Wake Me Up
DVT, urinary retention, respiratory depression and hypotension.
What are possible post-op complications?
Pass the sterile instruments to the surgeon.
What is the role of a scrub nurse/tech?
Pressure in the lower back
What does the nurse teach the patient about expectations of a lumbar puncture (LP)?
Skin breakdown
What is results of a procedure that took 8 hours?
Provide clear, honest information about the procedure.
What is nursing interventions when preparing a patient for surgery?
Hypothermia, DVT, atelectasis, N & V
What are possible post-op complications?
Draping the patient and maintaining asepsis during the procedure
What is a role of a scrub nurse/tech?
Obtain an informed consent
What does the nurse make sure is present before beginning any procedure or surgery?
DVT
What is results of a procedure that took 8 hours?
Delay administering antibiotic.
What is not administering an antibiotic 30 minutes before surgery as ordered since surgery has been delayed?
BUN, potassium, and glucose
What are post-op lab tests?
SSI (surgical site infection), positioning related injury (especially from long surgeries), malignant hyperthermia, RSI (retained surgical items- why the "sponge" count is essential)
What are safety risks for patients during surgery and PACU?
Make sure the patient is lying on their side with their knees drawn up to chest
What is the patient position for an LP?
Obesity, prolonged immobility, recent surgery, pregnancy and a diagnosis of cancer
What are possible causes of a post-surgical VTE (venous thromboembolism)?
Lab values.
What is review the patient's lab values prior to surgery to ensure the patient can safely tolerate the procedure?
BUN/Creatinine, Hgb/Hgt, electrolytes
What are tests performed in the PACU to assess for possible surgical complications?
What is a role of the circulating nurse?
Tell me your concerns regarding this procedure.
What is using therapeutic communication when addressing a patient's concerns about an upcoming surgery or procedure?
Smoking/tobacco use, elderly, non-ambulatory, Hx of DVT
What are causes of post-OR venous thrombosis?
Patient admits to oral intake before surgery.
What is inform the anesthesiologist?
Hx of varicose veins, immobilization, dehydration and prolonged sitting or standing
What are possible causes of DVT?
ABCD
What is priority/ initial assessment of ALL patients?
Airway, breathing, circulation and disability (LOC)
Patient complains of a headache after a nerve block and ensures the patient is lying flat
What is assessing the procedure site for leakage and interventions to reduce the headace?
Incentive spirometer every hour, encouraging deep breathing, encouraging ambulation ASAP
What are interventions for the post-op nurse?
Taking your vitamins and some water this morning before surgery should not be a problem. I will inform anesthesia.
What is during the pre-op assessment patient admits to nurse that he has taken his vitamins with water today?