incentive spirometer 10xhr while awake
post op
why is surgery an option for palliative care patients?
the surgery isnt a cure, but it can keep the patient comfortable and free of pain to promote comfort
what is the main difference between the preop checklist and preop orders?
preop orders are written by the surgeon
preop checklist is a standardized list for all patients
Surgical team member passing instruments to the surgeon
who is the surgical scrub tech
madelyn just had surgery 12 hours ago and has not peed. what is retention protocol following surgery?
bladder scan and in/out cath q6h
if it gets to 3rd in/out cath, a foley will probably need to be inserted