Pre- Admissions Nurse
This individual is often the first point of contact when the patient is preparing for surgery and when the patient arrives on the day of their surgery; ensures patients are: fully informed and have completed an informed consent form; are prepared for surgery and that it is safe to proceed with surgery; assess patients presenting for surgery and ensure they have made the necessary preparations; substantiate data relevant to the patient's readiness for surgery and communicate pertinent information to the surgical team.
What is the preadmission nurse?
This individual remains in sterile gown and gloves; sets up the sterile field, assists with the draping of the client, hands sterile supplies, sterile equipment and instruments to the surgeon and monitors sterile procedure throughout the surgery
What is the scrub/instrument nurse
These are your priority assessments for any patient in post-anaesthesia care
What is ABC: Airway, Breathing, Circulation Bonus: How do you assess these?
Surgical procedure, physiological status, age, postop recovery time, length of surgery and position of patient.
What are considerations to determine the type of anaesthesia?
In this step, the patient's identification, surgical site marking, signed consent and procedure to be done are all verified
What is a surgical time out?
This contains the client's signature; the explanation of the procedure, risks, benefits, & complications, and must be completed before sedation is given and surgery is preformed.
What is an informed consent?
This activity promotes venous return from the lower extremities and prevent venous stasis and DVT (deep vein thrombosis).
What is Ant embolic stockings and elastic stockings, pneumatic compression devices
This drug is administered if opioids induce excessive sedation and reduced respiratory rate.
What is Narcan?
A reversible state of unconsciousness, consisting of amnesia, analgesia and muscle relaxation.
What is General Anaesthesia?
-Failing to provide adequate information for a patients informed consent
-Failing to adequately monitor a patient and respond accordingly
-Giving a patient the wrong drug
What is negligence?
2 RN's or 1 RN & 1 EN
Who can perform surgical counts?
This is the most likely cause of post-anaesthesia (emergence) delirium
What is decreased oxygenation
Induction, Maintenance and Emergence.
What are the three phases of anaesthesia?
What responsibilities do OR staff members have in maintaining a safe OR environment?(3)
1. Adhering to facility policies related to safety 2. Consistently applying OR-specific safety practices 3. Reporting safety hazards and violations to appropriate authorities
If a patient arrives for a scheduled surgery and says this, surgery may be cancelled.
What is A. I had a smoothie this morning BONUS: what else could be done?
Used to apply electrical current through the patient's tissue, to cut and/or coagulate the tissue.
What is electrosurgery?
This is a normal affect of anaesthesia in the immediate post-op period but must still be addressed
What is hypothermia?
Also called intrathecal block: in which an injection of an anaesthetic agent into the cerebrospinal fluid in the subarachnoid space is given. It is primarily used for lower abdominal and pelvic surgery.
What is spinal anesthesia
This term is used by judges and health professionals, to identify children aged under 16 who have legal competence to consent to surgical treatment, by demonstrating sufficient maturity and intelligence to understand and appraise the nature and implications of the treatment.
What is Gillick competency?
A simple tool designed to improve the safety of surgical procedures by bringing together the whole operating team (surgeons, anaesthesia providers and nurses) to perform key safety checks during vital phases of perioperative care: prior to the induction of anaesthesia, prior to knife to skin .
What is the WHO surgical Safety Checklist?
Time-out periods, critical dissections, micro-surgery,confirming and opening implants.
What is, do not perform surgical counts?
This condition occurs when there is partial or complete separation of the outer layers of the incision site and is considered a post-op emergency
What is wound dehiscence?
This acute, life-threatening complication is an inherited response to succinylcholine and inhalation agents of anaesthesia.
What is Malignant Hyperthermia? BONUS: what drug do we treat with?
The national organisation responsible for implementing the National Registration and Accreditation Scheme across Australia
what is AHPRA?