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CCI Certified Perioperative Nurse - Reviews


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CCI Certified Perioperative Nurse - Test Reviews Sample Questions

Which of the following should be included in the documentation that the circulating nurse of the direct
intraoperative patient care should make?

Correct Answer:
a, b, and c


the role of the circulating nurse in the operating room (or) is pivotal for ensuring patient safety and the smooth execution of surgical procedures. the documentation made by the circulating nurse encompasses several critical elements that facilitate continuity of care, legal compliance, and quality control within the surgical environment. below are some of the essential aspects that should be included in the documentation by the circulating nurse:

**1. initial assessment of the patient upon arrival to the or:** the initial evaluation of the patient is crucial as it sets the baseline for intraoperative monitoring and care. it includes verifying the patient's identity, assessing their physical and psychological status, and ensuring that all necessary preoperative preparations have been completed according to the surgical checklist. this assessment helps in identifying any last-minute changes to the patient's health that might affect the surgical plan.

**2. time-out session:** before the commencement of any surgical procedure, a time-out session is conducted. this critical pause is used to confirm the correct patient, procedure, and surgical site. the documentation of this session is a key safety measure, preventing wrong-site, wrong-procedure, and wrong-patient errors. it also includes verification of surgical consent and the readiness of equipment and personnel.

**3. timing details:** documenting the exact times of patient arrival to the or, the start and completion of the surgery, and the time when the patient exits the room is important for operational efficiency and for medical record-keeping. these timestamps help in reviewing the duration of the procedure and the efficiency of the or scheduling.

**4. medication and solutions administered:** it is crucial to record any medications and solutions given to the patient during surgery, including dosages and times of administration. this information is vital for postoperative care and in case of any adverse reactions, providing a clear trail of what was administered during surgery.

**5. type of anesthetic administered:** documenting the type of anesthesia used, along with the anesthesiologist's notes, is essential. this information impacts postoperative patient care plans and is critical in case of anesthetic complications.

**6. imaging used during surgery:** if any imaging equipment was used during the surgical procedure (e.g., x-ray, mri, ct scans), this should be documented. imaging can influence surgical decisions and outcomes, and keeping a record is important for postoperative reviews and future references.

**7. unusual complications or events:** any unexpected occurrences or complications during surgery must be thoroughly documented. this includes any deviation from the standard procedure, unexpected patient reactions, or equipment failures. such documentation is crucial for future reference, legal protection, and for improving surgical practices through analysis of adverse events.

in summary, the documentation made by the circulating nurse is comprehensive and multifaceted, addressing everything from patient safety checks to specific details of the surgical procedure and postoperative care requirements. this documentation not only ensures a high standard of care but also supports effective communication among the surgical team and facilitates ongoing quality improvement in surgical practices.

The infiltration of an area with a local anesthetic so that surgery can be performed on the site would be considered which of the following?

Correct Answer:
regional anesthesia
the question asks about the classification of using a local anesthetic to numb a specific area so that surgery can be performed on that site. the correct term for this practice is "regional anesthesia."

to understand why "regional anesthesia" is the correct answer, we need to differentiate it from other types of anesthesia:

**analgesia** refers to the relief from pain without necessarily losing consciousness. analgesics are drugs designed to relieve pain without causing the loss of consciousness, though they may reduce sensation. for example, taking an ibuprofen pill relieves pain from a headache, but you remain fully aware and conscious.

**general anesthesia** involves administering drugs that induce a reversible unconscious state, encompassing a loss of sensation throughout the entire body. this type of anesthesia is typically used for major operations, where the patient needs to be completely unconscious and not feel pain anywhere in the body.

**regional anesthesia**, on the other hand, targets a specific region of the body. it blocks the nerves of only a particular area, thus numbing it without affecting the patient's consciousness or sensation in other parts of the body. this method is often used for surgeries involving the limbs, lower regions of the body, or even dental procedures. the local anesthetic is injected near the nerves that serve the surgical site, effectively blocking pain signals from that area to the brain.

**blocking**, as mentioned in one of the options, is not a standard term used to describe a type of anesthesia on its own. it is more commonly understood as a mechanism, such as "nerve blocking," which is a part of how regional anesthesia works.

thus, for the question provided, the most accurate answer is "regional anesthesia." this option directly refers to the use of a local anesthetic to numb a specific area for surgery, which aligns with the definition and application of regional anesthesia in medical practice.