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MedSurge C18

TermDefinition
Members of the Surgical Team Pt, circulating nurse, Scrub role, surgeon, RNFA, Anesthesiologist
Circulator Manager of the OR, RN, Conducts "time out," verifies consent has been signed, monitors sterility (non sterile role)
Scrub Role RN, LPN, Sure Tech, Sets up sterile table, Anticipates Surgeons needs, Counts needles and Sponges (Sterile role)
Surgeon Performs the surgery (Sterile role)
Anesthesia Provider Anesthesiologist (MD), Anesthetist (CRNA), monitors pts, maintains patent airway (non sterile role)
First Assist RN, Resident, Across from Surgeon in Surgery (sterile)
Prevention of Infection Restricted, Semi-restricted, and Unrestricted Zones, Surgical Asepsis, Environmental Controls
Surgical Asepsis Prevents infection of the incision
What color is considered Sterile? Blue
Types of Anesthesia General, Regional, Moderate, Local
General Anesthesia CNS depression to the point the pt does not feel anything
What is a consideration with General Anesthesia Pt won't breathe under general anesthesia so they need a patent airway
Anesthetics cross the __? Blood Brain Barrier
Regional Anesthesia Injected into nerves for a specific region
Moderate Anesthesia IV drugs that reduce pain & anxiety but only depress level of consciousness enough to tolerate discomfort
With moderate sedation pts need to do what? Have a patent airway and a gag reflex
Local Anesthesia Only area being worked on receives anesthesia
BIS monitor monitors pts brain waves while under anesthesia
Hypothermia can be Intentional or unintentional
Most common sign of Early malignant hypothermia Tachycardia
Failure to Rescue When nurse doesn't save pt
Most common allergy in the Hospital Latex
Make sure shoulder pads in trendelenburg position are not pressing on any nerves including: Brachialplexus
Positions are good for the surgeon but __ for the pt risky
Nurse should consider ___, __ ___, and ___ ___ when positioning a pt circulation, nerve damage, and skin break down
-ectomy removal (excision)
-orrhaphy repair or suture
-oscopy look in to
-ostomy make an opening in to
-otomy cut in to
-pasty repair or reconstruct
As the nurse advocator Do not let the surgical team talk negatively about the pt (sometimes they can still hear)
Created by: aleahgoodson
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