A client is having robotic surgery. The circulating nurse ...

[maychende]

A client is having robotic surgery. The circulating nurse observes the instruments being inserted, then the surgeon appears to break scrub when going to the console and sitting down. What action by the nurse is best?
 
  a. Call a time-out to discuss sterile procedure and scrub technique.
  b. Document the time the robotic portion of the procedure begins.
  c. Inform the surgeon that the scrub preparation has been compromised.
  d. Report the surgeon's actions to the charge nurse and unit manager.

Question 2

The circulating nurse and preoperative nurse are reviewing the chart of a client scheduled for minimally invasive surgery (MIS). What information on the chart needs to be reported to the surgeon as a priority?
 
  a. Allergies noted and allergy band on
  b. Consent for MIS procedure only
  c. No prior anesthesia exposure
  d. NPO status for the last 8 hours

[enass]

Answer to Question 1

ANS: B
During a robotic operative procedure, the surgeon inserts the articulating arms into the client, then breaks scrub to sit at the viewing console to perform the operation. The nurse should document the time the robotic portion of the procedure began. There is no need for the other interventions.

Answer to Question 2

ANS: B
All MIS procedures have the potential for becoming open procedures depending on findings and complications. The client's consent should include this possibility. The nurse should report this finding to the surgeon prior to surgery taking place. Having allergies noted and an allergy band applied is standard procedure. Not having any prior surgical or anesthesia exposure is not the priority. Maintaining NPO status as prescribed is standard procedure.

[maychende]

Excellent

[amandalm]

Thanks for the timely response, appreciate it