1) As Ms. Jones enters the OR room, what policy and procedure should be initiated by the circulating RN? What should be “checked-off” during this time? What team members should participate?
2) What safety measures should the circulating nurse and/or scrub nurse take to ensure safety in the OR setting?
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3) What position will Ms. Jones need to be placed in for her scheduled surgery? What are the nurse’s responsibilities during positioning?
4) What are some general safety concerns when positioning Ms. Jones? What areas of her skin should you be concerned about in the necessary surgical position? Are there any respiratory, cardiovascular, or neuromuscular positioning concerns? If so, what are they?
5) As the sterile field is being prepared for Mrs. Jones’ procedure, the circulating nurse prepares a chemical hemostasis agent, thrombin. What is thrombin? How does it work to produce hemostasis? What special considerations should the RN take when transferring thrombin to the sterile field? Should the circulator anticipate any other hemostatic products?
6) What is the difference between monopolar and bipolar electrodes? What nursing considerations would you have for the use of each?
7) Surgical wounds are classified by the CDC from I-IV. Please describe each of the four stages.
8) Cefazolin (Ancef) 1 gram in 50 mL NaCl has been ordered to be administered in 30 minutes as a secondary IV medication. The primary IV fluid is 1L NaCl ordered to be administered over 8 hours. What should the infusion pump be set at for both the primary and secondary fluids/medication?
9) What condition is an inherited muscle disorder triggered by certain types of anesthesia? It may cause a fast-acting, life threatening crisis. What are the signs and symptoms? What medication is widely given to counteract the condition?