with Correct Answers
pre-operative - ANSWERSbegins with decision to have surgery, lasts until patient is
transferred to operating room
intraoperative - ANSWERSextends from admission to surgical department to transfer to
recovery room
postoperative - ANSWERSlasts from admission to recovery room to a follow-up
evaluation in the clinical setting or home
classifications of surgical procedures - ANSWERSurgency
major or minor risk
purpose
purposes for surgery - ANSWERSdiagnostic
ablative
pallitative
reconstructive
transplantation
constructive
types of anesthesia - ANSWERSgeneral
regional
topical
local
conscious sedation
general anesthesia - ANSWERSadministration of drugs by inhalation, intravenous,
rectal, or oral route
, regional anesthesia - ANSWERSanesthetic agent injected near a nerve or nerve
pathway or around operative site
no sedation
topical anesthesia - ANSWERSused on mucous membranes, open skin, wounds, burns
conscious anesthesia - ANSWERSused for short-term procedures
three phases of general anesthesia - ANSWERSinduction—from administration of
anesthesia to ready for incision
maintenance—from incision to near completion of procedure
emergence—starts when patient emerges from anesthesia and is ready to leave
operating room
informed consent information - ANSWERSdescription of procedure and alternative
therapies
underlying disease process and its natural course
name and qualifications of person performing procedure
explanation of risks and how often they occur
explanation that patient has the right to refuse treatment or withdraw consent
informed consent - ANSWERSvoluntary Agreement
legal document with ethical imperatives
person performing surgery obtains consent (usually MD)***
nurse witnesses
nurse witnesses for informed consent - ANSWERSnurse's signature indicates:
patient signed without coercion
patient was alert & aware (competent)
score for PARS to leave PACU - ANSWERS8-10
score for PARSAP before discharge - ANSWERS18
based on multiple factors including ambulation
may be lower if patient could not use extremities before surgery
ambulatory surgery - ANSWERSoutpatient, same day, usually out in 24 hours
may require additional teaching and home care services for certain patients
benefits of ambulatory surgery - ANSWERSreduces length of hospital stay and cuts
costs