CNOR

In addition to the pt’s identity, which of the following should be confirmed to help decrease the risk for wrong site surgery? Allergies Medication history Previous responses to general anesthesia Procedure and site Correct Answer procedure and site What statement related to medication management in an ASC is TRUE? - a pharmacist may be contracted by the health care organization to provide consultative services on site or by telepharmacy. - An rn or pharmacist may be contracted by the health care organization to provide pharmaceutical services. - Pharmaceutical services must be provided by a pharmacist who is on site at the ASC. - Physicians and pharmacists are the only licensed professional who may provide pharmaceutical services at an ASC Correct Answer a pharmacist may be contracted by the health care organization to provide consultative services on site or by telepharmacy. Mr. W is a 52-yr-old man in the emergency department complaining of shortness of breath and tingling fingers. His breathing is shallow and rapid. He denies that he has diabetes, and his blood sugar is within normal limits. There are no electrocardiogram changes. He has no significant respiratory or cardiac history. He takes several anti-anxiety medications. He says he has had anxiety attacks in the past. While Mr. W is being worked up for chest pain, a blood specimen is drawn for testing arterial blood gasses (ABG). What do mr. W’s ABG values indicate? pH 7.48, PaCO2 28, HCO3 22 metabolic acidosis metabolic alkalosis respiratory acidosis respiratory alkalosis Correct Answer respiratory alkalosis The perioperative rn should select a pneumatic tourniquet cuff - based on the pt’s age and blood pressure - by considering the average length of the planned surgical procedure - after the pt is under anesthesia and positioned on the OR bed and the surgeon is in the OR - that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. Correct Answer that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. A pt is on a stretcher in the perioperative ready area. When he arrived at the facility’s surgery admission desk that morning, he appeared disheveled and incoherent. Laboratory blood tests indicated a high level of cocaine in his system. The anesthesia professional was at the pt’s side discussing the need to postpone the surgery with the surgeon when the pt became belligerent and forcefully grabbed the anesthesia professional’s neck. The pt was placed into restraints. In this situation, why were restraints necessary? - the pt was incoherent - the pt posed a threat to himself - the pt posed a threat to the anesthesia professional - the pt was using illegal drugs before his surgery Correct Answer the pt posed a threat to the anesthesia professional A root cause analysis is conducted after it is discovered that a laparotomy sponge was left in a patient’s abdomen after a surgical procedure. In response to this event, which of the following actions would be consistent with conducting a root cause analysis? - apologize and disclose the error to the patient - identify and analyze each step of the surgical count process that is in place at the facility. - Identify the involved perioperative learn members and initiate disciplinary actions - report the event to the designated hospital accreditation organization Correct Answer identify and analyze each step of the surgical count process that is in place at the facility. When the retractable magnetic resonance imaging (MRI) scanner is in use in a hybrid OR, the OR is considered to be MRI zone I II III IV Correct Answer IV