Deck 2: Foundations of Perioperative Patient Care Standards

Question 1

Identifying the surgical site is always done by placing an "X" over the site.

Answer 1

False
An "X" is inappropriate because it may be misunderstood.Every facility has its policy for identifications.

Question 2

All are included in the definition of professionalism except

A)self-centered for profit group.
B)requires special skills and knowledge.
C)has its own standards and code of ethics.
D)acts responsibly to gain public trust.

Answer 2

A
Professionalism is the combination of knowledge,skills,ethics and ideas that regulate a profession.It also uses critical thinking and judgement.

Question 3

A patient advocate is the person who accompanies the patient to the facility.

Answer 3

False
A patient advocate is a caregiver,who recognizes the patient and family's need for information and assistance.They act as the patient's representative to help make informed decisions.They identify specific care needs and assist in coping.

Question 4

Who is responsible for documenting the final counts at the end of the case as correct or incorrect?

A)Scrub person
B)Surgeon
C)Anesthesiologist
D)Circulating nurse

Question 5

What documentation goes into the patient's chart and becomes part of the permanent record?

A)Specimen results
B)Intraoperative notes only
C)All routine and individualized care
D)Physical changes

Question 6

When does the intraoperative phase begin?

A)Placement of the patient on the OR bed
B)When the patient enters the OR
C)When waiting in the holding area
D)When taken to the recovery area or PACU

Question 7

A universal checklist provides documentation for each step of care for patients undergoing a surgical procedure.

Question 8

Accountability means being responsible for only one's self.

Question 9

Which event is included on Medicare's "No Pay List" and will not be reimbursed?

A)Myocardial infarction
B)Wrong site surgery
C)Documented Alzheimer's
D)Incision and drainage of a chronic hip abscess

Question 10

Which identifies one aspect of safe patient movement from the OR table to the stretcher?

A)The circulating nurse counts to synchronize the patient's movement.
B)The person guiding the head counts to synchronize the movement.
C)The person at the left side of the patient also guides the head and counts to start the movement.
D)Two people are needed to move an anesthetized patient from the table to the stretcher.

Question 11

Health care providers are required to sign a document acknowledging policies,procedures,and HIPPA laws.

Question 12

Failure of a caregiver to provide accountability is considered negligence.

Question 13

Which is one of the "seven rights" of medication administration for each patient?

A)Right pharmacy
B)Right color
C)Right route
D)Right answer

Question 14

Optimal patient care requires which element?

A)Deterring an admission of fault in sterile technique
B)Anatomic separation
C)Dynamic tension of surgical team members
D)Application of asepsis and sterile technique principles

Question 15

Access to health care is a privilege of every human being.

Question 16

Standards of care are guidelines put in place for all personnel to follow based on recommended practices and scientific research.

Question 17

Surgical conscience is considered the Golden Rule: Do unto the patient as you would have others do unto you.

Question 18

Caregivers should always know why they are doing a particular action.Actions should be based on ___________.

A)self-taught methods
B)preceptor actions
C)nursing process
D)evidence-based practice

Question 19

The circulating nurse should assess a patient for which type of injury before entering the OR?

A)Medication error
B)Wrong IV site
C)Skin injury
D)Sharp object

Question 20

A plastic identification wristband is the only way patients are identified.

Question 21

Postoperative infection can originate only in the OR from a break in technique by the surgeon or team.