New assignments will be posted every Tuesday and the discussion will continue through Monday. Every Tuesday the previous week’s discussion thread will close and the discussion will move to the new assignment. I will be monitoring the discussion throughout the week and adding comments and instruction as we go. I encourage you to comment and ask for clarification as well.   ~ Wendy

 

Video Summary

Your assignments this week are as follows. Do your assignments and post the answers in the forum. Remember to cite your source.

At the end of the week, I’ll post a video summary.  

 

If your last name starts with B, A, D, E, or F

  1. Why do we do a cervical fusion? Reduce muscle spasms or reduce shoulder and arm pain?
  2. An active electrode cord is coiled around towel clip, on drape, what is nurse’s first action? Tell scrub to remove cord, tell scrub to remove towel clip, or check pt for burn at site of towel clip?
  3. Why is CJD a concern in the OR? Because it’s a bacteria that’s highly contagious or because it requires special cleaning?
  4. When do you go over fire risk with team?
  5. Charting objectively and accurate info: beneficence, justice, veracity?

 

If your last name starts with C, G, I, J, or K

  1. Describe Lateral Recumbent position.
  1. What organization approves drapes, suture, etc in the OR?
  2. Multi-trauma non-English speaker fractured ribs, ruptured spleen, and bowel something: biggest concern in transferring to OR table is which of these?
  3. 6’4” 200lb guy at highest risk for: hypothermia, pressure injury, increased bleeding? 
  4. 12 y.o boy cyanotic and unresponsive after versed: give Narcan, give sodium something, nasal cannula 2L, assist with breathing?

 

If your last name starts with S, L, N, O, or P

  1. How long does bupivacaine actively last? 1-2, 3-4, 8-10, 14-16?
  2. What does confine and contain surrounding cast placement mean?
  3. According to CMS, how many days out is a surgical site infection in the superficial tissue?
  4. Patient going for a procedure for moderate sedation. She desires not to remember anything, Preop nurse shells her that? she will be asleep, you’ll be relaxed and given a medication to be unaware of your surroundings, you will not remember anything don’t worry, or you’ll be medicated with something intraoperatively.
  5. When the patient is positioned with a bean bag in lateral, how do you prevent foot drop post procedure?   

 

If your last name starts with H, Q, R, T, or U

  1. The patient is clammy and complaining of severe back pain. He is unable to tolerate lying down. What does the nurse do? 
  2. How far is the distance between sterile supplies and the ceiling, floor, and outer walls?    
  3. What is this ABG? PH 7.26, CO2 60, HCO3 24
  4. The patient has more than one factor in Virchow’s triad. What are they at risk for?
  5. What block is done for a quadriceps tendon repair?

 

If your last name starts with M, V, W, X, Y, or Z

  1. What are the phases of wound healing?
  2. A position change is required during the abdominoperineal resection surgery. What does precautions need to be taken by the periop nurse concerning the electrocautery? 
  3. Your patient has an anaphylactic reaction to latex. How do you treat? Benadryl and adrenalin, solumedrol and oxygen, IV fluids, something else?
  4. A healthcare independent representative (HCIP) may observe a procedure in the OR per: Infection prevention manager, OSHA, AORN, Accreditation?
  5. How should a patient with MRSA be handled in a PACU area?

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