Exam (elaborations)
RNFA 1 (1).
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Exam of 18 pages for the course unit 9 at unit 9 (RNFA 1 (1).)
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RNFA 1The checklist confirms, at several checkpoints throughout the perioperative process,
that the procedure is correct; the antibiotic was given within 60 minutes before skin
incision; and an anesthesia professional has evaluated the patient for risk, including
evaluation for blood clots and heart disease. 26 All members of the surgical team,
including the RNFA, perioperative nurses, surgeon, and anesthesia professionals
should be in agreement with the key concerns and care of the patient. Using a checklist
in combination with a time out comprises The Joint Commission's Universal Protocol to
promote patient safety in the OR. - ANS-Safe Surgery Checklist developed by the World
Health Organization
national quality partnership of organizations that are interested in improving surgical
care by reducing surgical complications. The SCIP program is sponsored by the
Centers for Medicare & Medicaid Services (CMS). Its other national partners are the
American Hospital Association, the CDC, the Institute for Healthcare Improvement, The
Joint Commission, and others. 24 - ANS-The SCIP
1913 from the National Fire Protection Association (NFPA) Committee on Safety to Life.
The Life Safety Code is commonly referred to as "the Code," and it addresses features
necessary to minimize danger to life from the effects of fire, including smoke, heat, and
toxic gases. The Code covers electrical, fuel-gas, mechanical, plumbing, and energy
factors, and encompasses the environment of care. Fire prevention and understanding
of the fire triangle are critical components of fire safety. The fire triangle consists of heat,
fuel, and an oxidizer. Each member of the surgical team controls a part of the triangle:
the surgeon, heat
the nurse, fuels
the anesthesia professional, oxidizers
If oxygen, heat, or fuel is removed, the risk of fire is lessened. 29
In the OR suite, there are combustible materials including drapes, towels, plastics,
sponges, sheets, and paper. High-energy heat ignition devices, such as electrosurgi -
ANS-Life Safety Code
likely to occur in or on the patient. The RNFA's immediate action is to protect the patient
by extinguishing the flame and interrupting the fire triangle. The surgical team should
immediately stop the flow of gases and remove sources of fuel (eg, drapes). A fire
inside the patient, such as may occur within an endotracheal tube, can be lethal to the
patient. - ANS-fire occurs in the OR
,organization that sets consensus standards for health care quality. The NQF has
compiled a list of 28 serious reportable adverse events, also known as "never events"
because they should be preventable (ie, should not occur). 30 The categories of
surgical never events include - ANS-National Quality Forum (NQF)
Understand the basic anatomy of the GI tract
Describe the assessment collected by the perioperative nurse before surgery
Apply the nursing process in the care of the patient undergoing GI surgery
Discuss the types of abdominal incisions and when they may be used
Understand the approaches and type of surgery on the esophagus, stomach, small
intestine, large intestine, and rectum and anus
Discuss the special considerations for patients having bariatric surgery - ANS-GI
surgery
Understand the anatomy of the liver, biliary system, pancreas, and spleen
Explain the perioperative nursing implications for patients with liver, gallbladder, and
pancreatic disease using the nursing process
Describe the common procedures of the biliary tract, liver, pancreas, and spleen and the
nursing implications for each
Alexander's Care of the Patient in Surgery 15th Edition
Pages 350-382
Alexander's Care of the Patient in Surgery 16th edition
Pages 342-375
Core Curriculum
Module IV-1Module V
NIFA Workbook
Cholecystectomy - ANS-liver pancreas spleen biliary tract
Discuss the anatomic sites where hernias occur and the risk factors for development
Describe the risks of not having hernias repaired
Explain the difference between direct and indirect inguinal hernias
Use the nursing process to plan, implement, and evaluate care of the patient
undergoing hernia repair procedures
Understand the basics of the surgical procedures used for hernia repairs
Alexander's Care of the Patient in Surgery 15th Edition
Pages 383-403
Alexander's Care of the Patient in Surgery 16th Edition
, Pages 376-399
Core Curriculum
Module IV-1 - ANS-repair of hernias
Understand the anatomy of the female reproductive system
Discuss the operative positioning that is used for gynecologic surgery and the special
precautions that must be taken
Explain how a vaginal and abdominal preoperative prep is done
Describe the types of drains that may be placed during and after gynecologic surgery
and their postoperative care
Discuss the types of gynecologic and obstetric procedures and the nursing implications
Describe the procedures used to correct urinary incontinence
Alexander's Care of the Patient in Surgery 15th Edition
Pages 405-459
Alexander's Care of the Patient in Surgery 16th Edition
Pages 400-453
Core Curriculum
Module IV-1
Module IV-2
NIFA Workbook
Cesarean Section - ANS-GYN surgery
Understand the basic anatomy and physiology of the genitourinary system
Discuss the perioperative nursing considerations for the patient undergoing
genitourinary surgery
Discuss the interventions used for genitourinary disorders, including interventional
uroradiology, diagnostic and endoscopic procedures, and surgical procedures
Identify the first assisting considerations during genitourinary surgical procedures
Alexander's Care of the Patient in Surgery 15th Edition
Pages 461-536
Alexander's Care of the Patient in Surgery 16th Edition
Pages 455-528
Core Curriculum
Module IV-1
Module IV-2 - ANS-GU surgery
Understand the basic anatomy and physiology of the thyroid and parathyroid glands
Discuss the perioperative nursing considerations for patients undergoing thyroid and
parathyroid surgery using the nursing process
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