Operating Room Nursing Terminology

Questions and Answers

Who is considered the head of the surgical team?

Scrub Nurse

Anesthesia Provider

First Assistant

Surgeon (correct)

Which member of the sterile team is primarily responsible for maintaining visibility of the surgical site?

Surgeon

First Assistant (correct)

Circulating Nurse

Scrub Nurse

What is one of the responsibilities of the Scrub Nurse before the operation?

Select surgical instruments

Document operating techniques

Identify the client (correct)

Administer anesthesia

What is the role of the circulating nurse in the surgical team?

Provide patient identity verification Signup and view all the answers

Which of the following is NOT a responsibility of the First Assistant during surgery?

Administer anesthesia Signup and view all the answers

Who prepares protective attire such as eye gear or apron in the surgical team?

Scrub Nurse Signup and view all the answers

Which team member is responsible for checking and labeling drugs and syringes used in the operation?

Scrub Nurse Signup and view all the answers

What is one of the main duties of the surgeon during the procedure?

Perform and select the surgical procedure Signup and view all the answers

What suffix refers to the surgical excision or removal of a part?

Ectomy Signup and view all the answers

Which root word is associated with the organ responsible for urinary filtration?

Nephro Signup and view all the answers

What concept was introduced by Dr. Hunter Robb in 1894 regarding perioperative nursing?

The concept of teamwork in surgery Signup and view all the answers

Which suffix indicates the creation of an artificial or new opening?

Ostomy Signup and view all the answers

What role does a senior nurse perform according to the history of perioperative nursing?

Scrub nurse with sterile responsibilities Signup and view all the answers

Which term describes the surgical procedure to repair a part of the body?

Rrhaphy Signup and view all the answers

The term 'colpo' refers to which part of the body?

Vagina Signup and view all the answers

Which organization was established in 1949, aiming to enhance operating room nursing?

Association of Operating Room Nurses Signup and view all the answers

What complication can result from the depression of pharyngeal and laryngeal reflexes during general anesthesia?

Aspiration Signup and view all the answers

What is a potential adverse effect of balanced anesthesia?

Detachment and apathy Signup and view all the answers

How is local infiltration anesthesia administered?

Intracutaneously and subcutaneously into tissues Signup and view all the answers

What characterizes malignant hyperthermia during anesthesia?

Increased muscle metabolism Signup and view all the answers

Which of the following methods is used to achieve neuroleptic analgesia?

Combination of narcotic and neuroleptic drugs Signup and view all the answers

What is the purpose of nerve block anesthesia?

To inhibit sensory nerve impulse transmission Signup and view all the answers

What is a primary responsibility of the scrub nurse during surgery?

Preparing and arranging sterile instruments Signup and view all the answers

What is the onset time for topical application of anesthetics?

Within one minute Signup and view all the answers

Which task is not typically performed by the circulating nurse before the operation?

Cleaning the patient Signup and view all the answers

What is the main goal of spinal and epidural anesthesia?

To prevent sensory and motor sensation in specific areas Signup and view all the answers

What does the anesthesiologist primarily manage during a surgical procedure?

Anesthesia levels and related reactions Signup and view all the answers

After the surgery, which responsibility is specifically assigned to the scrub nurse?

Accounting for all surgical instruments Signup and view all the answers

Which of the following actions is appropriate for the non-sterile team?

Managing untoward physiological reactions Signup and view all the answers

What is a crucial task the scrub nurse performs after the operation?

Labeling surgical specimens Signup and view all the answers

Which of the following statements about the role of the anesthesiologist is correct?

They act as a consultant for managing metabolic disturbances. Signup and view all the answers

Which responsibilities should a scrub nurse anticipate during a surgical procedure?

Responding to the needs of the surgical team Signup and view all the answers

Which situations require written informed consent?

Surgical procedures involving scalpels, scissors, or sutures Signup and view all the answers

Who is primarily responsible for obtaining a patient's consent?

The surgeon Signup and view all the answers

When should consent be obtained in relation to sedation?

Before sedation is administered Signup and view all the answers

What is required if a patient is incapacitated and unable to give consent?

The next of kin may give consent Signup and view all the answers

Which factor does NOT invalidate a written informed consent?

Patient's complete understanding of the procedure Signup and view all the answers

What is a key requirement for a valid consent regarding the patient’s status?

Patient must understand possible consequences and alternatives Signup and view all the answers

Which type of procedure does NOT typically require written informed consent?

Basic physical therapy treatments Signup and view all the answers

In an emergency situation, if the patient is unable to provide consent, who may give consent?

The next of kin or a legal representative Signup and view all the answers

Study Notes

Infection

Infection refers to the invasion of microorganisms into the body.

Centesis: Puncture to aspirate fluid.
Desis: Fusion of body parts.
Ectomy: Surgical excision or removal of a body part.
Otomy: Incision into organ or tissue.
Lysis: Freezing of tissue.
Rrhaphy: Repair of tissue.
Oscopy: Viewing and examination of an organ.
Ostomy: Creation of an artificial or new opening.
Pexy: Fixation or suturing in place.
Plasty: Restoration of a lost part.

Adeno: Gland.
Blepharo: Eyelids.
Chole: Gall.
Cholecyst: Gallbladder.
Cardio: Heart.
Col: Colon.
Colpo: Organ.
Cranio: Brain.
Cysto: Urinary bladder.
Dent: Teeth.
Derma: Skin.
Myo: Muscle.
Nephro: Kidney.
Neuro: Nerve.
Oophor: Ovary.
Ophthalm: Eye.
Choledo: Common bile duct.
Orchio: Testicle.
Os: Bone.
Ortho: Joints.
Ot: Ear.
Phleb: Vein.
Procto: Anus.
Pyelo: Pelvis of kidney.
Rhino: Nose.

History/Framework of Perioperative Nursing

1894: Dr. Hunter Robb introduced the team concept in nursing.
1910: Senior nurse designated as circulating nurse.
1919: American Nurses Association reinforced the senior nurse's role.
1940-1945: World War II prompted nursing shortages; surgical technicians served as nurses.
January 1949: Formation of the Association of Operating Room Nurses (AORN).
Florence Nightingale utilized statistics for improving operative outcomes.

Types of the Surgical Team

Sterile Team: Includes the surgeon, first assist, second assist, scrub nurse, and others like student nurses and surgical interns.
Non-Sterile Team: Includes the anesthesia provider, circulating nurse, nurse anesthetist, and auxiliary staff.

Function of the Surgical Team

The Sterile Team

Surgeon: Leader of the surgical team, responsible for preoperative diagnosis, procedure selection, and patient care.
First Assistant: Aids in skin preparation, patient positioning, and helps manage the surgical site.
Scrub Nurse:
- Pre-operation: Confirms patient identity, checks necessary documents (e.g., consent, NPO compliance).
- During operation: Maintains sterile field, prepares surgical instruments, and assists as needed.
- Post-operation: Accounts for all instruments and specimens, assists patient transfer.

Non-Sterile Team

Anesthesiologist: Responsible for administering and managing anesthesia, monitoring patient responses, and documenting the process.
Circulating Nurse: Assists in patient identification and preparation, coordinates and provides necessary equipment during surgery.

Complications of General Anesthesia

Aspiration: Risk of respiratory complications from upper airway reflex depression.
Malignant Hyperthermia: Calcium imbalance affecting muscle metabolism.
Hypoxia: Oxygen deprivation caused by various factors, including airway obstruction.
Cardiac Dysrhythmias: Increased risk from excessive suctioning.

Balanced Anesthesia

Involves a combination of narcotic and neuroleptic drugs to achieve pain relief and amnesia.
Mixed administration methods include IV and inhalation.

Local and Regional Anesthesia

Topical Application: Anesthetic applied directly to skin; quick onset.
Local Infiltration: Injection around the incision site to block sensory nerve stimuli.
Regional Anesthesia: Targets specific body parts, often via nerve blocks.
Spinal and Epidural Anesthesia: Administered near the spinal cord to block sensation.

Required for surgical or invasive procedures, including those utilizing anesthesia.
Validity criteria include written consent, understanding by the patient, no influence of drugs/alcohol, and emergency provisions for consent by next of kin if necessary.

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Description

This quiz focuses on essential suffixes related to operating room nursing. Test your knowledge on terms that describe surgical procedures and interventions, including their meanings and applications in the medical field. Enhance your understanding of medical terminology and improve your communication in healthcare settings.