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?

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

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

Issued new classifications of interventions (D) Signup and view all the answers

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

Infection control measures (D) 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?

62 days (D) Signup and view all the answers

What is the absolute contraindication of heparin?

Uncontrolled bleeding (B) Signup and view all the answers

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

Critical organ ischaemia (B) Signup and view all the answers

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

To prevent aspiration (A) Signup and view all the answers

What does the anesthesiologist insert in the operating room?

Venous catheter (D) Signup and view all the answers

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

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

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

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

Why is early mobilization really important after surgery?

To reduce the risk of thrombosis (D) Signup and view all the answers

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

Pain management interventions (C) Signup and view all the answers

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

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

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

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

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

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

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

Grade 1–2 (C) Signup and view all the answers

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

Having a BMI above 40 kg/m2 (A) 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?

Clinical appropriateness for day procedure (A) Signup and view all the answers

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

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

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

Advanced surgical techniques (D) Signup and view all the answers

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

Complete upper-airway obstruction (C) Signup and view all the answers

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

Jaw thrust (B) Signup and view all the answers

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

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

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

Two-hand technique (D) Signup and view all the answers

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

$500$ mL (A) Signup and view all the answers

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

Thumb and index finger (C) 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.

Recommended Ventilation Volume

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.