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Questions and Answers
What is the primary document used to record the dispensation of cocaine solution?
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?
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?
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?
How should surgical personnel interact with patients under conduction anesthetics?
What is a recommended practice to enhance patient comfort during an operation?
What is a recommended practice to enhance patient comfort during an operation?
What can be provided to patients who must have drapes over their heads during eye or ENT surgery?
What can be provided to patients who must have drapes over their heads during eye or ENT surgery?
What is crucial to do before starting a cleansing skin prep on an awake patient?
What is crucial to do before starting a cleansing skin prep on an awake patient?
When prepping sensitive areas of a patient, what is a recommended protocol?
When prepping sensitive areas of a patient, what is a recommended protocol?
What should be monitored continuously during a procedure where the patient is awake?
What should be monitored continuously during a procedure where the patient is awake?
Which of the following is NOT a part of the guidelines for interacting with patients under anesthesia?
Which of the following is NOT a part of the guidelines for interacting with patients under anesthesia?
What factor is typically the least concern when selecting a needle for injection?
What factor is typically the least concern when selecting a needle for injection?
Which gauge needle is most appropriate for superficial tissue infiltration when removing a mole?
Which gauge needle is most appropriate for superficial tissue infiltration when removing a mole?
What feature distinguishes needles used for peripheral nerve blocks?
What feature distinguishes needles used for peripheral nerve blocks?
What is the primary responsibility of the circulator when anesthesia personnel are not involved?
What is the primary responsibility of the circulator when anesthesia personnel are not involved?
Which factor does NOT influence the choice of syringe size and type for administering local anesthetic?
Which factor does NOT influence the choice of syringe size and type for administering local anesthetic?
When preparing to assist with a surgical procedure, what items should be ensured are available?
When preparing to assist with a surgical procedure, what items should be ensured are available?
What must be checked before selecting a drug from storage for local anesthesia?
What must be checked before selecting a drug from storage for local anesthesia?
What is typically included in a local anesthesia set assembled for surgery?
What is typically included in a local anesthesia set assembled for surgery?
Why should epinephrine only be used upon the surgeon's specific request?
Why should epinephrine only be used upon the surgeon's specific request?
What is essential when handling cocaine as a topical anesthetic?
What is essential when handling cocaine as a topical anesthetic?
Which is a common type of syringe that surgeons prefer for local anesthetic injections?
Which is a common type of syringe that surgeons prefer for local anesthetic injections?
What is a common use for topical anesthetic spray?
What is a common use for topical anesthetic spray?
What is true about the Luer-lock tip of a syringe?
What is true about the Luer-lock tip of a syringe?
For what purpose is a topical anesthetic gel used prior to endoscope insertion?
For what purpose is a topical anesthetic gel used prior to endoscope insertion?
What is the significance of verifying the right agent, concentration, and amount when preparing local anesthetics?
What is the significance of verifying the right agent, concentration, and amount when preparing local anesthetics?
What aspect of needle selection is primarily influenced by the volume of solution to be injected?
What aspect of needle selection is primarily influenced by the volume of solution to be injected?
What advantage does a three-ring syringe have over standard syringes?
What advantage does a three-ring syringe have over standard syringes?
Which of the following scenarios would most likely require the use of larger bore needles?
Which of the following scenarios would most likely require the use of larger bore needles?
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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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