1. performed to determine the origin and cause of a disorder or the cell type for cancer
  2. performed to resolve a health problem by repaing or removing the cause
  3. performed to relieve symptoms of a disease process, but does not cure
  4. performed primarily to alter or enhance personal appearance
  5. planned for correction of a nonacute problem
  6. requires prompt intervention; may be life threatening if treatment is delayed more than 24-48 hours
  7. requires immediate intervention because of life threatening consequences
  8. Holding area nurse
    • greeting pt
    • reviewing med record
    • preop checklist
    • consent forms signed
    • documenting risk assessment
    • physical and emotional assessment
  9. circulating nurse
    • coordinate activities within particular OR
    • set up OR
    • organize neccessary supplies
    • anticipate needed materials and inspect
    • makes operating bed, safety straps, arm boards
    • Assumes responisibilty of holding area nurse if not present
    • assists in anesthesia admin
    • assist with positioning
    • prep surgical site
    • moniters traffic in room
    • assesses urine and blood loss
    • reports findings to surgeon
    • ensures surgical team remains sterile
    • communicates pt status to family
    • documents
  10. scrub nurse
    • set up sterile field and supplies
    • maintains accurate count of sponges, sharps, and instruments used
  11. speciality nurse
    • particular type of surgery
    • nursing care specific to pt needing particular surgery
    • assesses, maintains and recommends equipment used in speciality
  12. Stage 1 (analgesia and sedation, relaxation)

    Begins with induction and ends with loss of consciousness
    close o.r. doors, dim the lights, and control traffic in the o.r.
  13. Stage 1 (analgesia and sedation, relaxation)

    pt feels drowsy and dizzy, has a reduced sensation to pain, and is amnesic
    postition pt securely with safety belts
  14. Stage 1 (analgesia and sedation, relaxation)

    hearing is exaggerated
    keep discussions about the pt to a minimum
  15. Stage 2 (excitement, delirium)

    Begins with loss of consciousness and ends with relaxation, regular breathing, and loss of the eyelid reflex
    avoid auditory and physical stimulus
  16. Stage 2 (excitement, delirium)

    pt may have irregular breathing increased m. tone, and involuntary mvmt of the extremities during this stage.
    protect the extremeties
  17. Stage 2 (excitement, delirium)

    laryngospasm or vomitting may occur
    assist the anesthesiologist with suctioning
  18. Stage 2 (excitement, delirium)

    pt is susceptivle to external stimuli
    stay with pt
  19. Stage 3 (operative anesthesia, surgical anesthesia)

    Begins with generalized m. relaxation and ends with loss of reflexes and depression of vital functions
    assist the anesthesiologist with intubation
  20. Stage 3 (operative anesthesia, surgical anesthesia)

    the is relaxed, and breathing is quiet and regular
    prep the pt's skin over the operative site as directed
  21. Stage 4 (danger)

    begins with depression of vital functions and ends with respiratory fialure, cardiac arrest, and possible death
    prep for and assist in treatment of cardiac and pulmonary arrest
  22. Stage 4 (danger)

    Respiratory m. are paralyzed, apnea occurs
    document occurrence in pt's chart
Card Set
Test one