| 1. Introduction of the patient to the operative/procedure area |
Behavioral response, beliefs, confidentiality, culture, deep vein thrombosis (DVT), hypothermia, intraoperative, knowledge deficit, patient coping mechanisms, patient education, patient transfer, physiologic response, sequential compression device (SCD), spirituality, stress, time-out, venous stasis
| S&RP: Recommended practices:
Prevention of unplanned hypothermia
Transfer of patient care information
Prevention of deep vein thrombosis
Guidance Statement: Safe patient handling and movement
B&K: Chapters 7, 21 |
| 2. Support safe practices regarding anesthesia provider, surgeon, and nurse administered medications |
Action, analgesia, anesthetic, cricoid pressure, delivery, documentation, drugs, seven rights, labeling, malignant hyperthermia medication, medication reconciliation, moderate sedation, patient safety, pharmacology, physical status classification, physiologic response, solutions
| S&RP: Recommended practices:
Managing the patient receiving moderate sedation/analgesia
Medication safety
Managing the patient receiving local anesthesia
Alexander’s: Chapter 5
B&K: Chapters 23, 24 |
| 3. Incorporate principles of safe positioning |
Braden score, Fowler, lateral, lithotomy, nerve injury, positioning, pressure points, prone, reverse Trendelenburg, semi-Fowler, supine, skin integrity, Trendelenburg
|
S&RP: Recommended practices:
Positioning the patient |
| 4. Prepare the surgical site |
Antiseptic, cleansing, prep, skin antisepsis, Surgical Care Improvement Project (SCIP), surgical site, wound healing
|
S&RP: Recommended practices:
Preoperative patient skin antisepsis |
| 5. Apply principles of asepsis |
Asepsis, gloving, gowning, hand hygiene, sterile field, sterile technique, surgical attire, surgical consciousness, traffic patterns
|
S&RP: Recommended practices:
Surgical attire
Hand hygiene
Sterile technique
Traffic patterns
Product selection
Prevention of transmissible infections
B&K: Chapters 15, 16, 20 pp. 577. |
| 6. Provide perioperative nursing care during operative and invasive procedures |
Anatomy, hemostasis, implant, invasive procedure, minimally invasive, operation, physiology, specialty, surgery, wound healing
| S&RP: Recommended practices:
Minimally invasive surgery
Surgical tissue banking
Alexander’s: Chapters 7,8, 9;
Unit II, Surgical interventions
B&K: Chapters 19, 28, 29, 31,
Section 12: Surgical specialties |
| 7. Identify and control environmental factors |
Air exchanges, antiseptic, environmental cleaning, humidity, infectious waste, noise, room turnover, spills, temperature, terminal cleaning, traffic patterns, turnover
|
S&RP: Recommended practices:
Environmental cleaning
Safe environment of care
B&K: Chapters 10, 11, 12, 13
|
| 8.Monitor and intervene to reduce the risk of complications and adverse outcomes |
Adverse event, body mechanics, chemicals, electrosurgery, ergonomics, equipment testing, fire, laser, National Patient Safety Goals, radiation, patient safety, sharps injury, smoke evacuation
|
S&RP: Recommended practices:
Electrosurgery
Laser safety
Pneumatic tourniquet
Reducing radiological exposure
Sharps injury prevention
Position statement: Creating a practice environment of safety
Alexander’s: Chapter 3
B&K: Chapters 13, 20, 22, 27, 31
|
| 9. Prepare and label specimens |
Culture, documentation, explanted medical device, handling, implanted medical device, specimen, tissue tracking
|
S&RP: Recommended practices:
Care and handling of specimens
B&K: Chapters 22
|
| 10. Perform counts |
Closing, complication, count, instruments, miscellaneous items, needles, retained item, sharps, sponges
|
S&RP: Recommended practices:
Prevention of retained surgical items
Alexander’s: Chapter 7 |
| 11. Maintain accurate patient records |
Confidentiality, documentation, electronic medical record, (EMR), patient record
|
S&RP: Recommended practices:
Information management
B&K: Chapters 3, 11
|