Periop 101 Study Guide Part 1

Terminal cleaning takes place at least once every 24' (at end of schedule).

Needle that has smooth point, no cutting edges, pushes tissue aside

Bipolar electrosurgery is commonly used, active electrode is in the surgical site while return electrode is on patient

Converts electrical energy to mechanical energy, transmitted to handpiece, for blunt or sharp dissection & coagulation.

Depressed consciousness that patient retains ability to maintain airway and respond appropriately

All of the following are TRUE, with the exception of:

Patient and family education does not increase knowledge, satisfaction and outcomes.

Recreational drug users require higher does of anesthetic and must be monitored for withdrawal symptoms.

Colon resections are considered CDC Classification I.

Periop RN determines the position that will facilitate optimal exposure.

Self determination is based on respect & patient's right to make choices based on truthful information

The periop RN's role in patient and family education includes:

Lab values can be altered by:

Electrosurgery is used during surgery to cut/coagulate tissue using a low radio frequency electric current

When using dispersive electrodes, all of the following are true EXCEPT:

The following should be included in preop interview EXCEPT:

Cocaine and heroin users are often pre-medicated with opiates.

Specimen collection and labeling includes the following, EXCEPT:

Most commonly used during vascular closure, septal repair, heart repair and hepatic repair.

A ruptured appendix or old traumatic wound is classified by CDC as:

CDC's Wound Classification's purpose is to monitor postop infections and take steps to reduce them

Automatic suspension of DNR orders is a violation of patient rights to self determination.

Surgical tissue banking is:

A hemostat used to control bleeders in SQ tissue:

Air sampling should be performed before construction begins, after demolition and at end of project.

Patients that should be considered latex sensitive are all f the following EXCEPT:

A ligature strand tied around a blood vessel to occlude bleeding.

Needle point that cuts through tissue, frequently used for skin closure

Sequence of events for healing: hemostasis, clean up, wound sealing, regeneration of epithelium, deeper tissue repair

The first step in the sterilization process is cleaning.

Alcohol provides the quickest reduction in microbial counts.

Thyroidectomies are considered CDC Classification:

Form of monopolar electrosurgery that uses electrical current and argon gas, can cause gas emboli

What is NOT included in the Aldrete Scale?

Transfer of electrical current from active electrode through intact insulation to adjacent conductive tissue or trocars.

Safe use of surgical energy includes:

Most effective way to prevent disease transmission/control infections is wearing a mask.

Includes Pre-op Holding, Waiting Rooms, Blood/Specimen processing.

Guideline for environmental cleaning: a safe environment does not have to be established after each procedure

Accurate preoperative documentation of patient admission includes:

The surgical scrub or antisepsis hand rub performed before donning sterile attire preoperatively

Major source of microbial contamination in the surgical environment:

Patient and family education improves quality of care, patient satisfaction, increases adherence and:

Routine hand hygiene is to remove transient M/O from hands, reduce resident M/O and inhibit rebound regrowth.

"Changes in healthcare organizations will have the most impact on making care delivery process safer for patients"

Damp dusting is done with cloth dampened with disinfectant after first case of the day starting with lower surfaces.

Mixture of beeswax, isopropyl and softening agent

What is a pledget?

Individualized patient care plan initiated during pre-op phase includes:

Psychosocial assessment includes: (multiple answers)

Second intention or granulation phase of healing:

General hand hygiene is:

Bone wax is used in:

In PACU, the FIRST thing the RN should assess is:

Organisms traveling from wet skin and soaking through contaminating an object

Anesthesia provider ensures that position does not compromise airway management, vascular access, or cardiac stability.

What mandates employers to provide programs for training of employees regarding unsafe work conditions.

Documentation of placement of tubes, catheters, drains and packing include:

Objective data includes patient's thoughts, feelings and perceptions regarding surgery

What is a mosquito?

If drapes shift after placement, you should slide them back into place as soon as possible.

A sterile field can be covered when there is an unanticipated delay or during periods of increased activity.

A benefit to using reusable drapes is that fibers loosen over time and increase barrier quality after several cycles.

Who is responsible for devising emergency plan?

Suture choice for plastic surgery:

A fomite is:

Clamp used to control bleeders in muscle tissues:

NPSG's focus/purpose is to include the following EXCEPT:

Derived from scientific knowledge developed through research and clinical practice such as counting sponges:

JC's protocol for preventing wrong site, wrong procedure, wrong person surgery. Protocol includes all BUT:

DVT Prophylaxis includes:

Supplements, drugs, smoking & ETOH do not effect bleeding times, increase toxicity, or interfere with drug metabolism.

What is a neutral zone?

Chemically dependent patients are not usually concerned with post-op medications.

Open/ Fresh traumatic wounds are classified as CDC Classification:

To prevent ulnar nerve, elbows should be padded and sheet tucked between patient and under bed mattress.

Surgical steel can be used in the presence of another alloy

Type of anesthesia and position required for surgery are not important considerations during periop assessment.

When labeling medications, include the following:

What age group interprets terms literally?

Subjective data includes facts, figures and findings including nursing notes and plan of care

CHG antimicrobial agent can not be safely used above the neck

The most effective method for floor care in surgical suite is using hand vacuum.

Closed gloving is when gown sleeves are pulled up so hand and fingers are exposed

A preceptor teaches,counsels, inspires,serves as a rolemodel and supports growth & development for FIXED period of time

Multiple ESUs can be used, but should use same technology and conform to same set of applications.

Zone located in the semi-restricted area, only accessible via semi-restricted area, includes actual procedure room

Decontamination is the _______ step in the sterilization process. disassembly, flush lumens, enzymatic agent.

When placing patient in lateral recumbent position includes the following EXCEPT:

Includes equipment room, sterile supply storage, sterile processing department.

Periop nursing assessment in Phase I of PACU includes the following EXCEPT:

Biological monitoring: Absence of growth, all parameters have been met, no growth, no color change

Documentation of pneumatic tourniquet includes:

Individualized Care reflects art of nursing, meets patient needs and provides comfort measures

Positions that adversely affect diaphragmatic movement are all of the following EXCEPT:

When does the body react to sutures and what is the reaction?

When utilizing electrocautery near the head/ neck:

Coordinates the activities related to positioning:

Informed consent for surgery includes:

Alcohol provides persistency in reduction of microbial counts.