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Chapter 1: Intro to the OR

Terms in this set (15)

what you should do if you suspect that a piece of equipment in the OR is causing significant electrical artifact in your monitoring signal
Ask if you can turn it off when not in use. May need to power the base unit off and on again to recover if the amplifier becomes saturated.
who you should give a sterile electrode to that will be required for stimulating later in the procedure
If the sterile supplies have already been opened by the scrub tech, hand your stimulating electrode to the circulating nurse. If they haven't already been opened, you can hand the stimulating electrode to the non-scrubbed scrub tech as well.
what you should do if the anesthesia team is uncooperative with the monitoring plan and insists on a regimen that will prevent you from successfully recording data that the surgeon requests
We must always defer to anesthesia. Document your conversations with the anesthesia team in an accurate and professional manner. Inform the surgeon.
IOM start time
the reader is online and interpreting baseline data
precautions you should take to help prevent patient infections and needle sticks
Wash your hands frequently, wear gloves, tape needles to patient, make sure needles stay in your hands after removing from patient until they are discarded in sharps container (do not sit down anywhere).
changes will you make in your approach to caring for an HIV positive patient versus a patient who is not known to have HIV
We should care for each patient as if they have a contagious disease/compromised immune system, as patients/we may not always be aware of what conditions we have. We would still wear gloves when dealing with patient, and be extremely careful when placing/removing needles.
chemical, radiation, heat
methods that can be used to sterilize objects
surgeon, anesthesiologist
members of the OR team that need to be apprised of which modalities are being monitored
sterilization
to rid something of all living material requires
fingertips to elbows and waist to shoulders
personnel that are scrubbed in are to be considered sterile from
12-18inches
keep this distance from sterile areas
surgical resident
if the surgeon is not present in the OR, you report to
the reason we place our needles far from the bovie ground pad
will burn patient
what will happen if needle stimulation too high intensity or too long duration
can cause burn on patient
circulator
the first person you should speak to when you arrive in the OR
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