Local Anesthesia Procedures

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Questions and Answers

What is the primary document used to record the dispensation of cocaine solution?

Anesthesia monitoring chart

Surgical procedure log

Patient's medical record

AF Form 579, Controlled Substances Register (correct)

Which personnel typically have little involvement in handling controlled drugs?

Surgical technicians (correct)

Anesthetists

Operating room nurses

Pharmacists

What should be done if a controlled substance is found unattended in the operating room?

Take it to the pharmacy

Dispose of it immediately

Ignore it if it's not being used

Notify the OR supervisor or anesthesia staff (correct)

How should surgical personnel interact with patients under conduction anesthetics?

Maintain a supportive, patient-centered atmosphere Signup and view all the answers

What is a recommended practice to enhance patient comfort during an operation?

Providing warm sheets or blankets Signup and view all the answers

What can be provided to patients who must have drapes over their heads during eye or ENT surgery?

Gentle flow of oxygen or compressed air Signup and view all the answers

What is crucial to do before starting a cleansing skin prep on an awake patient?

Tell the patient about the procedure and expected sensations Signup and view all the answers

When prepping sensitive areas of a patient, what is a recommended protocol?

Limit exposure to the absolute minimum necessary Signup and view all the answers

What should be monitored continuously during a procedure where the patient is awake?

The patient’s vital signs Signup and view all the answers

Which of the following is NOT a part of the guidelines for interacting with patients under anesthesia?

Engage in informal conversations with the team Signup and view all the answers

What factor is typically the least concern when selecting a needle for injection?

Viscosity similar to water Signup and view all the answers

Which gauge needle is most appropriate for superficial tissue infiltration when removing a mole?

25-gauge needle Signup and view all the answers

What feature distinguishes needles used for peripheral nerve blocks?

Specially designed bevels Signup and view all the answers

What is the primary responsibility of the circulator when anesthesia personnel are not involved?

Obtain all required supplies for anesthesia. Signup and view all the answers

Which factor does NOT influence the choice of syringe size and type for administering local anesthetic?

Patient's medical history. Signup and view all the answers

When preparing to assist with a surgical procedure, what items should be ensured are available?

Additional syringes, needles, and anesthetics Signup and view all the answers

What must be checked before selecting a drug from storage for local anesthesia?

Surgeon's preference card and expiration date. Signup and view all the answers

What is typically included in a local anesthesia set assembled for surgery?

Sterile gauze sponges and reusable syringes Signup and view all the answers

Why should epinephrine only be used upon the surgeon's specific request?

It is a potent vasoconstrictor that can cause serious injury. Signup and view all the answers

What is essential when handling cocaine as a topical anesthetic?

It must be stored in a locked drug cabinet Signup and view all the answers

Which is a common type of syringe that surgeons prefer for local anesthetic injections?

Cartridge-type syringe. Signup and view all the answers

What is a common use for topical anesthetic spray?

Anesthetizing throat before throat surgery Signup and view all the answers

What is true about the Luer-lock tip of a syringe?

It securely locks the needle to the syringe hub. Signup and view all the answers

For what purpose is a topical anesthetic gel used prior to endoscope insertion?

To lubricate the endoscope Signup and view all the answers

What is the significance of verifying the right agent, concentration, and amount when preparing local anesthetics?

To avoid serious injury or complications. Signup and view all the answers

What aspect of needle selection is primarily influenced by the volume of solution to be injected?

Length and diameter of the needle Signup and view all the answers

What advantage does a three-ring syringe have over standard syringes?

It provides better control during injections. Signup and view all the answers

Which of the following scenarios would most likely require the use of larger bore needles?

Larger volume injections into deeper tissues for field blocks Signup and view all the answers

Study Notes

Circulator Responsibilities

As a circulator, ensure all necessary supplies, equipment, and medications for local anesthesia are obtained when anesthesia personnel are absent.
Verify supplies and medications through the surgeon’s preference card and surgery scheduling form.
Confirm correct identification of local anesthetic agents, paying close attention to concentration, amount, and expiration dates.

Local Anesthetic Agents and Supplies

Understand that local anesthetics containing epinephrine are used only at the surgeon's discretion due to their vasoconstrictive properties.
Assemble sterile needles and syringes based on medication type, required volume, dosage accuracy, and surgeon preference.
Commonly used syringes include 10- or 20-cc disposable types, with options such as "three-ring" for control or cartridge types.
Needle selection depends on solution viscosity, volume, injection depth, and patient discomfort; smaller gauges (25-30) are preferable for superficial injections, while larger gauges (18-23) are suited for deeper tissues.

Topical Anesthetic Procedures

Topical anesthetic preparations vary based on application, such as gels or sprays for procedures like endoscopy or throat anesthesia.
Handle cocaine, a controlled substance, with care, keeping it secured in a locked cabinet and meticulously documenting its use and any remaining amounts.

Patient Care Guidelines

Patients under conduction anesthesia may be aware and anxious; provide psychological support and clear communication throughout the procedure.
Maintain a quiet, professional environment without casual conversation; minimize traffic in the operating room.
Ensure patient comfort during positioning, using pillows and privacy sheets to enhance their experience.
Offer warm sheets or blankets, and provide gentle airflow under drapes for comfort during eye and ENT surgeries.

Skin Prep Sensitivity

Perform skin cleansing procedures with sensitivity, informing the patient of each step and managing temperature and pressure cautiously, especially over sensitive areas.
Limit exposure during prep of sensitive regions and consider same-sex personnel when possible.
Monitor patient closely for vital signs and communicate clearly before procedures, particularly during local anesthetic injections.

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Description

This quiz covers the responsibilities of a circulator in ensuring the availability of supplies, equipment, and medications for local anesthesia. It emphasizes the importance of verifying anesthetic agents' identities and properties. Test your knowledge on the critical tasks involved in pre-surgery preparation.