Intraop Care
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| perioperative nurse | prepare the OR; patient's advocate;last minute assessment; provide physical and emotional comfort to patient & caregiver
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| circulating nurse role | not scrubbed, gowned, and gloved; remain in the unsterile field; records all nursing care
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| scrub nurse role | following scrub procedure; remain in strile field and don sterile attire
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| Registered Nurse First Assistant (RNFA) | works with the surgeon; sutures; handles tissue; providing exposure to surgical site; assiting w/ hemostasis
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| Holding area / Unrestricted area | where you ID and assess patient before OR transfer; patient prep area; caregiver/family can visit
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| when transfering a patient to the OR | adequate staff should be present to assist in lifting; monitoring devices are added once tha patient is securely strapped down;
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| OR preparation included | placing instruments on the sterile field (aseptic technique); counting all instruments and small medical devices
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| preventing wrong site, wrong procedure or surgery, and wrong patient (includes surgical timeout) | Universal Protocol (launched by the WHO as part of the global patient safety initiative)
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| positioning of the patient should allow for | operative site accessibility; admin & monitoring of anesthetic agents; airway maintenance
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| improper positioning could lead to | muscle strain, joint damage, pressure ulcers, or nerve damage,
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| supine position | most common; used for surgeries invilving the abdomen, heart, and breast
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| prone position | used for back surgery (laminectomy)
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| lithotomy position | used for some types of pelvic organ surgeries (vaginal hysterectomy)
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| general antesthesia causes blood vessels to _______ and blood to _______. This makes positioning a high priority. | dilate, pool
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| general anesthesia (conscious effects) | loss of sensation with loss of consciousness; combination of hypnosis, analgesia, & amnesia
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| general anesthesia (physiological effects) | elimination of coughing, gagging, vomiting, and SNS responsiveness; possible impaired cardiovascular & ventilatory function
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| regional anesthesia (conscious effects) | loss of sensation to a region of the body without loss of consciousness
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| regional anesthesia (physiological effects) | blocks a specific nerve or nerve group w/ admin of a local anesthetic
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| local anesthesia (conscious effects) | loss of sensation without loss of consciousness
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| local anesthesia (administered) | induced topically or via infiltration; intracutaneously; subcutaneously
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| monitored anesthesia care (MAC);formerly called conscious sedation (conscious effects) | relieves anxiety, provides analgesia and amnesia; reamin responsive and breathe without assistance
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| monitored anesthesia care (MAC);formerly called conscious sedation (physio effects) | sedatives and opioids are used at low doses; often used for minor surgeries and diagnostic procedures
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| dissociative anesthesia | blocks sensory pathways while blocking associative brain pathways
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| dissociative anesthesia (patient response) | may appear catatonic, is amnesic and experiences profound analgesia that lasts into postop period
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| Ketamine (Ketalar) | common dissociative anesthetic; IV or IM route; promotes bronchodilation; potent analgesic and amnesic; increase HR & maintain cardia output
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| OR catastrophic events | anaphylaxis and malignant hyperthermia
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| malignant hyperthermia | rare disorder; hyperthermia w/ rigidity of skeletal muscles; primary trigger is succinylcholine; stress, trauma, & heat are other causative factors
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Created by:
ashanti20
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