Podcast
Questions and Answers
What is the primary reason for transporting patients about 45 minutes before surgery?
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?
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?
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?
What is the consequence of transporting the wrong patient to the operating room?
Which of the following pieces of information is NOT required for proper patient identification?
Which of the following pieces of information is NOT required for proper patient identification?
How does a technician typically receive patient information for transport?
How does a technician typically receive patient information for transport?
What specific information is critical to compare with the identification during patient pickup?
What specific information is critical to compare with the identification during patient pickup?
In the context of surgery transport, what does 'premed' refer to?
In the context of surgery transport, what does 'premed' refer to?
What should be done first after receiving the pickup slip for patient transport?
What should be done first after receiving the pickup slip for patient transport?
Which of the following is NOT a necessary component when preparing the gurney for transport?
Which of the following is NOT a necessary component when preparing the gurney for transport?
What is the primary advantage of using the mummy wrap method for patient transport?
What is the primary advantage of using the mummy wrap method for patient transport?
When transporting patients from a specialized unit, what should never be attempted without proper training?
When transporting patients from a specialized unit, what should never be attempted without proper training?
Which of the following describes an essential safety measure before patient transport?
Which of the following describes an essential safety measure before patient transport?
What should be checked regarding the gurney's wheels before transport?
What should be checked regarding the gurney's wheels before transport?
What action should be taken if there are discrepancies found in the patient’s chart?
What action should be taken if there are discrepancies found in the patient’s chart?
What is the best practice regarding moving heavy or complex equipment?
What is the best practice regarding moving heavy or complex equipment?
Which item is essential to verify in a patient’s chart before transport?
Which item is essential to verify in a patient’s chart before transport?
Why is it important to use multiple layers of linen during patient transport preparation?
Why is it important to use multiple layers of linen during patient transport preparation?
What is the primary reason for having a chaperone when transferring patients of the opposite sex?
What is the primary reason for having a chaperone when transferring patients of the opposite sex?
When should a patient be instructed to move from the bed to the gurney?
When should a patient be instructed to move from the bed to the gurney?
What is essential to verify before transporting a patient to surgery?
What is essential to verify before transporting a patient to surgery?
What should the technician do when approaching a patient for transport?
What should the technician do when approaching a patient for transport?
Which method is NOT effective for verifying a patient's identity before transport?
Which method is NOT effective for verifying a patient's identity before transport?
What is the recommended attitude for a technician when interacting with patients?
What is the recommended attitude for a technician when interacting with patients?
What is a critical precaution to take when transporting patients who are sedated, children, or unconscious?
What is a critical precaution to take when transporting patients who are sedated, children, or unconscious?
What type of errors can result from incorrect patient identification during surgery transport?
What type of errors can result from incorrect patient identification during surgery transport?
Why is it important to treat the patient as a person rather than an object?
Why is it important to treat the patient as a person rather than an object?
What is the most important consideration when transporting a patient on a gurney?
What is the most important consideration when transporting a patient on a gurney?
Which is the recommended method for entering an elevator with a gurney?
Which is the recommended method for entering an elevator with a gurney?
How should a gurney be maneuvered going down an incline?
How should a gurney be maneuvered going down an incline?
What should be done when approaching a door designed to stay closed with a gurney?
What should be done when approaching a door designed to stay closed with a gurney?
What should be communicated to the patient upon arriving at the operating room doors?
What should be communicated to the patient upon arriving at the operating room doors?
Patients in pediatric cribs should be transported with what safety measure?
Patients in pediatric cribs should be transported with what safety measure?
What does 'haste makes waste' imply in the context of patient transport?
What does 'haste makes waste' imply in the context of patient transport?
When transporting very small children, what policy should be considered?
When transporting very small children, what policy should be considered?
What action should be taken if the gurney has to be stopped for any reason?
What action should be taken if the gurney has to be stopped for any reason?
What is the main reason to allow the patient to sleep if they are drowsy?
What is the main reason to allow the patient to sleep if they are drowsy?
What should staff do if a patient asks a question outside their scope of training?
What should staff do if a patient asks a question outside their scope of training?
Why is it important to treat patients as you would want to be treated?
Why is it important to treat patients as you would want to be treated?
Which of the following is NOT a precaution to take during the transfer of a patient with drainage tubes or IV lines?
Which of the following is NOT a precaution to take during the transfer of a patient with drainage tubes or IV lines?
How does the timing of transporting the patient help in managing their experience?
How does the timing of transporting the patient help in managing their experience?
What should be done to maintain patient safety during transfers from the gurney to the operating room bed?
What should be done to maintain patient safety during transfers from the gurney to the operating room bed?
What is the purpose of the draw or lift sheet during the transfer of an unconscious patient?
What is the purpose of the draw or lift sheet during the transfer of an unconscious patient?
How should the transfer of an unconscious patient be conducted?
How should the transfer of an unconscious patient be conducted?
What impact does moving the patient to the operating room at the last minute have?
What impact does moving the patient to the operating room at the last minute have?
What should be done to ensure patient safety during transport?
What should be done to ensure patient safety during transport?
Why is it important to wrap the mummy sheet around the patient before transport?
Why is it important to wrap the mummy sheet around the patient before transport?
Which role is NOT typically involved in transferring an unconscious patient?
Which role is NOT typically involved in transferring an unconscious patient?
What is the ideal positioning for the gurney during a transfer?
What is the ideal positioning for the gurney during a transfer?
What should be done before strapping the patient into the gurney?
What should be done before strapping the patient into the gurney?
Why is it crucial to maintain body alignment during transport?
Why is it crucial to maintain body alignment during transport?
During the transfer process, what is the correct procedure for fasten the restraint straps?
During the transfer process, what is the correct procedure for fasten the restraint straps?
Why should a patient's full name be verified instead of relying solely on nameplates?
Why should a patient's full name be verified instead of relying solely on nameplates?
What is the main reason for checking the patient’s identification band?
What is the main reason for checking the patient’s identification band?
What should be done if a patient does not have an identification band before transfer?
What should be done if a patient does not have an identification band before transfer?
Why is it important to ask the patient about jewelry and personal items before transfer?
Why is it important to ask the patient about jewelry and personal items before transfer?
What should a caregiver do to prepare the patient for transfer to the stretcher?
What should a caregiver do to prepare the patient for transfer to the stretcher?
What is the primary reason for locking the wheels on the patient's bed?
What is the primary reason for locking the wheels on the patient's bed?
When should the caregiver ask the patient to hold the green sheet during the transfer process?
When should the caregiver ask the patient to hold the green sheet during the transfer process?
What is a critical step to ensure a safe transfer from bed to gurney?
What is a critical step to ensure a safe transfer from bed to gurney?
How should the caregiver communicate with the patient during the transfer process?
How should the caregiver communicate with the patient during the transfer process?
What action should the caregiver take immediately before lowering the side rail on the bed?
What action should the caregiver take immediately before lowering the side rail on the bed?
What is the proper sequence of actions when transferring a patient from a gurney to a wheelchair?
What is the proper sequence of actions when transferring a patient from a gurney to a wheelchair?
Which action should be taken to ensure a patient's safety before proceeding with anesthesia?
Which action should be taken to ensure a patient's safety before proceeding with anesthesia?
What is the purpose of placing a surgical cap on the patient?
What is the purpose of placing a surgical cap on the patient?
What is an appropriate response if there is a discrepancy during patient identity verification?
What is an appropriate response if there is a discrepancy during patient identity verification?
During the waiting period before surgery, how should the nurse interact with the patient?
During the waiting period before surgery, how should the nurse interact with the patient?
Which item is essential for ensuring the patient is stable during transport?
Which item is essential for ensuring the patient is stable during transport?
What should be done with the perioperative nursing record after preoperative preparations?
What should be done with the perioperative nursing record after preoperative preparations?
How should the intravenous lines and monitoring devices be managed before surgery?
How should the intravenous lines and monitoring devices be managed before surgery?
What is the main benefit of having the anesthetist review the patient’s chart?
What is the main benefit of having the anesthetist review the patient’s chart?
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.
