Describe american society of anesthesiologists system

Question

Question 1: Describe the ASA (American Society of Anesthesiologists) classification system.

Classification	Physical condition description	Example of a client that would be in this category (this does not have to be a client that you observed)
ASA I (P 1)
ASA II (P 2)
ASA III (P 3)
ASA IV (P 4)
ASA V (P 5)
ASA VI (P 6)

Question 2: List the surgeries that were observed and complete the following information related to each.

Surgical procedure observed	ASA Class	Identify pre-op surgical risks related to client history and lifestyle choices including client's routine medications	Nursing care and post-op assessments needed related to pre-op risk factors and medications

Question 3: Pre-operative Care: Select a client to focus onfor questions 3-7.  Complete/observe an admission and all the paperwork required in the operating room. 

a. Primary diagnosis:

b. Secondary diagnoses:

c. Surgical procedure:

Question 4: Identify any surgical prep that had to be completed.  Include the purpose for the prep (medications, bowel prep, NPO status, etc...) as well.

Question 5: What preoperative lab work was done what is the rationale?  If you were unable to find any lab results, what lab tests would you anticipate being done prior to surgery?

Question 6: List the follow-up questions that were initiated during the admission process.  Note the purpose for your question.  If you were unable to complete this with your client, list what questions you would ask.

Question 7: Identify the key items that needed to be taught to the client prior to surgery and the purpose of the teaching.  If you were unable to teach the client, then list what you would teach.

Question 8: Intra-operative Care: what medications may be used throughout the operative process and list the rationale for them? This should be a comprehensive list of types of medications that are typically used during surgery. Highlight & Provide client response to ones they received.

Pre/Intra/Post	Medication	Dose	Purpose of drug	Client response to med

Question 9: Define 4 post-general anesthesia complications that can occur and how you would monitor for them.  Please use your textbook.

Question 10: List and define the roles of the surgical nurses and other collaborative team members.  As you discuss these roles, remember to discuss how the role interplays with surgical asepsis and how the team members are responsible to complete surgical asepsis. Need Assignment Help?

Question 11: Post-operative care: Describe your client's status in the PACU (Post Anesthesia Care Unit).

a. Airway:

b. Breathing:

c. Circulation:

d. Safety:

Question 12: Discuss the RN role in pain management.

Question 13: Describe the 3 top priorities of care specific to your client and the rationale for these.

Question 14: What did you feel you learned the most about today during your rotation in the OR?

Question 15: Find an institutional policy by using Essentia/Sanford online resources or ask about one from a staff member.  Please do not ask to have one printed out or take home. Discuss how this policy relates to current practice.

Question 16: Find a research article about unsafe practice and "workarounds" in health care and briefly discuss the meaning of the article.

Question 17: Describe one situation that you observed in any of your clinical experiences that is not congruent with best practice guidelines.

Question 18: What do evidence and regulating agencies recommend for best practice in this situation? Please be detailed in your responses and include rationale.

Question 19: What interventions would you initiate to try to change the practice observed in the previous questions? Again, please be detailed in your responses and include rationale.

Question 20: What are some barriers to initiating and maintaining best practice?