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MedSurge C18
Term | Definition |
---|---|
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) |