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Terms in this set (31)
another name for the holding area
admission, observation and discharge area
registered nurse who implements patient care during the perioperative period based upon the nursing process
first person that the day surgery patient encounters is usually the
perioperative nurse who is not gowned, scrubbed, and gloved, and remains in the unsterile field
perioperative nurse who follows the designated scrub procedure, is gowned and gloved in sterile attire, and remains in the sterile field
The nurse in the operating room who records all nursing care
who is responsible for preoperative medical history and physical assessment, including need for surgical intervention, choice of surgical procedure, management of preoperative testing, and discussion of the risks and alteratives to surgical intervention
Who is responsible for patient safety and management in the OR
who is responsible for postoperative management of the patient?
Physician, registered nurse or non-physician who functions in an assisting role during surgical procedure, who usually holds retractors to expose surgical areas and assists with hemostasis and suturing, may perform some portions of surgery under supervision of surgeon
Works in collaboration with surgeon to produce an optimal surgical outcome for the patient, must have formal education, handles tissue, instruments, providing exposure to surgical site, assisting with hemostasis and suturing
registered nurse first assistant
one who administers anesthesia and can be an anesthesiologist or nurse anesthetist
anesthesia care provider
hair around the surgical site should be removed with
prophylactic antibiotic started how long before surgical incision?
the center of the sterile field
gown: chest to table level and sleeves to two inches above elbow
only parts of gown considered sterile
tables considered sterile only at
preventing the wrong site, wrong procedure, wrong surgery
all members of a surgical team stop what they are doing just before the procedure to verify patient identification, surgical procedure, surgical site
surgical time out
most common surgical position
position best suited for surgery involving the abdomen, heart and breast
used for some kinds of pelvic organ surgery
allows for easy access to back surgery
general anesthesia causes peripheral blood vessels to
purpose of skin preparation, or "prepping"
reduce number of microorganisms
who is responsible for the choice of anesthetic?
allows ACPs to track the level of patient awareness during surgery
Bispectral Index monitor
What is a surgical time out?
all members of the surgical team stop what they are doing just before a surgical procedure to verify patient ID, surgical procedure and surgical site
What are the nurses' duties in relation to the surgical time out?
Identify patient asking them to state name, DOB and operative procedure and location, match hospital ID# with patient's own armband and chart
If a patient is having surgical procedures that are of a significant duration, require skeletal muscle relaxation, require uncomfortable operative positions, or require control of respiration, what anesthesia would you anticipate is being used?
How is general anesthesia induced/maintained?
inhalation or intravenously, or both
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