Pre-Op
The nurse may serve as a witness to the client's signature on this after the physician has explained the procedure, risks, benefits, & complications, before sedation is given and before surgery is performed.
What is an informed consent
This member of the surgical team remains in sterile gown and gloves and monitors sterile procedure throughout the surgery
What is the scrub nurse
Often used for minimally invasive procedures like colonoscopies.
What is moderate sedation
This classification of medication is often given pre-operatively for its anti-anxiety and sedative effects
What is a benzodiazepine
This assessment is often done by the surgeon and should always be in a surgical patient's chart
What is a history & physical
This type of surgery alleviates symptoms but does not cure the patient's condition.
What is palliative surgery
This member of the surgical team helps to get the operating room ready for the procedure, among other duties, and is not scrubbed in
What is the circulating nurse
Often used during childbirth and surgeries of the arm, leg, or abdomen. Numbs a large part of the body, but you remain aware.
What is regional anesthesia
Thrombocytopenia is when this type of cell is below this number
What is platelets; 150,000 Bonus: What is a patient with thrombocytopenia at risk for?
A woman of childbearing age who has not had a hysterectomy must have this done before any surgery
What is a pregnancy test
A patient who is having abdominal surgery should always receive teaching on this in the pre-op stage.
What is coughing and deep breathing
In this step, the patient's identification, surgical site marking, signed consent and procedure to be done are all verified
What is a time out for safety
These agents are known to cause Malignant Hyperthermia.
What are Volatile Inhaled Agents and Succinylcholine.
These medications should be discontinued prior to the day of surgery. (Identify 2 medication classes).
What are NSAIDs and Anticoagulants
This would be required if surgical consent was being obtained via the telephone.
What is a Two RN verification/signatures.
If a patient arrives for a scheduled surgery and says this, surgery will likely be cancelled (multiple options- give at least 2 options)
What is A. I don't have someone to drive me home B. I had a smoothie this morning C. I started antibiotics for a sinus infection yesterday D. I'm having a panic attack because I know I'm going to die today
A patient with this type of problem will need extra precautions in positioning for surgery
What is a musculoskeletal problem
This is a normal affect of anesthesia in the immediate post-op period but must still be addressed
What is hypothermia
These labs are monitored to assess kidney function
What is BUN and creatinine
The nurse would consider it a priority to report what type of allergies to the surgical team? (Identify at least 2).
What is latex, PCN/Antibiotics, iodine.
If a patient states that she drinks a liter of wine a day and takes kava and melatonin to help her sleep at night, the nurse should do this
What is notify the anesthesia care provider
This person is in charge of monitoring the patient throughout the surgery
Who is the anesthesia care provider
These are the stages of progression when using general anesthetic agents:
What is Induction, Excitement/Delirium, Surgical Anesthesia, Danger.
What is Induction, Excitement/Delirium, Surgical Anesthesia, Danger.
Alterations in this electrolyte, both high and low, put a patient at risk for cardiac arrhythmias
What is potassium Bonus: What is the normal range?
These factors would be a part of the Pre-Operative checklist (Name at least 4).
What is proper patient identification, allergy/blood product identification, skin preparation, bowel/bladder preparation, NPO, dentures/jewelry removed.