phs-12

temp of OR

68-72, prevent infection

scrubbing in

decontaminate hands/forearms

sterilization

removal of microoganisms

sterile field

area free of microoganisms for surgery

operating table

moving table where patient lies

retractor

hold incision wound open

scalpel

small sharp bladed instrument

hemostat

clamp blood

suction cannula

drain fluid, provide O2, administer med

anesthesiologist

admisister anesthesia, watches vitals

scrub nurse

selects instruments

RN first assistant

directs duties

cardiac perfusionist

heart lung machine operator

circulating nurse

manges overall environment

surgeon

performs procedure

7 instructions

1. ride

2. shower before

3. no jewerly

4. no blood thin meds

5. no food/drink b4

6. no drugs/alc

7. no perfume

aspiration

something swallowed enters airway, appropriate pt position stop this from happening during surgery.

surgical safety checklist

used to improve teamwork/communication; b4, after, during surgery

surgical count

count all instruments b4 surgery and before closing wound by scrub and circulating nurse to ensure pt safety

prone

flat on stomach, head to side

trendelenberg

upper torso lowered, feet raised

fowler’s

pt sitting at 90 degree angle, feet against footboard

lateral

pt placed on non-operative side of surgery

PPE

glasses, shoe covers, gloves, apron, cap, gowns

doffing

off PPE

donning

on PPE

infectious agent

bacteria, fungi, parasites, viruses

reservoir

HOST; dirty surface, ppl, water, animals, soil

portal of entry

broken skin, repiratory tract, inhalation, ingestion, tubes, catheters, muscous membranes

portal of exit

open wound, aerosols

suscepible host

any person

how can chain of infection be broken?

disrupting any 6 links in the chain

hand positioning for proper handwashing

palm to palm, interlink fingers

age

yrs

car crash

MVA

diabetes

DM

exercise to maintain joint flex

ROM

twice a day

b.i.d.

as needed

prn

every

q

surgery to repair broken bones

ORIF

goniometer

measures ROM of a joint

AAC

communication for those w/ speech & language disorders

rocker knife

helps patient w/ hemiplegia cut food into smaller pieces

hand splint

thermoplastic material, support hand/wrist to promote healing made by ot

gait belt

“transfer belt” move pts

parallel bars

provides support to pts w trouble standing/walking

standing frame

hold patients body in place bc they cant stand wo help

education for speech pathologist

masters & lisecense in speech pathology, clinical hours, pass exam

PT

help others maintain/restore movement

OT

helps improve daily activity skills

SLP

prevent and diagnose speech, swallow, language, and social disorders

functional mobility

abilty to move and perform daily tasks

swallow study

x-rays visualize process of swallowing (dysphasia)

autocratic

strong leader who makes decisions

Good: crisis situations

Bad: inexperienced team

democratic

shared decision making

Good: team involvement

Bad: crisis situations/ have to act fast

laissez faire

hands off with minimal guidance letting team do wtv

Good: skilled and indv team

Bad: team lacks experience

multidiplinary team

group of diverse pros that collaborate to achieve a goal

obstacles to good teamwork

-lack of trust

-poor leadership

-communication issues