Podcast
Questions and Answers
What is the primary purpose of using ortho hardware with grafts during surgery?
What is the primary purpose of using ortho hardware with grafts during surgery?
- To enhance blood flow to the area
- To stabilize the grafts as they won't fuse on their own (correct)
- To facilitate faster recovery for the patient
- To reduce the need for surgical instruments
What is a critical nursing consideration when using powered surgical instruments?
What is a critical nursing consideration when using powered surgical instruments?
- Test the drill for operation before passing it to the surgeon (correct)
- Keep the safety lock off for quick access
- Ensure that instruments are cleaned and sterilized
- Confirm that the drill is placed directly on the patient
Which surgical table is specifically designed for spinal surgery when the patient is prone?
Which surgical table is specifically designed for spinal surgery when the patient is prone?
- Jackson Spinal Table (correct)
- Fracture Table
- Operating Room Table
- C-Arm Table
Which of the following procedures typically requires the use of pneumatic tourniquets?
Which of the following procedures typically requires the use of pneumatic tourniquets?
What is the maximum recommended inflation pressure for a pneumatic tourniquet on the thigh?
What is the maximum recommended inflation pressure for a pneumatic tourniquet on the thigh?
What is the recommended maximum duration for inflating a pneumatic tourniquet on the lower extremity?
What is the recommended maximum duration for inflating a pneumatic tourniquet on the lower extremity?
What is a key function of the C-Arm in orthopedic surgeries?
What is a key function of the C-Arm in orthopedic surgeries?
Which type of equipment must be properly secured to avoid contamination during surgery?
Which type of equipment must be properly secured to avoid contamination during surgery?
Which virtue emphasizes the active regard for the best interests of the patient?
Which virtue emphasizes the active regard for the best interests of the patient?
What does conscientiousness require from health care professionals?
What does conscientiousness require from health care professionals?
Which of the following is NOT one of the CNO ethical values implemented in perioperative nursing?
Which of the following is NOT one of the CNO ethical values implemented in perioperative nursing?
In perioperative nursing, which aspect emphasizes the importance of understanding patient and family values?
In perioperative nursing, which aspect emphasizes the importance of understanding patient and family values?
What is crucial for ensuring safe patient care in perioperative nursing practice?
What is crucial for ensuring safe patient care in perioperative nursing practice?
What is the primary reason for adding Barium Sulfate to the powder component of Bone Cement?
What is the primary reason for adding Barium Sulfate to the powder component of Bone Cement?
Which of the following procedures provides rigid fixation while allowing for soft tissue management?
Which of the following procedures provides rigid fixation while allowing for soft tissue management?
What specific documentation is vital for implants during surgery?
What specific documentation is vital for implants during surgery?
What is a possible result of excessive exposure to the fumes of the liquid component in Bone Cement?
What is a possible result of excessive exposure to the fumes of the liquid component in Bone Cement?
What is the primary objective of fracture surgery?
What is the primary objective of fracture surgery?
In what situation is an open fracture most likely to occur?
In what situation is an open fracture most likely to occur?
What is the primary role of the scrub nurse in the context of handling prosthetics?
What is the primary role of the scrub nurse in the context of handling prosthetics?
Which option best describes the purpose of utilizing Bacitracin in orthopedic surgery?
Which option best describes the purpose of utilizing Bacitracin in orthopedic surgery?
What precaution should be taken regarding the liquid component of Bone Cement in the operating room?
What precaution should be taken regarding the liquid component of Bone Cement in the operating room?
What benefits does Closed Reduction offer in fracture treatment?
What benefits does Closed Reduction offer in fracture treatment?
What is a key advantage of using Open Reduction and Internal Fixation (ORIF) for fractures?
What is a key advantage of using Open Reduction and Internal Fixation (ORIF) for fractures?
Which type of fracture is characterized by compromised blood supply and requires special consideration for internal fixation?
Which type of fracture is characterized by compromised blood supply and requires special consideration for internal fixation?
What is the primary fixation method used for intertrochanteric fractures?
What is the primary fixation method used for intertrochanteric fractures?
What is the purpose of using a guide pin during the fixation process of hip fractures?
What is the purpose of using a guide pin during the fixation process of hip fractures?
In which scenario would Total Hip Arthroplasty (THA) be considered for a hip fracture?
In which scenario would Total Hip Arthroplasty (THA) be considered for a hip fracture?
What is the significance of wearing lead gowns for operating room personnel during the fixation procedures?
What is the significance of wearing lead gowns for operating room personnel during the fixation procedures?
Which of the following statements is true regarding intertrochanteric fractures?
Which of the following statements is true regarding intertrochanteric fractures?
What is a common surgical procedure done prior to the internal fixation of femoral neck fractures?
What is a common surgical procedure done prior to the internal fixation of femoral neck fractures?
Which fixation instrumentation is used for stable femoral neck fractures?
Which fixation instrumentation is used for stable femoral neck fractures?
What distinguishes extracapsular fractures such as intertrochanteric fractures from intracapsular fractures?
What distinguishes extracapsular fractures such as intertrochanteric fractures from intracapsular fractures?
What is the primary reason for performing Total Knee Arthroplasty (TKA)?
What is the primary reason for performing Total Knee Arthroplasty (TKA)?
What is the most commonly torn ligament in the knee?
What is the most commonly torn ligament in the knee?
How is a meniscus tear primarily treated?
How is a meniscus tear primarily treated?
Which component is usually involved in ACL repair?
Which component is usually involved in ACL repair?
What is the role of menisci in the knee joint?
What is the role of menisci in the knee joint?
What is imperative to verify before opening the implant packages during knee prosthesis surgery?
What is imperative to verify before opening the implant packages during knee prosthesis surgery?
Which of the following cavities is NOT part of the middle ear anatomy?
Which of the following cavities is NOT part of the middle ear anatomy?
What distinguishes TKA implants for the knee?
What distinguishes TKA implants for the knee?
What hormone does the parathyroid gland secrete?
What hormone does the parathyroid gland secrete?
Which structure in the ear amplifies sound?
Which structure in the ear amplifies sound?
Flashcards
Kerrison Rongeur
Kerrison Rongeur
Instrument used to grasp and remove lamina bone.
Pituitary Rongeur
Pituitary Rongeur
Used for grasping and removing intervertebral discs.
Powered Surgical Instruments
Powered Surgical Instruments
Instruments like drills used in surgery, requiring safety precautions.
Fracture Table
Fracture Table
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Jackson Spinal Table
Jackson Spinal Table
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C-Arm
C-Arm
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Pneumatic Tourniquet
Pneumatic Tourniquet
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Bone Cement (PMMA)
Bone Cement (PMMA)
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Handling Prosthesis
Handling Prosthesis
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Closed Reduction
Closed Reduction
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External Fixation
External Fixation
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ORIF
ORIF
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Intertrochanteric Fractures
Intertrochanteric Fractures
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Femoral Neck Fractures
Femoral Neck Fractures
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Meniscal Tears
Meniscal Tears
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ACL Injuries
ACL Injuries
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Total Knee Arthroplasty (TKA)
Total Knee Arthroplasty (TKA)
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Perioperative Nursing
Perioperative Nursing
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Perioperative Nurse Practice Standards
Perioperative Nurse Practice Standards
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Patient Safety
Patient Safety
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Multidisciplinary Teams
Multidisciplinary Teams
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Study Notes
Surgical Stabilization and Instruments
- Grafts generally require stabilization with orthopedic hardware like wires and screws for effective healing.
- Kerrison Rongeur: Used for grasping and resecting lamina bone.
- Pituitary Rongeur: Designed for grasping and removing intervertebral discs.
Powered Surgical Instruments
- Scrub and circulating nurses must ensure powered surgical instruments (drills) do not rest on patients or drapes to prevent accidental activation, which may lead to contamination.
- Safety locks must be engaged when drills are not in use to avoid injury.
- Correct drill cord and size should be confirmed before handing equipment to the surgeon.
Operating Room Equipment
- Fracture Table: Used for femoral neck, femoral shaft, or tibial fixation procedures.
- Jackson Spinal Table: Designed for prone patients undergoing spinal surgery; an emergency stretcher should be nearby.
- C-Arm: Provides fluoroscopy during orthopedic procedures; must be operated by surgeon or x-ray tech while all personnel in OR wear lead gowns for protection.
Pneumatic Tourniquets
- Employed in extremity surgeries; create bloodless fields, enhancing visibility.
- Inflation pressures depend on systolic blood pressure, age, and extremity circumference; should not exceed 250-300 mmHg for arms and 300-350 mmHg for thighs.
- Maximum safe inflation times are 60 minutes for upper limbs and 120 minutes for lower limbs; any extensions must be documented.
Bone Cement (PMMA)
- Composed of a powder (10% Barium Sulfate) and a flammable liquid (methyl monomer), mixed in a closed system by scrub nurse.
- PMMA impregnated with antibiotics helps reduce infection rates.
- Safety precautions must be taken to prevent respiratory and eye tract irritation; proper ventilation is crucial.
Handling Prosthesis
- Prosthetic devices require meticulous handling to prevent damage and contamination.
- Each implant must be inspected for defects, rinsed if appropriate, and documented with details such as serial number and expiration date.
Fracture Surgery Overview
- Fractures can result from trauma, infection, or bone diseases like osteoporosis; surgery aims to restore bone anatomy and function.
- Closed Reduction: Involves manipulation without skin incisions, confirmed with radiography. Minimizes infection risk and recovery time.
- External Fixation: Stabilizes severe open fractures without casts, allowing for management of soft tissue injuries.
- Open Reduction and Internal Fixation (ORIF): Used for complex fractures; involves skin incisions and placement of metal devices for stabilization.
Hip Fractures
- Intertrochanteric Fractures: Common in elderly women; can be fixed with plates and screws.
- Femoral Neck Fractures: Require attention to prevent complications like avascular necrosis; fixed using cannulated screws or via total hip arthroplasty (THA).
Knee Injuries and Surgery
- Meniscal Tears: Common knee injuries requiring surgical repair to maintain stability and load distribution.
- ACL Injuries: Frequently torn in active individuals; often require ligament replacement, typically using a patellar tendon graft.
- Total Knee Arthroplasty (TKA): A procedure to replace worn knee surfaces due to arthritis; aims for improved mobility and stability without needing lead gowns.
Perioperative Nursing Considerations
- Emphasizes virtues such as compassion, discernment, trustworthiness, integrity, and conscientiousness in patient care.
- Health care professionals must focus on patient values, treatment goals, and effective conflict resolution.
- Ethical values in perioperative nursing include client well-being, privacy, and fairness, guiding daily practice and decision-making.
Perioperative Nurse Practice Standards
- Incorporates knowledge from various disciplines for patient safety and partnership with multidisciplinary teams.
- Utilizes the nursing process for informed clinical decision-making and professional accountability in patient care.
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Description
Test your knowledge on various surgical instruments, their identification, and purposes with this quiz. Learn about the different equipment used in bone surgeries, including powered surgical instruments and nursing considerations related to their use. This quiz is essential for aspiring and current healthcare professionals.
