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 done by the surgeon prior to the surgery and should always be in a surgical patient's chart
What is a history & physical
This is an example of a surgery that is considered emergent.
What is a gun shot, stabbing, ruptured appendix, head injury
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?
This position often used for lower abdominal surgeries puts pressure on the brachial plexus, and requires shoulder padding
What is Trendelenburg
To avoid a respiratory complication, 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
These are required required for surgical consent to be considered valid.
Given freely, all questions answered, patient awake and alert, riskd, benefits, alternatives.
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 type of anesthesia allows for immediate conversion to general anesthesia in event of an emergency
What is MAC (monitored anesthesia care)
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.
Pre-op nurses must include these in their pre operative nursing assessment (list 5 areas to be assessed)
Nutrition and fluid status, dentition, drug/alcohol use, respiratory status, CV status, hepatic and renal function, endocrine status, immune function, medication use
These two substances found in the OR setting are often responsible for causing anaphylaxis
What is latex and fibrin sealants
This type of artificial airway does not pass through the vocal chords.
What is an LMA (laryngeal mask airway)
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.