Thank you Yasuko,
1, A supraphrenic cyst is found intraop. How do you clean the room after surgery?
Regular turnover
Correct. This is not a communicable disease so regular turn over cleaning is adequate.
2, How often are disaster drills done?
Twice a year
Right. Disaster drills are held at least twice a year to test plans deletions by the committee, to improve and familiarize personnel with them. You can find that in Berry & Kohn’s Operating Room Technique page 85
3, Why does the obturator go with the trach patient after surgery to the post op unit?
?
They’re going to need it to change their trach. It stays with the patient.
4, Where are endoscopes stored?
Positive airflow pressure room Dry cabinet storage with HEPA
Here are a few snips from the 2023 Guidelines:
5, 68 y.o. male healthy patient at outpatient surgery center getting herniorrhaphy, periop nurse should expect which local to be for post-op management (1% lido, bupivacaine with epi 0.5%, mepivacaine 1% with epi, etc.)
Lidocaine 1% with epi
Here’s my thinking on this one. We know we’re going to use Epinephrine for post op pain control. Now, Bupivacaine is longer acting Than lidocaine and I believe mepivacaine is used more for nerve blocks. I would choose Bupivicaine with epi. Read Alexander’s pg 282 for more information. Read this question carefully. I want there to be some hint about choosing a longer acting medication.