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7 Cards in this Set
- Front
- Back
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What are the ethical implications associtated with the perioperative process?
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-patient must voluntarily sign an informed consent with witness present
-for informed consent to be valid: explaination of diagnosis (treatment, risks, aternative treatments), patent must be competent, consent voluntarily |
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Who is responsible for getting the patient's consent?
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the physician with the nurse as a witness
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If the patient is a minor, unconscious or mentally incompetant who is able to give consent?
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-legally appointed representative
-responsible family member -a true medical emergency consent is implied but must be documented or next of kin can sign |
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During the preop period the patient must sign an informed consent what is involved with this procedure?
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-implies that the client has been given the necessary knowledge to understand the procedure and has been informed of risks/consequences
-must be obtained by doctor -nurse may witness client signature -given voluntarily -if client is a minor or physically/mentally incapacitated, nest of kin or significant other may sign -nurse acts as patient advocate |
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As a nurse what can you do to assure your patients' safety?
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-check for proper ID to ensure you have the proper client
-assess patient constantly even in holding area -positioning -moving from roller to OR table -draping -skin prep |
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What are some sources of anxiety for the patient in regaurds to surgery?
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-mutilation
-loss of control (under someone else's care) -fear of unknown -fear of pain -seperation from family or friends -disruption of lifestyle -death -loss of privacy |
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What are the common lab tests that are ran before surdery?
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-urine alaysis
-chest x-ray -blood studies (RBC, Hb, HCT, WBC, WBC differential) -electrolytes -ABGs -prothrombin -fasting blood sugar -creatine & BUN -EKG -pulmonary function studies -type & cross-match -pregnancy |
