Reply To: CNOR Study Group 2024 Week 3

CNOR, CAPA-CPAN, CST Preparation by Zander Forums CNOR Study Group 2024 Week 3 Reply To: CNOR Study Group 2024 Week 3

#104288
Bradley Kreimeyer
Participant

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

A supraphrenic cyst is found intraop. How do you clean the room after surgery?
A normal turnover which includes damp dusting all horizontal surfaces with an approved disinfectant. This helps keep the OR clean and dust free for the next patient. Cleaning from the cleanest to the dirtiest areas and from top down (Berry and Kohn 14th edition p. 203-5).

How often are disaster drills done?
“Disaster drills are held at least twice a year to test the plans developed by the committee, to seek to improve them, and to familiarize personnel with them” (Berry and Kohn 14th edition p. 85).

Why does the obturator go with the trach patient after surgery to the post op unit?
The obturator needs to stay with the patient so the trach can be changed. The obturator is a rigid “stylet like” piece that helps get the trach tube in place while inserting the tube then it is removed and saved for future changes (https://tracheostomyeducation.com/tracheostomy-tubes/).

Where are endoscopes stored?
Endoscopes are stored in a closed cabinet in a storage area and are hung in a vertical position to keep the lumens dry (Berry and Kohn 14th edition p. 643).

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.
Bupivacaine 0.5% w/Epi is a long-acting (2-3 hours) anesthetic and should be used to decrease or reduce the use of post op narcotics (Berry and Kohn 14th edition pp. 132, 444).  

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