Most sensitive to dosage errors - pediatric patients medication reconciliation - promote safe pt outcomes related to medication administration contraindication to tourniquet use for carpal tunnel surgery - dialysis access device part of surgical safety checklist - any special equipment, devices, or implants will be needed organization responsible for accepted nursing diagnoses - NANDA surgical site marking - surgeon before pt receives any sedation Risk for DVT - hx of varicosities active warming of patient with forced air should begin - preop holding area increased risk for developing pressure ulcer - poor preoperative nutritional status purpose of preoperative assessment - to develop pt's plan of care preoperative hair removal - moisten the area to be prepped and use a disposable clipper best time for SCDs - before induction of anesthesia transferring 18 lb patient - lateral transfer device, one caregiver, one anesthesia ionizing radiation puts pt at risk for - impaired skin integrity importance of removing tongue ring prior to surgery - if piercing is dislodged while ET tube is being placed, it could block airway or get pushed into lung pt statement regarding total abdominal hysterectomy - "I'm having my uterus removed" pt at increased risk for impaired tissue integrity - intermittent claudication purpose of perioperative plan of care - assist pt in meeting desired outcomes sx: persistent cough w/ blood tinged sputum, night sweats, loss of appetite w/ signification weight loss - delay cleaning of the OR until the air exchange system has had time to remove 99% of particles, 28 minutes hispanic pt, consent is only available in english - call medical interpreter surgeon is anxious to get pt draped ASAP after prepping - remind surgeon that allowing prep to dry will prevent volatile fumes from being trapped under drapes primary source of waste anesthesia gas - anesthesia professional's practice (intention overflow) treatment for local anesthetic systemic toxicity - 20% lipid emulsion supine with arms greater than 90 degrees causes - brachial plexus injury correct time to label medications and solutions - at time when med is delivered to field plan for right breast procedure but find wire in left breast - postone prepping until discrepancy is resolved potential harm from povidone-iodine - thyroid dysfunction advanced breast cancer is spreading, pt is comatose and husband consents for bronchoscopy - RN feels uncomfortable and should - call supervisor and ask for ethics consult steep trendelenberg puts pt at risk for - decreased tidal volumes caused by pressure of abdominal contents against diaphragm unsterile person may perform a two-step skin prep using - sterile gloves donned int he openglove fashion type of fire extinguisher used for electrical fire - halon extinguisher, doesn't leave any residue on the equipment PPE for risk of exposure to blood and body fluids - gloves, surgical masks, fluid-resistant gowns, and eye protection airflow pattern and temp for restricted areas - negative pressure, 68-75 degrees stiff neck muscles, family hx of death in OR, elevated CO2 and HR, which med to give - dantrolene delay in case by 1 hour, what to do with sterile field - cover with sterile drape and remain in the room Cesarean section wound class with meconium released into abdominal cavity changes wound class from - Class II to Class III missing needle not found on x-ray, how should the nurse document the incident - document that the count was incorrect or reconciled and describe the steps that were taken to rectify the count implant for knee replacement is unsterile, discovered at timeout, the best course of action is to - the correct implant may be sterilized via the IUSS method if biological and class V indicators are placed in the load