Podcast
Questions and Answers
What should be observed to ensure that sterile technique has not been broken during the draping process?
What is the first step in the draping procedure after ungloving both hands?
During the aftercare of equipment, what action is taken immediately after the delivery?
What should NOT be documented in the patient's chart following final perineal preparation?
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Which action should be taken if the patient is on active labor and needs to stay in the delivery room?
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What should the nurse do to support a woman's pushing efforts during labor?
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What is the method for inserting the legging/lap towel to the patient during draping?
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Which should be the immediate response if a patient reports burning, discomfort, or itching during the evaluation?
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What should be documented postoperatively to aid in monitoring the wound?
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When both gloves become contaminated during a procedure, what is the appropriate action?
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What action should be taken if one glove becomes contaminated?
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Which of the following is NOT a sign of infection at the surgical site?
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What should be emphasized when teaching patients and their families about postoperative care?
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What is an expected outcome when proper surgical technique is maintained?
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What should be assessed before donning surgical gloves?
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Which statement about operative procedure documentation is correct?
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What is the primary purpose of drying hands thoroughly after washing?
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What signs should be monitored for indicating potential wound infection post-operatively?
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What should be done with the hand towel after drying hands?
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During hand drying, which area of the hand should be dried first?
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How should water be turned off after hand washing to maintain sterility?
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What documentation is required following the hand washing procedure?
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What should be done if a pattern of surgical wound infections is observed?
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How should hands and arms be positioned when entering the major room post-hand washing?
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Study Notes
Surgical Site Documentation
- Record area and description of the surgical site postoperatively to establish a baseline for wound monitoring.
- Utilize special forms to document names and roles of healthcare professionals present in the operating room (OR).
- Document adherence to sterile technique, noting any breaches.
Unexpected Outcomes and Interventions
- Contaminated gloves during a procedure warrant regowning and regloving or assistance from a sterile team member.
- If one glove is contaminated, use the open gloving method to reglove.
- Signs of infection include redness, heat, swelling, pain, and drainage; implement appropriate wound care when detected.
Teaching Considerations
- Instruct patients and families to observe the surgical site for signs of infection post-discharge.
Performance Checklist for Gowning and Gloving Technique
- Inspect hands and cuticles for cuts, lesions, or abrasions prior to donning gloves.
- Choose the correct size and type of gloves and gown tailored to the procedure's requirements.
Nursing Diagnosis and Planning
- Develop nursing diagnoses based on assessment data gathered preoperatively.
- Expected outcomes include no breaks in surgical technique and patient protection against microorganisms.
Surgical Handwashing Protocol
- Notify personnel of the initiation of surgical handwashing procedures.
- Conduct thorough handwashing, ensuring flow of water from fingertips to elbows to prevent contamination.
Draping Techniques
- Proper draping involves inserting towels and sheets carefully, ensuring sterility and coverage of the patient.
- Encourage the patient's labor coach to support labor efforts during the draping process.
Evaluation of Techniques
- Assess for breaks in sterile technique and inspect the skin condition of the patient.
- Question the patient regarding any sensations of burning, discomfort, or itching.
Recording and Reporting Procedures
- No documentation required for final perineal preparation and draping; record information pertaining to follow-up procedures only.
- Ensure equipment used in perineal preparation is resterilized after each delivery.
Monitoring for Postoperative Infection
- Observe for signs of localized wound infection within 2 to 3 days post-operation.
- Monitor infection patterns, involving the hospital infection control team to trace potential sources.
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Description
This quiz focuses on the essential practices for documenting the surgical site after an operation. It covers the importance of recording baseline information for wound monitoring and the roles of healthcare professionals in the operating room. Participants will learn about maintaining sterile techniques and managing unexpected outcomes during procedures.