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.

 

Video Summary

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

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. The Perioperative nurse learned that the pt took ginkgo at 8am preoperatively.  What should the nurse do? A. Continue to monitor, b. notify surgeon to cancel the procedure, c. notify anesthesia and anticipate to check INR
  2. Do the surgeon’s orders supersede the nurse’s judgment?
  3. Which site marking is acceptable? A. Surgeon marks site with x B. Surgeon marks site with initials C. Nurse marks site with initials D. Nurse marks site with x
  4. The nurse has a moral disagreement with a patient’s DNR status, what should the nurse do? A. ask the surgeon for advice, B. convince the patient to change it, C. talk to charge and see if new staff can be assigned.
  5. What are the first steps the nurse needs to take when starting a new glove analysis? A. identify outcomes, B. delineate responsibilities, C. something else?

 

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

  1. What sterilant is used in a low temperature plasma sterilizer?
  2. What is Kyphosis and what special precautions does the nurse take when positioning in supine?
  3. In Moderate Trendelenburg, which pressure points are you most concerned about?
  4. How do you position a patient for a perineal prostatectomy procedure?
  5. A pregnant patient in an emergency situation needs a appendectomy. What position will she be placed for surgery?

 

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

  1. What do cycloplegic drops do?
  1. If there is an active shooter, what do you do first? Barricade. Fight. Or hide.
  1. Nurse is being relieved from an emergency trauma and during report relieving nurse notices no consent nor note in chart from surgeon. What should the nurse do first? A. Notify supervisor of breach in policy. B. Put in an incident report to explain what happened. C. Have the nurse that is being relieved go and get consent from the family, D. Not of the relieving nurses concern, and he/she should ignore it?
  2. What kind of cleaning agent is used to clean the OR after a patient with CJD?
  3. The implant has been contaminated; how will you handle it?  Choices: A. open a new implant, B. sterilize for 3 mins at 270°F.  C. Sterilize for 10 mins at 270 degrees F

 

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

  1. What is the definition of a sentinel event? Give an example.
  2. A patient has 3rd degree heart block. How will this be treated?
  3. What transmission-based precaution do you take when a patient has disseminated herpes zoster? What kind of mask do you need?
  4. A healthcare independent representative (HCIP) may observe a procedure in the OR per: A. Infection prevention manager B. OSHA C. AORN D. Accreditation?
  1. What is the spore used for a biological indicator for Dry Heat sterilization?

 

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

  1. The patient is noted to have a DNR on file during the presurgical assessment. What should the nurse do? A. talk to the anesthesiologist and surgeon, B. Get the manager to talk to the patient, C. get the family to talk to the patient, D. The DNR is automatically suspended in surgery. Proceed as usual.
  2. Jackknife position: why do we put a pillow under the feet?
  3. Placing a femoral block using the nerve stimulator technique, which muscle will twitch?
  4. Liver transplant patient with PT 16 PTT 80 INR 4? What’s the nurse’s action? A. Notify surgeon and Anesthesia B. Notify surgeon and call for Blood.  C. Anticipate anticoagulation the patient
  5. What order do the cuffs need to be inflated and deflated for a Beir Block?

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