Recovery Practitioner Role in the Operating Theatre
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Questions and Answers

What does a recovery practitioner ensure regarding the post-operative patient?

  • Maintaining airway and providing adequate analgesia (correct)
  • Checking blood pressure and heart rate
  • Assessing wound healing and suture removal
  • Administering antibiotics and painkillers

What kind of patient care instructions does the recovery practitioner provide to the ward nurse?

  • Blood transfusion guidelines and patient history
  • Pre-operative care information and anesthesia records
  • Intra-operative care details and post-operative care instructions (correct)
  • Surgical complications explanation and insurance details

What theoretical knowledge should surgical nurses possess according to the text?

  • Surgical instruments, anesthesia techniques, and dietary guidelines
  • Anatomy, complications, pharmacology, and patient education (correct)
  • Emergency procedures, public health policies, and forensic nursing practices
  • Chemotherapy side effects, radiology interpretations, and physical therapy

Why is it important for nursing care to be evidence-based and comply with local/national policy?

<p>To reduce risks associated with surgery for the patient (D)</p> Signup and view all the answers

What did the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) do in December 2004?

<p>Issued new classifications of interventions (D)</p> Signup and view all the answers

Apart from anatomy, what is another key area of knowledge that surgical nurses should possess?

<p>Infection control measures (D)</p> Signup and view all the answers

What is the timeframe within which definitive treatment (surgery or adjunct therapy) must begin after referral in the NHS?

<p>62 days (D)</p> Signup and view all the answers

What is the absolute contraindication of heparin?

<p>Uncontrolled bleeding (B)</p> Signup and view all the answers

Which of the following conditions would require immediate surgery according to the nCepOD classification?

<p>Critical organ ischaemia (B)</p> Signup and view all the answers

Why is a nasogastric tube inserted during upper GI tract surgeries?

<p>To prevent aspiration (A)</p> Signup and view all the answers

What does the anesthesiologist insert in the operating room?

<p>Venous catheter (D)</p> Signup and view all the answers

What is the purpose of the '2-week wait' system in the NHS for potential cancer patients?

<p>To facilitate referral to specialists for prompt diagnosis (D)</p> Signup and view all the answers

In emergency surgery, what distinguishes immediate surgery from urgent surgery?

<p>Involves life-threatening conditions where surgery must occur within minutes (D)</p> Signup and view all the answers

Why is early mobilization really important after surgery?

<p>To reduce the risk of thrombosis (D)</p> Signup and view all the answers

What is a common requirement for surgical patients both before and after surgery?

<p>Pain management interventions (C)</p> Signup and view all the answers

What is the purpose of adjunct therapy in cancer treatment according to the text?

<p>To be used as a complementary treatment before surgery (C)</p> Signup and view all the answers

What is an essential feature of the 18-week referral to treatment time (rtt) standard in the NHS?

<p>Ensures patients receive surgery 18 weeks after outpatient assessment (D)</p> Signup and view all the answers

What is a key criterion for selecting patients for day-case surgery according to the text?

<p>Having caregivers available for 24 hours post-discharge (B)</p> Signup and view all the answers

Which ASA grade is generally considered suitable for day-case surgery based on the text?

<p>Grade 1–2 (C)</p> Signup and view all the answers

What is NOT a patient selection criterion for day-case surgery as mentioned in the text?

<p>Having a BMI above 40 kg/m2 (A)</p> Signup and view all the answers

What is a unique consideration for patient selection in day-case emergency surgery compared to planned day-case surgery?

<p>Clinical appropriateness for day procedure (A)</p> Signup and view all the answers

Why is age not considered a contraindication to day-case surgery according to the text?

<p>As long as patients meet other selection criteria, age is not a barrier (D)</p> Signup and view all the answers

What factor has allowed the development of day-case emergency surgery according to the text?

<p>Advanced surgical techniques (D)</p> Signup and view all the answers

What is a relative contraindication for airway management after paralysis and induction?

<p>Complete upper-airway obstruction (C)</p> Signup and view all the answers

In the presence of a suspected cervical spine injury, which maneuver should be performed in airway management?

<p>Jaw thrust (B)</p> Signup and view all the answers

When placing the mask on the patient's face during airway management, how should it be positioned?

<p>Cover nose and mouth without extending over the chin (D)</p> Signup and view all the answers

What technique should be used if a second person is available to provide ventilations during airway management?

<p>Two-hand technique (D)</p> Signup and view all the answers

How much ventilation volume is recommended for an average adult during airway management?

<p>$500$ mL (A)</p> Signup and view all the answers

What hand positioning is recommended when creating a C-shape on top of the mask during airway management?

<p>Thumb and index finger (C)</p> Signup and view all the answers

Study Notes

Post-Operative Care and Responsibilities

  • Recovery practitioners ensure patient safety, monitor vital signs, and manage pain post-operatively.
  • They provide care instructions to ward nurses, including medication management and signs of complications to watch for.

Theoretical Knowledge for Surgical Nurses

  • Surgical nurses should possess knowledge of anatomy, pharmacology, and surgical procedures.
  • Understanding evidence-based practices is crucial for delivering effective patient care.

Importance of Evidence-Based Nursing Care

  • Nursing care must be evidence-based to ensure the best patient outcomes and adhere to local/national policies.
  • Compliance with guidelines promotes standardization and quality in patient care.

NCEPOD Findings

  • In December 2004, NCEPOD published findings on patient outcomes, aiming to improve surgical practices and reduce risks.

Additional Key Knowledge for Surgical Nurses

  • Surgical nurses should have understanding in pathophysiology, alongside anatomy, to provide comprehensive patient care.

NHS Timeframe for Treatment

  • Definitive treatment must begin within 18 weeks after referral in the NHS to ensure timely patient management.

Heparin Contraindications

  • The absolute contraindication for heparin administration is active bleeding, which poses a significant risk of hemorrhage.

Conditions Necessitating Immediate Surgery

  • Certain conditions outlined in the NCEPOD classification require immediate surgical intervention due to their critical nature.

Purpose of Nasogastric Tube Insertion

  • A nasogastric tube is inserted during upper GI tract surgeries to decompress the stomach and prevent aspiration.

Anesthesiologist's Role in Surgery

  • The anesthesiologist inserts an endotracheal tube to secure the airway and provide anesthesia during the procedure.

'2-Week Wait' System Significance

  • The '2-week wait' system in the NHS is designed to fast-track potential cancer patients for diagnosis and treatment.

Differentiating Surgery Types

  • Immediate surgery occurs without delay for life-threatening conditions, while urgent surgery is required within a few hours but is less critical.

Importance of Early Mobilization

  • Early mobilization after surgery reduces the risk of complications like thromboembolism and promotes faster recovery.

Common Surgical Patient Requirements

  • Surgical patients typically require fasting before surgery and may need pain management post-operatively.

Purpose of Adjunct Therapy in Cancer Treatment

  • Adjunct therapy aims to enhance primary treatment effectiveness, reduce recurrence, and improve survival rates.

18-Week Referral to Treatment Standard

  • The 18-week referral to treatment time (RTT) standard ensures patients receive timely assessment and intervention.

Criteria for Day-Case Surgery Selection

  • Key criteria for selecting patients for day-case surgery include medical stability and the absence of significant comorbidities.

ASA Grading for Day-Case Surgery

  • ASA grades I and II are generally considered suitable for day-case surgery, indicating lower risk.

Exclusions from Day-Case Surgery Criteria

  • Conditions requiring intensive monitoring post-surgery are not considered for day-case procedures.

Unique Consideration in Day-Case Emergency Surgery

  • Patient selection for day-case emergency surgery may prioritize immediate needs over the typical criteria used for planned cases.

Age Consideration for Day-Case Surgery

  • Age is not an absolute contraindication, as many older patients can safely undergo day-case procedures.

Factors Supporting Day-Case Emergency Surgery

  • Advances in anesthesia and surgical techniques have facilitated the safe implementation of day-case emergency surgeries.

Relative Contraindications for Airway Management

  • History of difficult intubation can be a relative contraindication for airway management after paralysis and induction.

Airway Management with Suspected Cervical Spine Injury

  • In cases of suspected cervical spine injuries, the 'jaw-thrust' maneuver should be performed to maintain airway patency.

Mask Positioning During Airway Management

  • The mask should be positioned to form a tight seal over the patient's face, ensuring effective ventilation.

Ventilation Technique with Assistance

  • If a second person is available, a two-person technique should be utilized for providing effective ventilations.
  • The recommended ventilation volume during airway management for an average adult is approximately 500-600 ml.

Hand Positioning for Mask Ventilation

  • A C-shape hand positioning is recommended atop the mask to create a proper seal and facilitate effective ventilation.

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Description

Explore the responsibilities of a recovery practitioner in the operating theatre, including patient monitoring, airway management, analgesia administration, and documentation. Learn about the handover process to ward nurses post-operation.

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