Perioperative Safety: Patient Focus
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5 - ANS-When do you count sponges during a surgical procedure? SATA
1. skin closure
2. time of permanent relief of scrub person or RN circulator
3. before procedure begins
4. when new sponges are added
5. wound closure
6. when scrub person or RN circulator has completed gowning
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5 - ANS-Which of the following actions should be included in the periop nursing care of a pt with
a suspected latex allergy? SATA
1. assess pt cross sensitivities and previous latex reactions
2. indicate latex precautions on door signs for every room that the pt occupies
4. schedule the pt as the last procedure of the day
4. use latex free supplies for IV, hair, dressings
5. verify the surgeon knows
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4 - ANS-Which activities should the transport person complete before transferring a pt? SATA
1. identify the pt and the surgical procedure
2. verbally confirm that the preoperative orders have been completed
3. identify the surgeon
4. reconcile any medications the pt may have been taking preoperatively
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2 electrical
5 chemical
, 6 chemical - ANS-Mechanical issues and problems that can cause skin injury include:
1. placing heavy opjects on the pt
2. placing an electrosurgical unit hand piece on the pt.
3. Dragging the pt body across sheets
4. improperly applying SCD
5. allowing prep solution to pool under pt
6. failing to remove prep solutions from skin postop
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5 - ANS-Based on the understanding you have gained about patient verification and marking a
surgical site, identify the true statements: SATA
1. asking the patient to state the planned procedure is a valid procedure identifier
2. the patient's room number is a valid patient identifier
3. the site marking should be visible after prepping and draping
4. the site should be marked by visually showing the site to the patient or verbal confirmation
5. confirming the consents given for the procedure is a valid procedure identifer
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5 - ANS-When using chemical products, the periop nurse should: SATA
1. Use skin prep solutions according to the manufacturer's recommendations
2. never remove skin prep solutions
3. ensure the prep solution does not pool on the drapes
4. apply blotting towels before performing a skin prep
5. allow skin prep solutions to dry before draping
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6 - ANS-Based on the knowledge you have gained about handling positioning devices, identify
the correct safety measures. SATA
1. the positioning device should be correct size for pt
2. extremities onces positioned should not be rearranged
3. gel pads to relieve pressure
4. sensitive genital areas should be placed in normal anatomical position
5. pt arms must be supported by arms of surgical bed
6. pt should be properly secured to bed
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