AZC NUR 425 Acute & Chronic Health
Disruptions in Adults II Exam 1
Chapter 15
Priorities for the Preoperative Patient - answer
There are three primary types of surgical procedures – answer emergent
urgent
elective
Emergency surgery - answer surgery that must be performed immediately to save the
person's life or a body organ
Urgent surgery - answer surgery that must be done within 24 to 48 hours to prevent
permanent injury to the patient or death
Elective surgery - answersurgery that may be necessary but can be planned around the
patient's and surgeon's schedule
Conducting a Pre op Patient Assessment - answerMedical History
Surgical and Anesthesia History
Allergies
Performing Medication Reconciliation - a Beta-blocker - ALWAYS Give Day of Surgery
Last Oral Intake (NPO Status)
Introduction to Enhanced Recovery After Surgery (ERAS) Protocols
Alcohol, Smoking, and Drug Use
Performing a Pre op Physical Examination - answerPhysical Assessment
Height & Weight
Vital Signs
Systems Assessment
Cardiovascular Assessment
Respiratory Assessment
Neurological Assessment
Liver/Renal Assessment
Integumentary Assessment
GI Assessment
GU Assessment
Cardiac Clearance - answerAll Patients >50 years of age
, Preoperative Patient Preparation - answerIV Access
Bowel & Bladder Preparation
Will a Foley Catheter be Inserted in the OR?
If not, the patient should empty their bladder just prior to surgery
Pregnancy Test for Women of Childbearing Age
Removal of Jewelry,
Prosthetics & Clothing
Inform the Anesthesia & Surgical Team of the presence of Implants
Surgical Site Preparation - answerPreoperative Showering or Bathing
Hair Removal (clipping not shaving)
Surgical Site Marking
Medications Given - answerBeta-blocker
Benzodiazepines
Antiemetics
Venous Prophylaxis Ordered - answerComprehensive Surgical Checklist
Normothermia Measures - answerComprehensive Surgical Checklist
Teaching - answerWhat to expect of the OR Experience
Plan of Care for Surgical Services
How to Prevent Postoperative Complications
Governing Organizations - answerThe Joint Commission (TJC)
World Health Organization (WHO)
Association of periOperative Registered Nurses (AORN)
The Joint Commission (TJC) - answer1. National Patient Safety Goals (NPSG)
2. Comprehensive Surgical Checklist
3. Universal Protocol
World Health Organization (WHO) - answer1. Comprehensive Surgical Checklist
Association of periOperative Registered Nurses (AORN) - answer1. Comprehensive
Surgical Checklist
2. Guidelines for Practice
The operative experience is broken up into three phases: - answerpreoperative,
intraoperative, and postoperative.
Key Point: These three phases are known as Perioperative or Surgical Services
The preoperative phase commences when the decision for surgery is made and ends
when - answerthe patient is transferred to the surgical suite.
Disruptions in Adults II Exam 1
Chapter 15
Priorities for the Preoperative Patient - answer
There are three primary types of surgical procedures – answer emergent
urgent
elective
Emergency surgery - answer surgery that must be performed immediately to save the
person's life or a body organ
Urgent surgery - answer surgery that must be done within 24 to 48 hours to prevent
permanent injury to the patient or death
Elective surgery - answersurgery that may be necessary but can be planned around the
patient's and surgeon's schedule
Conducting a Pre op Patient Assessment - answerMedical History
Surgical and Anesthesia History
Allergies
Performing Medication Reconciliation - a Beta-blocker - ALWAYS Give Day of Surgery
Last Oral Intake (NPO Status)
Introduction to Enhanced Recovery After Surgery (ERAS) Protocols
Alcohol, Smoking, and Drug Use
Performing a Pre op Physical Examination - answerPhysical Assessment
Height & Weight
Vital Signs
Systems Assessment
Cardiovascular Assessment
Respiratory Assessment
Neurological Assessment
Liver/Renal Assessment
Integumentary Assessment
GI Assessment
GU Assessment
Cardiac Clearance - answerAll Patients >50 years of age
, Preoperative Patient Preparation - answerIV Access
Bowel & Bladder Preparation
Will a Foley Catheter be Inserted in the OR?
If not, the patient should empty their bladder just prior to surgery
Pregnancy Test for Women of Childbearing Age
Removal of Jewelry,
Prosthetics & Clothing
Inform the Anesthesia & Surgical Team of the presence of Implants
Surgical Site Preparation - answerPreoperative Showering or Bathing
Hair Removal (clipping not shaving)
Surgical Site Marking
Medications Given - answerBeta-blocker
Benzodiazepines
Antiemetics
Venous Prophylaxis Ordered - answerComprehensive Surgical Checklist
Normothermia Measures - answerComprehensive Surgical Checklist
Teaching - answerWhat to expect of the OR Experience
Plan of Care for Surgical Services
How to Prevent Postoperative Complications
Governing Organizations - answerThe Joint Commission (TJC)
World Health Organization (WHO)
Association of periOperative Registered Nurses (AORN)
The Joint Commission (TJC) - answer1. National Patient Safety Goals (NPSG)
2. Comprehensive Surgical Checklist
3. Universal Protocol
World Health Organization (WHO) - answer1. Comprehensive Surgical Checklist
Association of periOperative Registered Nurses (AORN) - answer1. Comprehensive
Surgical Checklist
2. Guidelines for Practice
The operative experience is broken up into three phases: - answerpreoperative,
intraoperative, and postoperative.
Key Point: These three phases are known as Perioperative or Surgical Services
The preoperative phase commences when the decision for surgery is made and ends
when - answerthe patient is transferred to the surgical suite.
