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Post-op Study Guide Test.

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Post-op Study Guide Test. 1. the circulating nurse begins giving the hand-off report the hand-tt report should to the PACU nurse, whose cell phone rings; the PACU nurse answers it immediately. Why has a potential lapse in the hand-off process occurred? 2. during the transport of a patient to the PACU for re- covery, the patient's record is temporarily unavailable be given with no or limited interruptions. the patient's record is an important part of the because the practitioner is accessing it. How does this documentation needed to action impede the hand-off process? 3. the circulating nurse receives an immediate and crit- ical electrolyte laboratory result and order from the practitioner as the perioperative team is transferring the patient to the PACU. the circulating nurse is told that the patient's potassium level is 2.8mmol/L. the practitioner gives a verbal order to start IV potassium chloride at 20mEq over 1 hour and to monitor the patient for elctrocardiographic changes. For effective hand-off communication, what should be done? 4. the reporting anesthesia provider tells the receiving support the hand-ott re- port process. repeat-back the verbal or- der information to the practitioner and then re- port the critical laboratory value to the PACU nurse. ask for clarification of PACU nurse that the patient's is "a little unstable." what the information from the should the PACU nurse do? anesthesia provider 5. the circulating nurse arrives in the PACU with a patient refuse to accept responsi- whose care took longer than anticipated. the circulat- ing nurse provides the PACU nurse with a documented hand-off report, then indicates that there is no time for a verbal report as the OR needs to be set up for the next case. what should the PACU nurse do? 6. which statement best describes an effective hand-off? bility for the patient's care. 7. which elements are common to all hand-off commu- nications between the circulating nurse and the PACU nurse? communication in real time illness assessment, includ- ing severity, to-do action list, and sender contact in- formation 8. which statement is true regarding hand-off reports? a hand-ott report is a com- munication tool used dur- ing a patient's transition from one level of care to another 9. the circulating nurse is in a rush to set up for the next case and tells the PACU nurse that the patient's medications are in the EHR and that the family mem- bers that came with the patient verified all the med- ications. the PACU nurse verifies the patient's med- ications with the family members but inadvertently misses one. what should the PACU nurse have done to avoid missing one of the patient's medications? 10. the circulating nurse prepares to give the hand-off report together with the anesthesia after leaving the OR and transporting the patient to the PACU. the circu- lating nurse should communicate in a timely manner using which of these methods of communication? insist the circulating nurse verify the medications during the hand-ott I-PASS 11. a patient has been transferred from the OR to eh PACU, to provide continuity in and the PACU RN performs an initial postoperative as- patient care and contin- sessment. what is the goal of this initial postoperative assessment?

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Post-op Study Guide Test.

1. the circulating nurse begins giving the hand-off report the hand-tt
report should
to the PACU nurse, whose cell phone rings; the given with no or limited
PACU nurse answers it immediately. Why interruptions.
has a potential lapse in the hand-off process
occurred?
the patient's record is an
2. during the transport of a patient to the PACU important part of the
for re- covery, the patient's record is
temporarily unavailable
because the practitioner is accessing it. How does this
documentation needed to
action impede the hand-off process? support the hand-ott re-
port process.

3. the circulating nurse receives an immediate repeat-back the verbal
and crit- ical electrolyte laboratory result and or- der information to
order from the practitioner as the the practitioner and
perioperative team is transferring the then re- port the
patient to the PACU. the circulating nurse is critical laboratory value
told that the patient's potassium level is to the PACU nurse.
2.8mmol/L. the practitioner gives a verbal
order to start IV potassium chloride at 20mEq
over 1 hour and to monitor the patient for
elctrocardiographic changes. For effective
hand-off communication, what should be
done? ask for clarification of

4. the reporting anesthesia provider tells the
receiving
PACU nurse that the patient's is "a little unstable." what the
information from the
should the PACU nurse do? anesthesia provider

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12

, Post-op Study Guide Test.

5. the circulating nurse arrives in the PACU with a patient refuse to
accept responsi-
whose care took longer than anticipated. the bility for the patient's care.
circulat- ing nurse provides the PACU nurse with a
documented hand-off report, then indicates that
there is no time for a verbal report as the OR
needs to be set up for the next case. what
should the PACU nurse do?

6. which statement best describes an effective
hand-off?




2/
12

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