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Part one - Pre-op case management

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What are the 3 Phases of Surgical Case Management?   show
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Preoperative case management: Prepare the ___. Pull necessary _____________(s). Prepare and maintain the __________ field. _______, gown, and _______. Count. Drape. Don ___.   show
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Intraoperative case management: Maintain the ________ field. ________________ team members needs. Pass __________(s) and ___________(s) as needed. Prepare and handle med_____(s). Speciman ______. Dressings.   show
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show - STERILE FIELD - Decontamination area - Sharps  
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show Intraoperative case management  
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 Prepare the OR  Pull necessary supplies  Don PPE  Prepare and maintain the sterile field  Scrub, gown, and glove  Count  Drape   show
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 Maintain sterile field until patient is transported  Transport used instruments and equipment to decontamination area  Prepare OR for next patient  Dispose of sharps   show
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A POSitive CARE approach. What do the letters in CARE stand for?   show
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show A - Anatomy P - Pathology O - Operative (procedure) S - Specific (variations)  
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show The five steps to critical thinking.  
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show 1. Identifying the goal or problem  
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What is the second step in the five steps to critical thinking?   show
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show 3. Generating one or more responses  
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show 4. Implementing the best response  
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show 5. Assesing the results  
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Where can you gather information about the surgeon and what he wants?   show
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show -breathing -food -water  
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Name three physicological needs :   show
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Reminder  Never judge a patient  Condition  Behaviors that led to condition  Personal appearance  Surgical choices  Always view patients with compassion This is called :   show
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show All of these things should be in the patient chart.  
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show -Permission to perform an action. -permission to touch (voluntary- can be taken away at any time).  
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Touching without permission can be_______.   show
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show - Their condition - Proposed procedure - Risks - Viariables - alternatives  
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show Surgeon  
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Preoperative Patient Education reduces ____________.Significant increase in patient __________________. Proven to shorten hospital stay.   show
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show PREOPERATIVE ( before admitting to hosptial for surgery).  
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Nail polish should be removed to better measure blood oxygen saturation Pulse oximeter Makeup should be removed Skin tone Infection   show
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All ______________ should be removed prior to surgery. Dentures, prostheses, and implants also need to be removed.   show
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show Labeled  
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show - Give to family members - Lock in the hospital safe - Labeled and kept with patients chart  
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Preoperative medications are used to:   show
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These medications should be taken __ to __ hours before surgery.   show
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show True that.  
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Know the proper attire for the surgical technologist.   show
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show Daily  
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Shirts and drawstrings tucked __.   show
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show Need to change SCRUBS if they become soiled.  
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Wear a cover gown or ____ ______ when leaving the O.R. environment. It looks professional and it prevents cross-contamination.   show
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show True  
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Masks are worn at all times in _________________ areas. Tied snugly to fit over mouth and nose  Strings of mask should not be crossed  On or off  Not hanging around neck  Handled with strings Minimal  Changed between all cases.   show
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show Shoes  
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show Waist level to mid level.  
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Sleeves circumferentially to _____ inches above elbows.   show
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show Non sterile  
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_________(s) Should be worn anytime contact with broken skin or body fluids is expected.   show
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show Integrity  
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Check the ________ date.   show
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show Back  
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show Larger items to smaller items.  
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STSR’s gown and gloves should not be opened on the ____ _______.   show
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During a surgical scrub hands and arms need to be __" above the elbow.   show
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Surgical scrub should provide a film that lasts for several __________.   show
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There are two types of surgical scrubs:   show
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show Self drying and gloving  
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show Preperation of sterile field  
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Sponges. Packs of __ or __.   show
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show Dressing sponges.  
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Patient Transport   show
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Apply safety strap __” above knee  Proximal to knee. Never leave patient alone.   show
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Normal temp values: Oral: Rectal: Axillary:   show
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show Noninvasive: -touch -skin sticker -ear -axilla INVASIVE: -Oral -Rectal -Esophogeal -Bladder  
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show Birth: 130-160 Infants:110-130 Children (1-7): 80-120 Children (over 7): 80-90 Adults: 60-80  
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Normal Respirations: Infants Children Adults   show
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Normal BP for a newborn:   show
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Normal BP for a child under six years of age:   show
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Normal BP for a child to ten years old:   show
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show 118/75  
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show -Supine -Prone -Lateral  
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show Supine  Prone  Fowler’s  Trendelenburg  Reverse Trendelenburg  Lithotomy  Kraske  Lateral  
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Created by: Dmercer