2021 AORN PeriOp 101 Exam
1. distraction (background noise, conversations, radios)
2. fatigue & sleep loss
3. drugs (including alcohol & caffeine)
4. juggling multiple activities
5. stress
6. boredom
7. frustration
8. anxiety
9. anger
10. physical stamina d/t occupational muskuloskeletal injury (back/shoulder) -
ANS-situational factors which play a significant role in medical errors
1. healthcare organizations
2. healthcare professionals
3. FDA - ANS-should strengthen the focus of existing processes on patient safety
issues
1. sense of trust among team members
2. development & support of proactive approach
3. dissemination & verification of receity of info to all levels of staff & management
4. sincere commitment to affirming safety as 1st priority - ANS-Culture of Safety
316L-SS low-carbon iron allow wire - ANS-surgical stainless steel sutures
a responsibility of the scrub person ahead of laparoscopic procedure - ANS-checking
and tightening any screws on endoscopic instruments
active hemostatic agents - ANS-contain thrombin and products mixed with thrombin to
ENHANCE CLOTTING at the bleeding site
*ex: thrombin topical bovine, thrombin topical human, thrombin topical recombinant
advantages of MIS include - ANS-1. earlier return to normal activities & lifestyle
2. performed through smaller incision
3. shorter postOp recuperation
4. decreased pain --> decreased need for pain meds
5. ambulatory or shortened length of stay
alimentary tract - ANS-digestive tract
, always set your endoscopic light source parameters - ANS-according to the
manufacturer's instructions (IFU)
an additional consent - ANS-the circulating RN should always get _____ covering the
possibility of an open procedure prior to a MIS/endoscopic procedure
an electrical current transfer through intact insulation - ANS-capacitive coupling
at the time of insertion - ANS-when the body reacts to the suture material
Benefits of a standardized count procedure: - ANS-1. Assists accuracy
2. Assists efficiency
3. Human error studies have shown that many errors result from deviation
blunt point needle - ANS-rounded tip that will not cut tissue
- used for dissection of friable tissue ex: kidney, liver, spleen, and uterine cervix ligation
bone wax - ANS-mixture of beeswax, isopropyl palmitate and a softening agent, which
provides a mechanical tamponade effect to stop oozing from cut bone surfaces.
capacitive coupling - ANS-A specific burn hazard of monopolar endoscopic surgery. It
occurs when current passes unintentionally through instrument insulation and adjacent
conductive material into tissue.
capillarity - ANS-ability to soak up fluid along a strand
causes of healing by second intention - ANS-infection, excessive trauma, tissue loss, or
imprecise approximation of tissue
chemical hemostasis methods: pharmacological - ANS-epinephrine
vitamin K
protamine
lysine analogues (aminocaproic & tranexamic acid)
chemical hemostasis methods: topical ACTIVE agents - ANS-thrombins
chemical hemostasis methods: topical PASSIVE agents - ANS-1. collagen-based
gelatins
2. spheres
1. distraction (background noise, conversations, radios)
2. fatigue & sleep loss
3. drugs (including alcohol & caffeine)
4. juggling multiple activities
5. stress
6. boredom
7. frustration
8. anxiety
9. anger
10. physical stamina d/t occupational muskuloskeletal injury (back/shoulder) -
ANS-situational factors which play a significant role in medical errors
1. healthcare organizations
2. healthcare professionals
3. FDA - ANS-should strengthen the focus of existing processes on patient safety
issues
1. sense of trust among team members
2. development & support of proactive approach
3. dissemination & verification of receity of info to all levels of staff & management
4. sincere commitment to affirming safety as 1st priority - ANS-Culture of Safety
316L-SS low-carbon iron allow wire - ANS-surgical stainless steel sutures
a responsibility of the scrub person ahead of laparoscopic procedure - ANS-checking
and tightening any screws on endoscopic instruments
active hemostatic agents - ANS-contain thrombin and products mixed with thrombin to
ENHANCE CLOTTING at the bleeding site
*ex: thrombin topical bovine, thrombin topical human, thrombin topical recombinant
advantages of MIS include - ANS-1. earlier return to normal activities & lifestyle
2. performed through smaller incision
3. shorter postOp recuperation
4. decreased pain --> decreased need for pain meds
5. ambulatory or shortened length of stay
alimentary tract - ANS-digestive tract
, always set your endoscopic light source parameters - ANS-according to the
manufacturer's instructions (IFU)
an additional consent - ANS-the circulating RN should always get _____ covering the
possibility of an open procedure prior to a MIS/endoscopic procedure
an electrical current transfer through intact insulation - ANS-capacitive coupling
at the time of insertion - ANS-when the body reacts to the suture material
Benefits of a standardized count procedure: - ANS-1. Assists accuracy
2. Assists efficiency
3. Human error studies have shown that many errors result from deviation
blunt point needle - ANS-rounded tip that will not cut tissue
- used for dissection of friable tissue ex: kidney, liver, spleen, and uterine cervix ligation
bone wax - ANS-mixture of beeswax, isopropyl palmitate and a softening agent, which
provides a mechanical tamponade effect to stop oozing from cut bone surfaces.
capacitive coupling - ANS-A specific burn hazard of monopolar endoscopic surgery. It
occurs when current passes unintentionally through instrument insulation and adjacent
conductive material into tissue.
capillarity - ANS-ability to soak up fluid along a strand
causes of healing by second intention - ANS-infection, excessive trauma, tissue loss, or
imprecise approximation of tissue
chemical hemostasis methods: pharmacological - ANS-epinephrine
vitamin K
protamine
lysine analogues (aminocaproic & tranexamic acid)
chemical hemostasis methods: topical ACTIVE agents - ANS-thrombins
chemical hemostasis methods: topical PASSIVE agents - ANS-1. collagen-based
gelatins
2. spheres
