Most sensitive to dosage errors
pediatric patients
medication reconciliation
promote safe pt outcomes related to medication
... [Show More] administration
contraindication to tourniquet use for carpal tunnel surgery
dialysis access device
part of surgical safety checklist
any special equipment, devices, or implants will be needed
organization responsible for accepted nursing diagnoses
NANDA
surgical site marking
surgeon before pt receives any sedation
Risk for DVT
hx of varicosities
active warming of patient with forced air should begin
preop holding area
increased risk for developing pressure ulcer
poor preoperative nutritional status
purpose of preoperative assessment
to develop pt's plan of care
preoperative hair removal
moisten the area to be prepped and use a disposable clipper
best time for SCDs
before induction of anesthesia
transferring 18 lb patient
lateral transfer device, one caregiver, one anesthesia
ionizing radiation puts pt at risk for
impaired skin integrity
importance of removing tongue ring prior to surgery
if piercing is dislodged while ET tube is being placed, it could block airway or get pushed into lung
pt statement regarding total abdominal hysterectomy
"I'm having my uterus removed"
pt at increased risk for impaired tissue integrity
intermittent claudication
purpose of perioperative plan of care
assist pt in meeting desired outcomes
sx: persistent cough w/ blood tinged sputum, night sweats, loss of appetite w/ signification weight loss
delay cleaning of the OR until the air exchange system has had time to remove 99% of particles, 28 minutes
hispanic pt, consent is only available in english
call medical interpreter
surgeon is anxious to get pt draped ASAP after prepping
remind surgeon that allowing prep to dry will prevent volatile fumes from being trapped under drapes
primary source of waste anesthesia gas
anesthesia professional's practice (intention overflow)
treatment for local anesthetic systemic toxicity
20% lipid emulsion
supine with arms greater than 90 degrees causes
brachial plexus injury
correct time to label medications and solutions
at time when med is delivered to field
plan for right breast procedure but find wire in left breast
postone prepping until discrepancy is resolved
potential harm from povidone-iodine
thyroid dysfunction
advanced breast cancer is spreading, pt is comatose and husband consents for bronchoscopy - RN feels uncomfortable and should
call supervisor and ask for ethics consult
steep trendelenberg puts pt at risk for
decreased tidal volumes caused by pressure of abdominal contents against diaphragm
unsterile person may perform a two-step skin prep using
sterile gloves donned int he open-glove fashion
type of fire extinguisher used for electrical fire
halon extinguisher, doesn't leave any residue on the equipment
PPE for risk of exposure to blood and body fluids
gloves, surgical masks, fluid-resistant gowns, and eye protection
airflow pattern and temp for restricted areas
negative pressure, 68-75 degrees
stiff neck muscles, family hx of death in OR, elevated CO2 and HR, which med to give
dantrolene
delay in case by 1 hour, what to do with sterile field
cover with sterile drape and remain in the room
Cesarean section wound class with meconium released into abdominal cavity changes wound class from
Class II to Class III
missing needle not found on x-ray, how should the nurse document the incident
document that the count was incorrect or reconciled and describe the steps that were taken to rectify the count
implant for knee replacement is unsterile, discovered at timeout, the best course of action is to
the correct implant may be sterilized via the IUSS method if biological and class V indicators are placed in the load
pt is refusing to allow for tracking of implant even after education about potential recalls
proceed with surgery and document that pt refused to allow tracking of the medical device
when to transfer specimens from the sterile field to the RN
as soon as possible
common root cause of sentinel events
breakdown in communication
use of standardized hand-over communication tool has been demonstrated to
reduce risk for errors
value of standardized process for transferring patient info
improves the accuracy, reliability, and q [Show Less]