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30 Cards in this Set
- Front
- Back
What is the old term of Perioperative nursing
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Operating room nurse
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What does the perioperative nurse involve with care of the client
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Before surgery
During surgery After surgery |
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AORN stands for what?
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the association of RN
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What are the classifications of surgeries?
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By BODY SYSTEM first
Then degree of URGENCY by degree of RISK |
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Factors contributing to surgery risk are?
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Age/personal habits/allergies
Type of wound preexisting conditions mental status medications |
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What are the preoperative nursing responsibilities?
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Nursing history
Physical assessment preoperative screening test surgical consent complete preoperative teaching Discussion printed materials preparing the client physically |
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What is included in the nursing history?
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health history
client knowledge/understanding of the surgery |
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What is included in the preoperative screening tests?
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CBC
urinalysis ECG |
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What is included with printed materials?
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procedure
post-procedure process: home vs hospital turning, coughing, deep breathing |
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Who gets an ECG?
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Anyone over 50
heart dysrhymias |
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What is included in preparing the client physically?
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Assess NPO status
prepare skin: surgical scrub Bowel preparation Facilitate an empty bladder Administer preoperative medications Apply anti-embolism stocking |
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What is included in the intraoperative care?
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Sterile team
Clean team Anesthesia Skin preparation Positioning the client |
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Who can make the surgical consent if the patient is unable?
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Family, if no family w/ no identification, surgeon can make that decision
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What is included in preparing the client physically?
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Assess NPO status
prepare skin: surgical scrub Bowel preparation Facilitate an empty bladder Administer preoperative medications Apply anti-embolism stocking |
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What is included in intraoperative care related to client safety?
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-Final verification of correct: Client/procedure/site
-Sterile field -Monitor I&O Sponge, sharps, and instrument count Documentation |
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What is included in the intraoperative care?
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Sterile team
Clean team Anesthesia Skin preparation Positioning the client |
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Who is in the sterile team?
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surgeon, scrub nurse, RN primary assistant
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Who can make the surgical consent if the patient is unable?
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Family, if no family w/ no identification, surgeon can make that decision
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What is included in the postoperative care: nursing unit?
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-initial physical assessment
-frequent V/S -Dressing management -Pain control -DVT prevention -Incentive spirometry/TC&DB -Early ambulation -Client teaching |
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What is included in intraoperative care related to client safety?
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-Final verification of correct: Client/procedure/site
-Sterile field -Monitor I&O Sponge, sharps, and instrument count Documentation |
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What is included in PACU?
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Recovery from anesthesia
Airway management V/S/LOC Dressing assessment/drainage Fluid therapy pain control |
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Who is in the sterile team?
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surgeon, scrub nurse, RN primary assistant
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What do nursing in the PACU focus on?
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Stable V/S
AIR WAY, AIR WAY, AIR WAY |
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What is included in the postoperative care: nursing unit?
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-initial physical assessment
-frequent V/S -Dressing management -Pain control -DVT prevention - SCDs -Incentive spirometry/TC&DB -Early ambulation -Client teaching |
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What is the time frame for focused assessment/V/S?
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5 minutes
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What is included in PACU?
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Recovery from anesthesia
Airway management V/S/LOC Dressing assessment/drainage Fluid therapy pain control |
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What does PACU stand for?
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postoperative anesthesia care unit
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What do nursing in the PACU focus on?
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Stable V/S
AIR WAY, AIR WAY, AIR WAY |
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What is the time frame for focused assessment/V/S?
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every 5 minutes
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What does PACU stand for?
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postoperative anesthesia care unit
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