Perioperative Nursing

Pre-Op

100

This small, chewable confectionery item is frequently found hidden in a patient's cheek during the pre-op interview, usually defended with, "But I didn't swallow it!"

What is chewing gum

200

These surgeries require more than one IV placement.

(multiple acceptable answers)

What is robotic surgery?

What is any surgery where the patient will have arms tucked during positioning?

What is any surgery where the patient may require blood products?

300

When is it appropriate to begin teaching discharge instructions

What is during the preoperative phase of care?

400

The unspoken law of Pre-Op states that the moment you apply the warming blanket or announce you are ready to go back to the operating room, the patient will immediately have an urgent need to do this.

What is go to the bathroom/pee

500

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

Intra-Op

100

This is the name of our davinci robot

What is Charlie

200

This are unique names that Dr Cirillo likes to call some of his surgical instruments.

What are grasshoppers and sushi

300

This is how doctor Phalz remembers the fire safety acronym during the time out. (Name one of the components)

What is A for ALCOHOL prep

B for ABOVE

C OX C GEN

D CAR DERY

E for everything else

400

This specific genre of music is most likely to be blasting in the OR during a high-stakes Orthopedic total joint replacement.

What is hip hop BBQ

500

The is our current average turn over time at Calvert Health in the operating room

What is 27.8 or  28 minutes

Post-Op

100

The patient who is still unconscious post-op should be placed in this position

What is side-lying

200

This numeric score, evaluating color, respiration, circulation, consciousness, and activity, determines if a PACU patient is ready for discharge.

What is Aldrete Score

300

This is the most likely cause of post-anesthesia (emergence) delirium

What is decreased oxygenation Bonus: what is another cause?

400

This is a normal affect of anesthesia in the immediate post-op period but must still be addressed

What is hypothermia

500

This is more likely to occur in obese patients but can happen with any patient and is considered a post-op emergency

What is dehiscence

Labs & Meds

100

This drug is the ultimate "delete button" for a patient's short-term memory, ensuring they will ask you "Is it over yet?" approximately 45 times in a row.

What is versed

200

This is the ultimate, heartbreaking phrase a patient says right before you stick them, immediately lowering your confidence by 50%.

What is "I'm a very hard stick"?

300

This milky, white substance is lovingly referred to by patients and staff as the "Milk of Amnesia."

What is propofol

400

These labs are monitored to assess kidney function

What is BUN and creatinine

500

Alterations in this electrolyte, both high and low, put a patient at risk for cardiac arrhythmias

What is potassium

Miscellaneous

100

This assessment is often done by the surgeon and should always be in a surgical patient's chart

What is a history & physical

200

**Fun fact**This person possesses a PhD and 6 certifications making them the most educated go to person in our department besides the physicians.

Who is Becki Jenkins

300

This tiny, circular behind-the-ear sticker is amazing for motion sickness, but if a patient touches it and rubs their eye, they will terrify the PACU nurse with a blown, dilated pupil.

What is a Scopolamine Patch?

400

Early ambulation helps reduce these three potential problems after surgery

What is atelectasis/pneumonia, deep vein thrombosis and gas pains and constipation

500

This phrase (or phrases) is/are universally spoken by a surgeon when they want to disctract from the fact that they are incredibly stressed and are not sure how to proceed right in the middle of a critical dissection.

How is the suction? Is this the highest it can go?

What is the blood pressure?

What is the temperture? Is this the lowest it can go?