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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) |