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Intraoperative Care
Medical-Surgical Nursing
| Question | Answer |
|---|---|
| The incision site | |
| What are the three areas of the surgical suite? | Unrestricted, semirestricted, and restricted |
| Which area of the surgical suite are people with street clothes allowed to be? | Unrestricted area |
| In which area of the surgical suite must people wear surgical attire and cover hair? | Semirestricted |
| In which area of the surgical suite must people wear surgical attire, cover hear, and wear masks? | Restricted |
| What should be verified in the holding area? | Relevant documents, diagnostic and lab results, procedure site marked |
| What is the AOD area? | Admission, observation and discharge area |
| What criteria must be present for a patient to be considered same-day surgery? | A hospital stay of less than 24 hours. |
| What is required for admission to the surgical ICU? | Still under sedation |
| When is OR equipment checked for proper functioning? | After every case |
| What are ideal materials in the OR that are resistant to corroding? | Leather and stainless steel |
| Which perioperative nurse is unsterile? | Circulating nurse |
| What is the role of the circulating nurse? | Documents, acts as patient advocate |
| How is the Mayo stand set up? | According to the type of surgery |
| Which perioperative nurse is sterile? | Scrub nurse |
| How should you scrub for surgery? | Begin with your hands and scrub down your arms. Same with rinsing. |
| How long should you scrub for surgery? | 5 minutes |
| What instrument should be used to shave a patient for surgery? | An electric razor |
| True or False: You can turn your back on a sterile field. | False |
| What size IV gauge should be used in surgery and why? | At least 20 gauge in case the patient needs blood products |
| What size IV gauge should be used for a pediatric patient in surgery? | 24 gauge |
| Should the IV be in place before the patient is brought to the OR? | Yes |
| Where is the center of the sterile field in surgery? | At the incision site |
| How many pairs of gloves should be worn during surgery? | 2 pairs |
| How can you assist the ACP? | Know the location of emergency equipment and drugs, remain at patient's side, and know the mechanisms of the anesthetics. |
| How can you prevent hypothermia? | Closely monitor temperature, provide warming blankets, and warm IV fluids |
| How do you prepare the surgical site? | Scrub using a circular motion from clean area to dirty and allow to fully dry |
| Who takes the patient to the PACU after surgery? | The ACP and perioperative team member |