Surgical Technicians and Patient Preparation

Questions and Answers

What is the primary reason for transporting patients about 45 minutes before surgery?

To provide a brief orientation about the procedure

To allow time for family consultations

To allow for time to file paperwork

To ensure the preoperative medications take effect (correct)

Which person typically controls the assignment of who picks up patients?

The head surgeon

An administrative assistant

The OR supervisor or a senior staff nurse (correct)

The surgical technician on duty

Which of the following is NOT considered a way to identify a patient for transport?

A handwritten note from a family member (correct)

A computer-generated patient retrieval sheet

A typed surgery schedule cut into strips

An index card with the patient’s identification plate

What is the consequence of transporting the wrong patient to the operating room?

There is a possibility of serious legal issues Signup and view all the answers

Which of the following pieces of information is NOT required for proper patient identification?

Family member’s contact information Signup and view all the answers

How does a technician typically receive patient information for transport?

With a written identification known as a 'pickup slip' Signup and view all the answers

What specific information is critical to compare with the identification during patient pickup?

Type of anesthetic projected Signup and view all the answers

In the context of surgery transport, what does 'premed' refer to?

Preoperative medications administered to the patient Signup and view all the answers

What should be done first after receiving the pickup slip for patient transport?

Ensure the gurney is clean and covered with sheets. Signup and view all the answers

Which of the following is NOT a necessary component when preparing the gurney for transport?

A cushion for the patient's head. Signup and view all the answers

What is the primary advantage of using the mummy wrap method for patient transport?

It ensures patient warmth and comfort. Signup and view all the answers

When transporting patients from a specialized unit, what should never be attempted without proper training?

Moving a patient in a specialized bed. Signup and view all the answers

Which of the following describes an essential safety measure before patient transport?

Check that safety straps are secured above the knees. Signup and view all the answers

What should be checked regarding the gurney's wheels before transport?

There should be no cracks or worn spots. Signup and view all the answers

What action should be taken if there are discrepancies found in the patient’s chart?

Bring them to the attention of the unit nurse. Signup and view all the answers

What is the best practice regarding moving heavy or complex equipment?

Get help if you are unfamiliar with the equipment. Signup and view all the answers

Which item is essential to verify in a patient’s chart before transport?

The informed-consent forms. Signup and view all the answers

Why is it important to use multiple layers of linen during patient transport preparation?

To provide varying comfort levels according to the patient's needs. Signup and view all the answers

What is the primary reason for having a chaperone when transferring patients of the opposite sex?

To protect patient privacy and prevent claims of impropriety. Signup and view all the answers

When should a patient be instructed to move from the bed to the gurney?

When the stretcher is prepared and secure. Signup and view all the answers

What is essential to verify before transporting a patient to surgery?

The patient's identity with multiple verification methods. Signup and view all the answers

What should the technician do when approaching a patient for transport?

Introduce themselves and explain the transport process. Signup and view all the answers

Which method is NOT effective for verifying a patient's identity before transport?

Asking the patient to state their name and age. Signup and view all the answers

What is the recommended attitude for a technician when interacting with patients?

Being professional, courteous, and genuine. Signup and view all the answers

What is a critical precaution to take when transporting patients who are sedated, children, or unconscious?

Having a responsible nursing staff member identify the patient. Signup and view all the answers

What type of errors can result from incorrect patient identification during surgery transport?

Serious consequences, including surgical errors. Signup and view all the answers

Why is it important to treat the patient as a person rather than an object?

It helps alleviate the patient's anxiety and ensures cooperation. Signup and view all the answers

What is the most important consideration when transporting a patient on a gurney?

Patient comfort and minimizing movement Signup and view all the answers

Which is the recommended method for entering an elevator with a gurney?

Push the gurney with the patient's head entering the elevator first Signup and view all the answers

How should a gurney be maneuvered going down an incline?

Guide the gurney from the foot end with stabilization Signup and view all the answers

What should be done when approaching a door designed to stay closed with a gurney?

Pull the gurney through while blocking the door with your body Signup and view all the answers

What should be communicated to the patient upon arriving at the operating room doors?

What will happen next in the process Signup and view all the answers

Patients in pediatric cribs should be transported with what safety measure?

The sides should be fully up and locked in position Signup and view all the answers

What does 'haste makes waste' imply in the context of patient transport?

Rushing can lead to mistakes and injuries Signup and view all the answers

When transporting very small children, what policy should be considered?

Carrying small children is only allowed if local policy permits Signup and view all the answers

What action should be taken if the gurney has to be stopped for any reason?

Ensure the gurney is completely secured before stopping Signup and view all the answers

What is the main reason to allow the patient to sleep if they are drowsy?

To minimize unnecessary conversation and allow for restful recovery Signup and view all the answers

What should staff do if a patient asks a question outside their scope of training?

Consult with a medical professional qualified to answer Signup and view all the answers

Why is it important to treat patients as you would want to be treated?

It fosters a sense of empathy and reduces patient anxiety Signup and view all the answers

Which of the following is NOT a precaution to take during the transfer of a patient with drainage tubes or IV lines?

Suspend IV containers at the patient's head Signup and view all the answers

How does the timing of transporting the patient help in managing their experience?

It prevents the patient from experiencing long wait times on the OR bed Signup and view all the answers

What should be done to maintain patient safety during transfers from the gurney to the operating room bed?

The same procedures and precautions used during initial transfer should be applied Signup and view all the answers

What is the purpose of the draw or lift sheet during the transfer of an unconscious patient?

To facilitate lifting the patient's torso and buttocks Signup and view all the answers

How should the transfer of an unconscious patient be conducted?

With a minimum of four personnel working in unison Signup and view all the answers

What impact does moving the patient to the operating room at the last minute have?

It lowers the patient’s anxiety level by avoiding unnecessary waiting Signup and view all the answers

What should be done to ensure patient safety during transport?

Secure the patient's arms within the gurney confines Signup and view all the answers

Why is it important to wrap the mummy sheet around the patient before transport?

To keep the patient warm and secure their arms Signup and view all the answers

Which role is NOT typically involved in transferring an unconscious patient?

A person managing the patient's breathing Signup and view all the answers

What is the ideal positioning for the gurney during a transfer?

Directly next to the bed with wheels locked Signup and view all the answers

What should be done before strapping the patient into the gurney?

Inform the patient about the steps to be taken Signup and view all the answers

Why is it crucial to maintain body alignment during transport?

Unconscious patients have no control over their position Signup and view all the answers

During the transfer process, what is the correct procedure for fasten the restraint straps?

Fasten at least one strap loosely over the thighs Signup and view all the answers

Why should a patient's full name be verified instead of relying solely on nameplates?

Patients may have similar names, and nameplates can be misplaced. Signup and view all the answers

What is the main reason for checking the patient’s identification band?

To ensure it has the correct hospital number and matches the patient chart. Signup and view all the answers

What should be done if a patient does not have an identification band before transfer?

Identify the patient by social security number and apply a new band. Signup and view all the answers

Why is it important to ask the patient about jewelry and personal items before transfer?

To prevent any loss or harm during the transfer and procedure. Signup and view all the answers

What should a caregiver do to prepare the patient for transfer to the stretcher?

Provide the patient with clear instructions and reassurances. Signup and view all the answers

What is the primary reason for locking the wheels on the patient's bed?

To prevent accidental movement and ensure safety. Signup and view all the answers

When should the caregiver ask the patient to hold the green sheet during the transfer process?

While the caregiver slides the bed sheets down. Signup and view all the answers

What is a critical step to ensure a safe transfer from bed to gurney?

Ensure the bed and gurney are at approximately the same height. Signup and view all the answers

How should the caregiver communicate with the patient during the transfer process?

By being tactful, detailed, and ensuring understanding. Signup and view all the answers

What action should the caregiver take immediately before lowering the side rail on the bed?

Ensure the gurney is securely in place beside the bed. Signup and view all the answers

What is the proper sequence of actions when transferring a patient from a gurney to a wheelchair?

Reverse the steps taken to transfer the patient to the gurney. Signup and view all the answers

Which action should be taken to ensure a patient's safety before proceeding with anesthesia?

Verify the patient’s identity and procedure against the consent forms. Signup and view all the answers

What is the purpose of placing a surgical cap on the patient?

To reduce contamination risks from shed hair. Signup and view all the answers

What is an appropriate response if there is a discrepancy during patient identity verification?

Report it to the surgeon and OR supervisor immediately. Signup and view all the answers

During the waiting period before surgery, how should the nurse interact with the patient?

Be positive, cheerful, and attentive to the patient’s needs. Signup and view all the answers

Which item is essential for ensuring the patient is stable during transport?

Double-checking all safety devices on the gurney. Signup and view all the answers

What should be done with the perioperative nursing record after preoperative preparations?

Place it in the patient's chart for further use. Signup and view all the answers

How should the intravenous lines and monitoring devices be managed before surgery?

Check to ensure they are functioning properly right after arrival. Signup and view all the answers

What is the main benefit of having the anesthetist review the patient’s chart?

To verify the anesthetic choice with the patient. Signup and view all the answers

Study Notes

Patient Transport to Surgical Suite

Patients are transported to the surgical suite approximately 45 minutes before surgery for preoperative medication effectiveness and final preparations.
Surgical technicians are responsible for patient pickup; ensuring the correct patient is critical to avoid serious errors.

Receiving Transport Assignment

The OR supervisor or senior staff nurse assigns patient transport based on scheduled surgery times.
Preoperative medications are ordered prior to an assigned technician picking up the patient.
A written patient identification method, or "pickup slip," is necessary for comparing patient information.

Patient Identification Information

Essential patient details: full name, rank/status (if applicable), age, sex, hospital register/social security number, type of surgery, surgeon's name, anesthetic type, and patient-care unit.
Special considerations affect transportation methods for various patient types (e.g., children in cribs, orthopedic patients in beds).

Preparing the Transport Device

Ensure the gurney is clean and covered with three layers of sheets: bottom sheet, mummy sheet, and patient coversheet.
Safety checks include verifying the gurney's IV pole, safety devices, side rails, and wheel locking mechanisms.

Chart and Assistance Check

Check patient charts for identification and verify surgical checklist completeness.
If necessary, notify the OR supervisor of any discrepancies.
Always have a chaperone when transporting patients of the opposite sex, except in emergencies.

Effective Patient Interaction

Introduce yourself and explain the transport process to the patient to alleviate anxiety.
Encourage communication and ensure patient understanding before moving them.

Verifying Patient Identity

Strict double-checking process to confirm patient identity, including:
- Comparing pickup slip with patient chart.
- Having nursing staff verify the patient's identity.
- Evaluating the nameplate on the patient’s bed.
- Asking patients to state their full name and check ID bands against charts.

Preparing for Patient Transfer

Ask patients about any jewelry, sharp objects, or personal items they are wearing.
Ensure cleanliness and proper covering with fresh sheets during transfer to the gurney.

Patient Transfer Procedures

Position the gurney next to the patient’s bed, leveling the height before starting the transfer.
Provide clear instructions to the patient and unit staff to facilitate a safe transfer.
Use draw sheets for unconscious patients, employing a coordinated four-person lift for safe transfer.

Safely Transporting the Patient

Maintain proper body alignment and prevent patients from moving unnecessarily during transport.
Take time to avoid rushing and ensure all safety protocols are followed during transit to the surgical suite.
Utilize appropriate methods when navigating elevators, doors, and down inclines to ensure patient safety.

Arrival at the Operating Room

Upon arrival, explain to the patient what to expect and reassure them of comfort measures available.### Patient Transfer and Support
Only patients and staff are allowed in the operating room (OR); family members should wait in designated areas.
A Red Cross volunteer provides updates to the family in the waiting area.
Upon arrival in the surgical suite, a nurse or technician greets the patient and ensures a smooth transfer to the holding area.

Patient Preparation

The patient is introduced to the nurse who will care for them during the procedure.
The transferring staff member reassures the patient they will see them in the recovery room.

Transportation Devices

Pediatric patients are usually transported in cribs; ensure sides are secure and functional.
If carrying small children is permissible by local policy, do so cautiously to minimize distress.
Patients may be transferred using a wheelchair or gurney; there are specific procedures for safe transfers between them.

Preoperative Verification

The operating room nurse confirms the patient's identity by checking the name and identification band against records.
The patient is asked about their procedure to ensure understanding and consent; discrepancies are reported immediately.
A surgical checklist is verified to ensure all preoperative procedures are complete before the operation starts.

Final Preparations

A surgical cap is placed on the patient to minimize contamination risks.
The anesthetist reviews the patient's history and prepares necessary equipment such as IV lines and monitoring devices.
Close supervision of the patient is needed during the waiting period; staff should monitor for anxiety or drug reactions.

Patient Interaction and Comfort

Patients should never be left alone; either a nurse or surgical technician must stay with them.
Communication should be positive and supportive; respect and attention are essential to reduce patient anxiety.
It’s important to answer the patient’s questions to the best of the staff's ability or refer them to the appropriate medical personnel.

Transfer Procedures

The patient is moved into the OR at the last moment to reduce anxiety and discomfort.
Safety precautions implemented during all patient transfers, including from bed to gurney and from gurney to OR bed, should be consistently followed.

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Description

This quiz focuses on the critical role of surgical technicians in preparing patients for surgery. It emphasizes the importance of timely patient pickup and the necessary steps to ensure readiness for anesthesia. Understanding these protocols is crucial for maintaining patient safety and efficient surgical operations.