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At NURSING.com, we believe Black Lives Matter ✊🏿, No Human Is Illegal 🤝, Love Is Love 🏳️🌈, Women`s Rights Are Human Rights 👩, Science Is Real 🔬, Water Is Life 🌊, Injustice Anywhere Is A Threat To Justice Everywhere ☮️. AccessibilitySitemapDrug List At NURSING.com, we believe Black Lives Matter ✊🏿, No Human Is Illegal 🤝, Love Is Love 🏳️🌈, Women`s Rights Are Human Rights 👩, Science Is Real 🔬, Water Is Life 🌊, Injustice Anywhere Is A Threat To Justice Everywhere ☮️. AccessibilitySitemapDrug List SECTION II. THE INTRAOPERATIVE PHASE 8-6. THE SURGICAL TEAM a. Key Members. The intraoperative phase begins when the patient is received in the surgical area and lasts until the patient is transferred to the recovery area. Although the surgeon has the most important role in this phase, there are five key members of the surgical team. b. The Surgeon. The surgeon is the leader of the surgical team. The surgeon is ultimately responsible for performing the surgery effectively and safely; however, he is dependent upon other members of the team for the patient's emotional well being and physiologic monitoring. c. Anesthesiologist/Anesthetist. An anesthesiologist is a physician trained in the administration of anesthetics. An anesthetist is a registered professional nurse trained to administer anesthetics. The responsibilities of the anesthesiologist or anesthetist include:
d. Scrub Nurse/Assistant. The scrub nurse or scrub assistant is a nurse or surgical technician who prepares the surgical set-up, maintains surgical asepsis while draping and handling instruments, and assists the surgeon by passing instruments, sutures, and supplies. The scrub nurse must have extensive knowledge of all instruments and how they are used. In the Army, the Operating Room Technician (MOS 91D) often fills this role. The scrub nurse or assistant wears sterile gown, cap, mask, and gloves. e. Circulating Nurse. The circulating nurse is a professional registered nurse who is liaison between scrubbed personnel and those outside of the operating room. The circulating nurse is free to respond to request from the surgeon, anesthesiologist or anesthetist, obtain supplies, deliver supplies to the sterile field, and carry out the nursing care plan. The circulating nurse does not scrub or wear sterile gloves or a sterile gown. Other responsibilities include:
8-7. MAJOR CLASSIFICATIONS OF ANESTHETIC AGENTS a. There are three major classifications of anesthetic agents: general anesthetic, regional anesthetic, and local anesthetic. A general anesthetic produces loss of consciousness and thus affects the total person. When the patient is given drugs to produce central nervous system depression, it is termed general anesthesia.
b. A regional or block anesthetic agent causes loss of sensation in a large region of the body. The patient remains awake but loses sensation in the specific region anesthetized. In some instances, reflexes are lost also. When an anesthetic agent is injected near a nerve or nerve pathway, it is termed regional anesthesia.
c. Local anesthesia is administration of an anesthetic agent directly into the tissues. It may be applied topically to skin surfaces and the mucous membranes in the nasopharynx, mouth, vagina, or rectum or injected intradermally into the tissue. Local infiltration is used in suturing small wounds and in minor surgical procedures such as skin biopsy. Topical anesthesia is used on mucous membranes, open skin surfaces, wounds, and burns. The advantage of local anesthesia is that it acts quickly and has few side-effects. 8-8. SELECTION OF AN ANESTHETIC AGENT a. Depending on its classification, anesthesia produces states such as narcosis (loss of consciousness), analgesia (insensibility to pain), loss of reflexes, and relaxation. General anesthesia produces all of these responses. Regional anesthesia does not cause narcosis, but does result in analgesia and reflex loss. Local anesthesia results in loss of sensation in a small area of tissue. b. The choice of route and the type of anesthesia is primarily made by the anesthetist or anesthesiologist after discussion with the patient. Whether by intravenous, inhalation, oral, or rectal route, many factors effect the selection of an anesthetic agent:
c. Factors considered by the anesthetist or anesthesiologist when selecting an agent are the smoking and drinking habits of the patient, any medications the patient is taking, and the presence of disease. Of particular concern are pulmonary function, hepatic function, renal function, and cardiovascular function.
d. Medications, whether prescribed or over-the-counter, can affect the patient's reaction to the anesthetic agent, increase the effects of the anesthesia, and increase the risk from the stress of surgery. Medication is usually withheld when the patient goes to surgery; but some specific medications are given even then. For example, patients with cardiovascular problems or diabetes mellitus may continue to receive their prescribed medications.
8-9. REASONS FOR SURGICAL INTERVENTION Descriptors used to classify surgical procedures include ablative, diagnostic, constructive, reconstructive, palliative, and transplant. These descriptors are directly related to the reasons for surgical intervention:
Continue to Recovery Room Care What is the most important role of the perioperative nurse in intra operative phase?The key responsibility for the perioperative nurse is to maintain a sterile environment for the patient and surgical team before, during, and after surgery.
What are the nursing responsibilities during intraoperative?Nursing responsibilities during the intraoperative phase include continuing the assessment of the patient's physiologic and psychologic status, promoting safety and privacy, preventing wound infection, and promoting healing.
What are your roles as a surgical team member during the intraoperative phase of care?You are usually the first member of the surgical team who meets the patient. You are the patient's advocate throughout the intraoperative experience. This includes maintaining the patient's safety, privacy, dignity, and confidentiality; communicating with the patient; and providing physical care.
What is role of the nurse in the operative phase?Scope of practice
Working with patients prior to surgery to complete paperwork, and help answer questions or calm fears about surgery. Monitoring a patient's condition during and after surgery. Selecting and passing instruments and supplies to the surgeon during operation (sometimes referred to as a scrub nurse)
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