Chapter 19 Intraoperative Care

Front 1

The area of the surgical suite where personnel in street clothes can interact w/those in scrubs (e.g. staff locker rooms, nursing station, control desk)

Back 1

Unrestricted Area

Front 2

The area of the surgical suite that includes the peripheral support areas & corridors. Only authorized personnel in this area must wear surgical attire & cover all facial hair.

Back 2

Semi-restricted Area

Front 3

In this area of the surgical suite, masks are required to supplement attire. This area can include the OR, scrub sinks & clean core.

Back 3

Restricted Area

Front 4

A specialized waiting area inside or adjacent to the surgical suite. The area where the pre-op nurse must make final ID & assessment of the patient before entering the OR.

Back 4

Holding Area

Front 5

Sometimes, the holding area is known as this, where it's designed to allow early-morning admissions for outpatients, same-day & inpatient before surgery. Affects patient's stay throughout outpatient surgery & prevents unneccesary overnight stays.

Back 5

AOD
(Admissions, Obeservation & Discharge)

Front 6

It is preferable to have the OR next to this room & the surgical ICU for quick transportation or the surgical post-op patient & close proximity to the anesthesia personal if complications arise.

Back 6

PACU

Front 7

This member of the surgical team prepares the OR for the patient, usually being the first member of the surgical team met. Acts a patient advocate throughout intaoperative experience, educates & helps reduce patient's anxiety.

Back 7

Perioperative Nurse

Front 8

The role of this nurse is to document the nursing care of the patient. May be written or electronic. They will remain in the unsterile field & implement activities that permit touching all unsterile items & patients

Back 8

Circulating Nurse

Front 9

In many institutions, the LPN or Surgical Tech performs this function. In addition, they may pass surgical insturments.

Back 9

Scrubbing

Front 10

The role of this nurse is to work in collaboration w/the surgeon by handling tissue, using insturments, providing exposure to the suite assisting homeostasis & suturing.

Back 10

RN First Assistant.

Front 11

Process that includes asking the patient to state their name, the surgeon's name & the operative procedure and location.

Back 11

Identification

Front 12

When doing this, the nurse should 1)provide correct skeletal alignment 2)prevent pressure on nerves & boney prominences 3)provide adequate thoracis excursion 4) prevent occlusions 5)provide modesty 6)Recog individual needs such as aches, pains & deformities.

Back 12

Positioning

Front 13

The most common position used in surgery.

Back 13

Supine

Front 14

Drugs added to an inhalation anestheic are term this.

Back 14

Adjuct

Front 15

Drugs that are used pre-op for sedation & analgesia, intropertively for induction & maintenance for anesthesia & post-op for pain management.

Back 15

Opioids

Front 16

Drugs that are sedative-hypnotic that are widely used for pre-medication before surgery for their amestic effect for induction & maintence of anesthesia & conscious sedation.

Back 16

Benzodiazepines

Front 17

Drugs that are used as adjucts to general anesthesia to facilitate endrotracheal intubation & to optimize surgical working conditions by providing relaxation(paralysis) of skeletal muscles.

Back 17

Neuromuscular Blocking Agents

Front 18

Anesthisa that interrupts associative brain pathways while blocking sensory pathways. Patient appears catatonic & experiences profound analgesia in post-op period. Use for DX & therapeutic procedures that don't require muscle relaxation.

Back 18

Dissociative Anesthesia

Front 19

Anesthesia that blocks the "initiation" & transmission of electrical impulses along nerve fibers.

Back 19

Local Anesthesia

Front 20

Application of the agent directly to the skin, mucous membranes, or open surface. Should be applied 30 to 60 minutes before painful procedures.

Back 20

Topical

Front 21

Injection of the agent into the tissues through which the surgical incision will pass.

Back 21

Local

Front 22

Nerve blocks that's acheived by the injection of a local anesthetic into or around a specific nerve or group of nerves.

Back 22

Regional(peripheral)

Front 23

Involves the injection of a local anesthetic into the CSPF found in the subarachnoid space, usually below L2

Back 23

Spinal Anesthesia

Front 24

Involves injection of a local anesthetic into the epidural space via a thoracic or lumbar approach. Agent does "NOT" enter the CSF. Used for vascular procedures involving lower extremities.

Back 24

Epidural Block

Front 25

One advantage of epidural injection over spinal subarachnoid injection is decrease incident of what?

Back 25

Headaches

Front 26

A technique used to decrease the amount of expected blood loss by lowering the BP during the admission of anesthesia.

Back 26

Controlled HYPOtension

Front 27

A rare metabolic disease characterized by hyperthermia with rigidity of skeltal muscles that can result in death. It occurs in affected people exposed to Succinylcholine.

Back 27

Malignant Hyperthermia

Front 28

The prompt administration of this drug is the tx of choice for malignant hyperthermia.

Back 28

Dantrolone.

Front 29

Patients who have undergone general anesthesia are admitted to this phase area of the PACU

Back 29

Phase 1

Front 30

This is use in some PACU's in which patients are admitted to phase 1 or 2 recovery areas depending on the type of anestheisa & surgery experienced

Back 30

Fast Tacking