FIRST PUBLISH OCTOBER 2024
PNG 2251 Health and illness: Intra-
operative care Exam Study Guide
Intraoperative Care - Ans:✔✔-care involving intense focus and assessment of the patient during surgery
Risk - Ans:✔✔-there is more ______ with longer surgical procedures
Decrease in hospital procedures, increase day (ambulatory) procedures - Ans:✔✔-the current trend is to
decrease these and increase these
ERAS - Ans:✔✔-the main philosophy of this program is to reduce metabolic stress caused by trauma of
surgery and return to normal function
surgical suite - Ans:✔✔-this is a controlled environment designed to minimized spread of infection
unrestricted area - Ans:✔✔-in this area those in street clothes interact with those in scrubs. (Nursing
station, information desk)
semi-restricted area - Ans:✔✔-in this area you must wear surgical attire, cover the head and facial hair,
authorized personnel only
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restricted areas - Ans:✔✔-surgical attire, head covers and masks are required, like the OR, scrub sinks
and the clean core
holding area - Ans:✔✔-final assessment and ID is done here, family and friends allowed, usually adjacent
to the OR, SCIP measures done here (warming, antibiotics and SCD's)
the operating room - Ans:✔✔-restricted personnel, biologically, environmentally and bacteriologically
controlled, usually by PACU, positive air pressure, UV lights, no dusty surfaces, filters and controlled
airflow, corrosion resistant equipment
Peroperative nurse - Ans:✔✔-this person is a patient advocate and helps prepare the OR for surgery
circulating nurse - Ans:✔✔-this person documents the surgery, remains unsterile and is not scrubbed,
gloved or gowned
scrub nurse - Ans:✔✔-this person is in the sterile field, scrubs in and is gowned and gloved in sterile
attire
LPN or surgical tech - Ans:✔✔-this person can perform the scrubbed or circulating function, passes
instruments and is supervised by an RN
surgeon - Ans:✔✔-this person performs the procedure and is responsible for pre-op medical Hx,
assessments, safety and post-op management
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