-
there are three zones to a surgical suite
- unrestricted area
- semi restricted area
- restricted area
-
members of the surgical team include
- surgeon and surgical assistant
- anesthesiologist and nurse anesthetist
- holding area nurse
- circulating nurse
- scrub nurse and surgical tech
- specialty nurse
-
holding area nurse does what
- manages the client's care while he or she is in the holding area
- reviews chart and preop checklist, ensures consent forms are signed
- IV insertion and cath placement if ordered
-
Circulating nurse does what
- coordinate, oversees, and participates in pt care while in OR
- circulator sets up OR and ensures that necessary supplies are available
- preps pt in OR
- assists anesthesiologist
- positions pt on OR table
- assess amount of urine an blood lsot during surgery
-
What does the scrub nurse do
- assists in prep of OR
- assists in scrub prep of OR staff
- hands instruments to surgeon
- monitors aseptic technique
-
surgical attire =
- surgical hat
- suits
- shoe covers
- masks
- face shield and eye wear
-
reduce surgical site infections through
- sterile technique
- antibiotics
- awareness of pt risk factors
- advocacy
-
when positioning a patient for surgery care must be used to ....
- provide correct skeletal alignment
- prevent undue pressure in nerves, skin, over bony prominences, and eyes
- allow adequate breathing
- provide modesty
- recognize individual needs of pt
-
surgical time out is
where team verfies pt ID, surgical procedure, and site
-
instrument counts need to be done when
- before the procedure
- befroe closure of cavity
- before wound closure
- staff change
-
Anesthesia is...
the limited or total loss of feeling with or without loss of consciousness
-
anesthesia classifications
- general
- regional
- local
- monitored anesthesia care (MAC) formerly called conscious sedation
-
general anesthesia administered via
-
regional anesthesia example =
epidural
-
anaphylactic reactions in OR are most oftened caused by and what are symptoms
- antibiotics
- latex
- hypotension
- tachycardia
- bronchospasms
-
Malignant hyperthermia =
- rare autosomal dominant trat
- characterized by hyperthermia and rigidity of skeletal muscles
- occurs in people at risk who have been exposed to certain anesthetic agents
-
common manifestations of malignant hyperthermia =
- muscle rigidity
- heart arrhythias
- hypotension
- tachypnea
- skin mottling
- extreme high fever
-
MH treatment =
- stop all inhalation agents
- ventilate pt with 100% o2
- admin dantrolee sodium (Dantrium) Iv
- use active cooling
- treat arrythmias
-
major focus of nursing interventions in intraop phase =
- maintenance of pt safety
- prevention of post op complications
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