Test Bank for Primary Care: The Art and Science of Advanced
Practice Nursing and Interprofessional Approach 6th Edition M
Dunphy / 9781719644655 / Chapter 1-88 ,All Chapters with
Answers and Rationals .
Operating Room - ANSWER: A room within a hospital where surgical operations are carried out
Surgery - ANSWER: A medical speciality that treats diseases or injuries by operative manual and
instumental treatments
Perioperative - ANSWER: The time period surrounding a patient's surgical procedure which includes
admission, anaesthesia, surgery and recovery
What are the three different designs? - ANSWER: Racetrack style,
Single corridor,
Small clusters
Located near by the Operating Room (6) - ANSWER: X-ray Department,
Pathology,
Blood Bank,
ED,
ICU,
CSSD
Floors, Walls and Ceilings in an Operating Room (8) - ANSWER: Seamless,
Easy to clean,
Hard,
Non-porus,
Fire resistant,
Waterproof,
Stain proof,
Non-reflective
Essentials for Operating Room lighting (7) - ANSWER: Overhead and/or headlight - Intense,
Shadowless,
Optimal focus for the size of the incision,
Daylight quality,
Freely adjustable,
Produce minimal heat,
Easily cleaned
Different communication systems (7) - ANSWER: Stentofon,
Telephone,
Overhead paging,
Pagers,
Alarm systems (call light),
Resuscitation bells (blue),
Computer systems
Traffic control (4) - ANSWER: Transition (change rooms),
Unrestricted (pre-op and recovery - street clothes),
Semi-restricted (peripheral support areas - appropriate attire),
Restricted (scrubs areaa and operating room)
,Ideal humidity for surgery - ANSWER: 50-60% - To reduce bacterial growth and suppress static
electricity
Ideal temperature for surgery - ANSWER: 20-22° - To reduce metabolic demand of operating team,
inhibits bacterial growth, needs adjusting
Air control for surgery (5) - ANSWER: HEPA filters,
20-40 room air exchanges per hour,
Positive pressure rooms/closed doors,
Laminar flow,
High flow unidirectional ventilation system
Four perioperative phases - ANSWER: Pre-op/holding bay,
Anaesthetic room,
Operating theatre (intraoperative),
Post-op/recovery room
Role of the Anaesthetist (5) - ANSWER: Type of anaesthetic,
Monitoring ABC,
Management of pain/PONV,
Postoperative nursing requirements,
Documentation
Role of the Anaesthetist Technician (4) - ANSWER: Helps anaesthetist prepare,
Checks patient into anaesthetic room,
Checks equipment thoroughly at the start of each day,
Restock supplies at the end of the day
Role of the Surgeon (7) - ANSWER: Preparation of the patient,
Scheduling of elective lists,
Booking of emergency cases,
Instrument and equipment required,
Surgical assistants,
Infection control,
Documentation
Role of the Perfusionist (3) - ANSWER: Assists anaesthetist during cardiac bypasses,
Responsible for setting up the bypass machine and adjustment of the delivery of key components on
commencement, during and at the completion of procedure,
Documentation
Role of the Patient Care Assistant (4) - ANSWER: Patient transport and transfer,
Assistance with patient positioning,
Assistance with waste disposal and cleaning,
Delivery of urgent specimens/blood products
Role of the Orthopaedic Technician (4) - ANSWER: Care and maintenance of instruments,
Ordering instruments and protheses,
Assistance with positioning,
Liaising with product representatives
Role of the Radiographer (2) - ANSWER: Pre, intra, and post operative x-rays,
Intraoperative image intensifier
Role of the CSSD (2) - ANSWER: Provision of sterile supplies,
Involved in the cleaning, packaging, disinfection, and/or sterilisation and distribution
, Role of the Support Staff (3) - ANSWER: Clerical,
Cleaning,
Uniforms
Role of the Product Representative (2) - ANSWER: Suppliers of instruments, equipment and
consumables,
Assist with staff education and use of items provided
ACORN - ANSWER: Australian College of Operating Room Nurses
ORNA - ANSWER: Operating Room Nurses Association of WA
Objectives of ACORN (7) - ANSWER: To cultivate and maintain the highest principles of perioperative
nursing: Disseminate important information,
Provide and facilitate professional development,
Identify and examine issues,
Advise governments/authorities on perioperative nursing and related health issues,
Acting as a resource for advice,
Initiating research to seek solutions,
Taking action on problems and issues of significance
Perioperative Nursing - ANSWER: A professional nurse who provides complex care for patients in a
high dependency situation
Role of the Nurse Manager (7) - ANSWER: Overall coordination of the operating suite,
Responsible for staffing, budgeting, purchasing new equipment, internal and external liaison,
performance management, clinical standards
Role of the Floor Coordinator (4) - ANSWER: Staff allocation,
Scheduling of elective lists and obtaining necessary equipment,
Scheduling emergency cases in partnership with duty anaesthetist,
Conflict resolution
Role of the Staff Development Nurse (6) - ANSWER: Orientation to the suite,
Allocation of preceptors,
Performance management of graduate nurses,
Clinical support,
In-sevice sessions,
Conflict resolution
Role of the Pre-op Nurse (1) - ANSWER: Pre-operative checklist in the holding bay - all necessary
documents are available, all information is recorded and correct, documentation
Role of the Anaesthetic Nurse (6) - ANSWER: Preparation of anaesthetic induction room and
equipment (equipment check),
Assistance with patient transfer,
Application of monitoring devices,
Assistance with induction, intubation, maintenance and emergence from anaesthesia,
Collaborate with anaesthetist and PACU staff,
Documentation
Role of the Instrument Nurse (5) - ANSWER: Preparation and maintenance of a sterile field,
Accuracy of the surgical count,
Anticipation of surgical events and associated requirements,
Application of the surgical dressing and wound drainage devices,
Documentation and intra-op care
Practice Nursing and Interprofessional Approach 6th Edition M
Dunphy / 9781719644655 / Chapter 1-88 ,All Chapters with
Answers and Rationals .
Operating Room - ANSWER: A room within a hospital where surgical operations are carried out
Surgery - ANSWER: A medical speciality that treats diseases or injuries by operative manual and
instumental treatments
Perioperative - ANSWER: The time period surrounding a patient's surgical procedure which includes
admission, anaesthesia, surgery and recovery
What are the three different designs? - ANSWER: Racetrack style,
Single corridor,
Small clusters
Located near by the Operating Room (6) - ANSWER: X-ray Department,
Pathology,
Blood Bank,
ED,
ICU,
CSSD
Floors, Walls and Ceilings in an Operating Room (8) - ANSWER: Seamless,
Easy to clean,
Hard,
Non-porus,
Fire resistant,
Waterproof,
Stain proof,
Non-reflective
Essentials for Operating Room lighting (7) - ANSWER: Overhead and/or headlight - Intense,
Shadowless,
Optimal focus for the size of the incision,
Daylight quality,
Freely adjustable,
Produce minimal heat,
Easily cleaned
Different communication systems (7) - ANSWER: Stentofon,
Telephone,
Overhead paging,
Pagers,
Alarm systems (call light),
Resuscitation bells (blue),
Computer systems
Traffic control (4) - ANSWER: Transition (change rooms),
Unrestricted (pre-op and recovery - street clothes),
Semi-restricted (peripheral support areas - appropriate attire),
Restricted (scrubs areaa and operating room)
,Ideal humidity for surgery - ANSWER: 50-60% - To reduce bacterial growth and suppress static
electricity
Ideal temperature for surgery - ANSWER: 20-22° - To reduce metabolic demand of operating team,
inhibits bacterial growth, needs adjusting
Air control for surgery (5) - ANSWER: HEPA filters,
20-40 room air exchanges per hour,
Positive pressure rooms/closed doors,
Laminar flow,
High flow unidirectional ventilation system
Four perioperative phases - ANSWER: Pre-op/holding bay,
Anaesthetic room,
Operating theatre (intraoperative),
Post-op/recovery room
Role of the Anaesthetist (5) - ANSWER: Type of anaesthetic,
Monitoring ABC,
Management of pain/PONV,
Postoperative nursing requirements,
Documentation
Role of the Anaesthetist Technician (4) - ANSWER: Helps anaesthetist prepare,
Checks patient into anaesthetic room,
Checks equipment thoroughly at the start of each day,
Restock supplies at the end of the day
Role of the Surgeon (7) - ANSWER: Preparation of the patient,
Scheduling of elective lists,
Booking of emergency cases,
Instrument and equipment required,
Surgical assistants,
Infection control,
Documentation
Role of the Perfusionist (3) - ANSWER: Assists anaesthetist during cardiac bypasses,
Responsible for setting up the bypass machine and adjustment of the delivery of key components on
commencement, during and at the completion of procedure,
Documentation
Role of the Patient Care Assistant (4) - ANSWER: Patient transport and transfer,
Assistance with patient positioning,
Assistance with waste disposal and cleaning,
Delivery of urgent specimens/blood products
Role of the Orthopaedic Technician (4) - ANSWER: Care and maintenance of instruments,
Ordering instruments and protheses,
Assistance with positioning,
Liaising with product representatives
Role of the Radiographer (2) - ANSWER: Pre, intra, and post operative x-rays,
Intraoperative image intensifier
Role of the CSSD (2) - ANSWER: Provision of sterile supplies,
Involved in the cleaning, packaging, disinfection, and/or sterilisation and distribution
, Role of the Support Staff (3) - ANSWER: Clerical,
Cleaning,
Uniforms
Role of the Product Representative (2) - ANSWER: Suppliers of instruments, equipment and
consumables,
Assist with staff education and use of items provided
ACORN - ANSWER: Australian College of Operating Room Nurses
ORNA - ANSWER: Operating Room Nurses Association of WA
Objectives of ACORN (7) - ANSWER: To cultivate and maintain the highest principles of perioperative
nursing: Disseminate important information,
Provide and facilitate professional development,
Identify and examine issues,
Advise governments/authorities on perioperative nursing and related health issues,
Acting as a resource for advice,
Initiating research to seek solutions,
Taking action on problems and issues of significance
Perioperative Nursing - ANSWER: A professional nurse who provides complex care for patients in a
high dependency situation
Role of the Nurse Manager (7) - ANSWER: Overall coordination of the operating suite,
Responsible for staffing, budgeting, purchasing new equipment, internal and external liaison,
performance management, clinical standards
Role of the Floor Coordinator (4) - ANSWER: Staff allocation,
Scheduling of elective lists and obtaining necessary equipment,
Scheduling emergency cases in partnership with duty anaesthetist,
Conflict resolution
Role of the Staff Development Nurse (6) - ANSWER: Orientation to the suite,
Allocation of preceptors,
Performance management of graduate nurses,
Clinical support,
In-sevice sessions,
Conflict resolution
Role of the Pre-op Nurse (1) - ANSWER: Pre-operative checklist in the holding bay - all necessary
documents are available, all information is recorded and correct, documentation
Role of the Anaesthetic Nurse (6) - ANSWER: Preparation of anaesthetic induction room and
equipment (equipment check),
Assistance with patient transfer,
Application of monitoring devices,
Assistance with induction, intubation, maintenance and emergence from anaesthesia,
Collaborate with anaesthetist and PACU staff,
Documentation
Role of the Instrument Nurse (5) - ANSWER: Preparation and maintenance of a sterile field,
Accuracy of the surgical count,
Anticipation of surgical events and associated requirements,
Application of the surgical dressing and wound drainage devices,
Documentation and intra-op care
