“
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
”
”