Deck 11: Ambulatory Surgery Centers and Alternative Surgical Locations

Question 1

When taking a verbal order either in person or over the phone,what must be done to ensure the correct order will be implemented?

A)Call another physician to verify the order is right.
B)Check with the head nurse for accuracy.
C)Read back the verbal order or results to the person delivering the information.
D)Ask another nurse to take the call to receive the order.

Answer 1

C
By reading back the verbal order or results to the person delivering it,communication will be improved among caregivers.

Question 2

ASCs may take emergency patients and usually employ more than 50 employees.

Answer 2

False
ASCs are not designed to take emergency patients and typically employ fewer than 20 employees.

Question 3

Patients should receive preoperative instructions only when at their preadmission visit to the ASC.

Answer 3

False
Both preoperative and postoperative instructions are given by the surgeon at a preadmission visit so that the patient is aware of the procedures to expect at the ASC.

Question 4

What type of outpatient surgery department is a self-contained unit located within or attached to the hospital but physically separate from the inpatient OR suite?

A)Office-based center
B)Hospital-based integrated unit
C)Hospital-based dedicated unit
D)Hospital-affiliated satellite surgery center

Question 5

In a combat support hospital (CSH),what documentation mandates the type of care given to patients who are onsite or those who are shipped out?

A)Civilian rank
B)Military receiving orders
C)Birth certificate and location of service
D)Standard operating procedures

Question 6

Which is a consideration that determines whether a procedure is performed at an ASC?

A)Duration of procedure
B)Cost of procedure
C)Availability of anesthesia staff
D)Patient infection rate

Question 7

Ambulatory surgery is done only under regional or local anesthesia.

Question 8

The ambulatory setting adheres to the same sterile/aseptic techniques as do hospital settings.

Question 9

While a patient is awake during a procedure under local anesthesia,it is better to use hand signals as a way to ask for instruments.

Question 10

Which is an example of an ambulatory surgery center according to the FASA?

A)Office-based center
B)Hospital-affiliated satellite surgery center
C)Hospital-based integrated unit
D)Hospital-based dedicated unit

Question 11

What is one reason a patient might be admitted to a hospital after undergoing a procedure at an ambulatory surgical center (ASC)?

A)Severe complications such as anesthetic or cardiac changes.
B)The patient does not have proper transportation to the home setting.
C)The patient might experience nausea and vomiting.
D)The patient wants to utilize their insurance benefits efficiently.

Question 12

What type of preoperative test would you expect to be ordered for a healthy 34-year-old woman having a laparoscopic tubal ligation procedure done at an ASC?

A)Echocardiogram
B)Cardiac stress test
C)Pregnancy test
D)Muscle biopsy test

Question 13

The Federated Ambulatory Surgery Association (FASA)states that a true ASC is _______ in services and not _________ on a main hospital.

A)independent; dependent
B)somewhat dependent; dependent
C)lacking; independent
D)dependent; relying

Question 14

Patients with a documented history of postoperative nausea and vomiting are not likely good candidates for ambulatory surgery.

Question 15

When would a patient receive a follow-up phone call from a nurse at an ASC?

A)4 hours after the procedure
B)Within 48 hours of the procedure
C)The following week
D)At the patient's postoperative visit with the surgeon

Question 16

Emergency equipment is not kept at the ASC; an outside facility would have to be called to perform CPR.

Question 17

Depending on how the patient feels in PACU,he or she may drive home after a general anesthetic agent has been given.

Question 18

Medicare does not approve the use of ambulatory surgery centers and refers all its patients to inpatient hospital ORs for procedures.

Question 19

When are cases requiring general or moderate sedation scheduled during the day?

A)Early in the day
B)Late morning/early afternoon
C)Last case of the day
D)Only on weekends in the morning

Question 20

Which area would NOT be found in an ambulatory surgery setting?

A)Preprocedural testing and assessment area
B)Preoperative holding area
C)Intensive care unit
D)Waiting room

Question 21

Use ____________________ patient identifiers when administering drugs or blood,taking blood samples,or providing treatments.

Question 22

Because nurses are not on the front line fighting in battle,they do not experience the posttraumatic stress disorder that the wounded soldier might.

Question 23

When considering an ASC,the patient should look for a facility that has accreditation and credentialing by professional and government agencies.

Question 24

When caring for wounded service animals in a mobile hospital setting,wounded soldiers and animals are all treated and operated on in the same setting to save on space and cost.