what are the three phases of perioperative care?
preop, intraop, and post op
what is very important to ask about prior to interventions/medications?
allergies (many food allergies correlate with medical equipment allergies. I.E. bananas and latex)
patients are urged to cease smoking how long prior to an operation?
4=6 weeks
who is legally responsible for giving information and determining patient competence?
the surgeon
who is responsible to verify signed consent, witnessed, the patient's advocate, and making consent part of legal record prior to surgery?
the RN
what includes Name/qualifications of surgeon
Description of proposed surgery
Risks/benefits/probability of success
Why surgery indicated
Consequences of nonsurgical treatment
Any limits on confidentiality
informed consent
in case of emergency and no parties to sign consent, who can have the power to give informed consent?
two physicians
in total PPEs and sterile. Assist surgeon with supplying equipment/instruments as requested, anticipates needs, and preps sterile tables.
Scrub Person
Manages patient care in the OR
Protects safety/health needs
Ensures patient's rights are protected
Coordinates patient care
Responsible (with scrub person) for counting all instruments and sponges at close of surgery
patient positioning, emotional support
circulating nurse
Analgesia, amnesia, relaxation
general anesthesia
IV sedation without unconsciousness, easily arousable
conscious sedation
Blocks nerve pathways resulting in decreased sensation/pain in selected body parts
regional anesthesia
Superficial peripheral nerves depressed, blocking pain conduction
local anesthesia
Sore throat
N/V
Headache
Shivering
Confusion
frequent MINOR complaints when waking from anesthisia
what is the med commonly used in conscious sedation? what is it's reversal agent?
Midazolam (Versed) - Flumazenil (Romazicon)