RNFA 1 Questions and Answers

Safe Surgery Checklist developed by the World Health Organization - The checklist confirms, at several checkpoints throughout the perioperative process, that the procedure is correct; the antibiotic was given within 60 minutes before skin incision; and an anesthesia professional has evaluated the patient for risk, including evaluation for blood clots and heart disease. 26 All members of the surgical team, including the RNFA, perioperative nurses, surgeon, and anesthesia professionals should be in agreement with the key concerns and care of the patient. Using a checklist in combination with a time out comprises The Joint Commission's Universal Protocol to promote patient safety in the OR. The SCIP - national quality partnership of organizations that are interested in improving surgical care by reducing surgical complications. The SCIP program is sponsored by the Centers for Medicare & Medicaid Services (CMS). Its other national partners are the American Hospital Association, the CDC, the Institute for Healthcare Improvement, The Joint Commission, and others. 24 Life Safety Code - 1913 from the National Fire Protection Association (NFPA) Committee on Safety to Life. The Life Safety Code is commonly referred to as "the Code," and it addresses features necessary to minimize danger to life from the effects of fire, including smoke, heat, and toxic gases. The Code covers electrical, fuel-gas, mechanical, plumbing, and energy factors, and encompasses the environment of care. Fire prevention and understanding of the fire triangle are critical components of fire safety. The fire triangle consists of heat, fuel, and an oxidizer. Each member of the surgical team controls a part of the triangle: the surgeon, heat the nurse, fuels the anesthesia professional, oxidizers If oxygen, heat, or fuel is removed, the risk of fire is lessened. 29 In the OR suite, there are combustible materials including drapes, towels, plastics, sponges, sheets, and paper. High-energy heat ignition devices, such as electrosurgical units (ESUs), lasers, fiberoptic light cords, drills, hyperthermia units, and other electrical devices are common. Supplemental oxygen enriches the atmosphere and supports combustion. 29 fire occurs in the OR - likely to occur in or on the patient. The RNFA's immediate action is to protect the patient by extinguishing the flame and interrupting the fire triangle. The surgical team should immediately stop the flow of gases and remove sources of fuel (eg, drapes). A fire inside the patient, such as may occur within an endotracheal tube, can be lethal to the patient.National Quality Forum (NQF) - organization that sets consensus standards for health care quality. The NQF has compiled a list of 28 serious reportable adverse events, also known as "never events" because they should be preventable (ie, should not occur). 30 The categories of surgical never events include GI surgery - Understand the basic anatomy of the GI tract Describe the assessment collected by the perioperative nurse before surgery Apply the nursing process in the care of the patient undergoing GI surgery Discuss the types of abdominal incisions and when they may be used Understand the approaches and type of surgery on the esophagus, stomach, small intestine, large intestine, and rectum and anus Discuss the special considerations for patients having bariatric surgery liver pancreas spleen biliary tract - Understand the anatomy of the liver, biliary system, pancreas, and spleen Explain the perioperative nursing implications for patients with liver, gallbladder, and pancreatic disease using the nursing process Describe the common procedures of the biliary tract, liver, pancreas, and spleen and the nursing implications for each Alexander's Care of the Patient in Surgery 15th Edition Pages 350-382 Alexander's Care of the Patient in Surgery 16th edition Pages 342-375 Core Curriculum Module IV-1Module V NIFA Workbook Cholecystectomyrepair of hernias - Discuss the anatomic sites where hernias occur and the risk factors for development Describe the risks of not having hernias repaired Explain the difference between direct and indirect inguinal hernias Use the nursing process to plan, implement, and evaluate care of the patient undergoing hernia repair procedures Understand the basics of the surgical procedures used for hernia repairs Alexander's Care of the Patient in Surgery 15th Edition Pages 383-403 Alexander's Care of the Patient in Surgery 16th Edition Pages 376-399 Core Curriculum Module IV-1