Term
| A signifigant parts of periop nursing to deliver scientifically based care |
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Definition
| understanding the rationale for certain activities and interventions, knowledge of how and when to implemnet them and the skills to evaluate safety, cost-effectiveness, and outcomes of the care delivered. Knowledge of anatomy, surgical procedures, instruments, and equipment is essential when implementing nursing care |
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Term
| Perioperative nurses identify these risks and potential problems in advance and direct nursing interventions toward |
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Definition
| prevention!!!! of undesirable outcomes such as injury and infection. |
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Term
| During Pre-op you always want to tell the patient what to |
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Definition
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Term
| The Periop nurse proactively reports any concerns. What are some examples? |
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Definition
| abnormal laboratory values, or issues related to the patients lack of understanding of the planned procedure, g drugs , if the patient takes vitamin E |
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Term
As a patient advocate you should encourage your patient to _____ ___
and ask questions and expect answers that you understand |
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Definition
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Term
| Surgical site infections occured in 19% of subjects who recieved no ______ as compared to only 6% of those who received ______ |
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Term
| guidelines for preop assessment , family and patient teaching, and discharge planning |
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Definition
is relevant, concise patient information already available to the perioperative nursing staff? is enough information available to allow peroperative nurses to consider patient care needs when setting up the room ( special equipment, accessory items, instruments, sutures)
is sufficient time available to initiate a meaningful perioperative nurse patient interaction?
are surgical patients satisfied with their perioperative nursing care ( do they express feelings of comfort and satisfaction regarding their care in the surgical setting ) and do they have knowledge of the perioperative nurses role?
is there continuity of care between the perioperative unit and other nursing care units? |
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Term
| During the planning phase the nurse does what? |
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Definition
| check for proper functioning of equipment, have requisite supplies and positioning devices available, and use your knowledge of the patients anatomy to have proper instruments and sutures on hand for the procedure to be preformed, modify routines based on allergies, transmissible infections, and risk of hypothermia and DVT, also knowledge of the patients psychosocial state and feelings about the proposed operation so that the perioperative nurse can provide explanation, comfort or emotional support |
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Term
| Who is at risk for a DVT? |
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Definition
| age older than 50, history of vericose veins, myocardial infarction, cancer, a fib, ischemic stroke, or previous DVT, obesity, paralysis, inhibitor deficiency state or diabetes |
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Term
| You have to _____ _______ for the patient because they are either sedated or unconscious and are unable to speak for themselved |
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Definition
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Term
| When the periop nurse delegates a task he or she retains ________________for that delegation |
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Definition
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Term
| ____________ can no be delegated |
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Definition
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Term
| what are the 5 rights of delegation? |
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Definition
| the right task, the right curcumstance, the right person, the right communication and direction, the right supervision and evaluation |
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Term
| communication should be ____ and not provided through others |
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Definition
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Term
| providing ___________feedback or identifying a problem with performance as it occurs is essential to upholding standard of care and performance expectations |
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Definition
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Term
| Why is EBP significant to providing best patient care ? |
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Definition
| helps to evaluate alternative ways of providing care such as using different patient positioning surfaces or developing patient education materials,. It can also be used for problem solving with issues like hypothermia, a pressure injury, or retained surgical sponge |
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Term
| describe the APGAR for surgical patients |
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Definition
| estimated blood loss or EBL, lowest recorded intraoperative heart rate, and lowest recorded intraoperative mean arterial pressure or MAP is done to rate the outcomes in surgery patients |
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Term
| what facility acquired claims are no longer reimbursible by medicare? |
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Definition
| catheter uti, pressure ulcers stage three and 4, falls and trauma, surgical site infection after bariatric surgery for obesity, certain orthopedic procedures, and coronary artery bypass surgery (mediastinitis), administration of incompatible blood, air embolism, foreign object unintentionally retained after surgery, wrong site surgery, DVT, pe with knee and hip replacement, certain manisfestations of poor glycemic control |
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Term
| describe the surgical hand prep |
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Definition
| scrub each side of each finer, between, and the back and front of the hand for 2 minutes, proceed to scrub the arm, keeping the hand higher than the arm at all times. wash each side of the arm from wrist to elbow for 1 minute, repeat the process on the other hand and arm. If the hand touches anything the scrub is to be continued for 1 more minute. rinse by placing the hands in arm in one direction not tracing back. |
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Term
| Whos mission is to improve the quality, safety, efficiency, and effectiveness of healthcare for all americans |
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Definition
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Term
| coalition of professional organizations of members are directly involved in immediate perioperative care |
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