When should assistive technology be used when transfering a patient?
When one team member is required to lift more than 35lbs of patient
Time for
... [Show More] surgeon to authenticate verbal orders (federal mandate, not hospital policy)
48 hours
Examples of clinical alarms
alarms on cardiac monitors anesthesia machines, ventilators (visual, auditory or both)
Universal Protocol
prevent wrong site, wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices
air-assisted transfer mattresses (hovermats), full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries
blunt suture needles, safety scalpels, needless systems, alternate wound closures
Contact time
specific length of time disinfectants can remain in contact w/ microorganisms to achieve disinfection
For every time of equipment of supply used on or for patient, what document should always be followed?
IFU- manufacturer's instructions for use
Adverse reactions to polymethymethacrylate (bone cement)
hypotension, cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity, thrombophlebitis, death
RN's action after hearing a verbal order from Dr
read back the order
Symptoms of local anesthetic systemic toxicity
metallic taste, confusion, dizziness, numbness (initial phase)
Indication for use of BSS (Endosol) (balanced salt solution)
keep eye moist during surgery
Effective meds to reduce postop N/V
Droperidol, Ondansetron, Promethazine
Maximum number of meds prep RN should compound in periop suite
Three
What type of muscle cell is affected during MH?
Skeletal
Examples of research evidence
RCTs, systematic reviews, quasi-experimental studies
Standardized language that reflects period nursing practices?
Perioperative Nursing Data Set (PNDS)
Examples of non-absorbable suture materials
cotton, milk, nylon sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's
Deep brain stimulator
What is Unique Device Identification?
FDA requirement; every device has a number (also on package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries
Braden Scale, Munro Scale, Scott Triggers Tool
Using prophylactic dressings applied to healthy skin that is at risk for pressure injury may reduce effects of
pressure, shear, friction
Scatter radiation
reflected off patient, table, shielding, material (secondary radiation)
risk to personnel in room
Leakage Radiation
emanates from X-ray tube housing (secondary radiation)
Remnant Radiation
exits patient & imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic antibiotic, when ordered for a patient whose plan of care includes the use of a pneumatic tourniquet, should be based on the
goal of achieving optimal tissue concentration
& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb.
arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be exsanguinated by
using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial tourniquet inflation pressure by measuringthe patient's
limb occlusion pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN should position the cuff tubing on or near the ___________ aspect of the extremity.
lateral
A perioperative RN develops a plan of care for a patient whose surgery includes the use of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's temperature throughout the perioperative period is considered what part of the nursing process for this patient?
intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed
350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a pneumatic tourniquet, the perioperative RN should place a single-use dispersive electrode _____________ to the cuff.
proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the duration of employment plus ___ years?
30 years [Show Less]