Anesthesia Technologist Quotes

critical thinking Scenario 1 Mrs. Hernandez is an 85-yearold female admitted to surgery for insertion of a hip prosthesis to treat a hip fracture. The surgical technologist assigned to transport the patient to the preoperative holding area performed a routine review of the patient’s medical chart in the emergency department. The medical chart indicates that Mrs. Hernandez is being treated forchronic hypertension. 1. Knowing that she has a concurrent diagnosis of hypertension, which additional related items should be checked on her chart? 2. How might this situation affect the preparations going on in the surgery department? 3. What action or actions should the surgical technologist take prior to bringing the patient to preoperative holding? Scenario 2 Mr. Van Nguyen is a 47-yearold male admitted to surgery for repair of a retinal detachment under general anesthesia. 1. Which diuretic may be administered intraoperatively? 2. The circulator should check the preference card for a standing order for what preoperative preparation of the patient specific to this situation? 124

The circulating nurse. This is a Registered Nurse who has been trained to work in the operating room. The circulator helps get the room ready, deals directly with the patient before surgery, positions and preps the patient, helps the anesthesiologist during induction, performs the surgical count with the scrub, and gets supplies during the case. The circulator also has to chart everything that happens during the case and all supplies used. This is done on computer, on standardized forms that are lengthy and considered legal documents. Many OR nurses scrub too, but it’s cheaper for hospitals to use one tech and one nurse as a team, rather than two nurses. The Anesthesiologist, and/ or Certified Registered Nurse Anesthetist. The Primary Surgeon, who may bring an Assisting Surgeon or Resident, or a Physician's Assistant, or a Registered Nurse First Assistant, or a First Assistant who is usually a Certified Surgical First Assistant. Anesthesia Technician, to get supplies ready and support the anesthesiologist. Equipment tech. Some hospitals have a designated person to help with the complicated tables, beds, microscopes, etc.