DOH Nursing Surgical and Perioperative Nursing 2 — Questions and Answers
Question 1: What is the DOH Abu Dhabi protocol for managing post-anesthesia complications?
- Complications rarely occur
- Prepared management protocols for nausea/vomiting, hypothermia, respiratory depression, hypotension, emergence delirium, and anaphylaxis (Correct answer)
- Only call the anesthesiologist for all complications
- Complications are managed only in ICU
Correct answer: Prepared management protocols for nausea/vomiting, hypothermia, respiratory depression, hypotension, emergence delirium, and anaphylaxis
DOH requires recovery nurses to have protocols for managing common post-anesthesia complications including PONV, hypothermia, respiratory depression, hemodynamic instability, emergence delirium, and allergic reactions.
Question 2: What drain management nursing responsibilities does DOH Abu Dhabi define?
- Drains require no nursing care
- Monitor drain output (type, color, volume), maintain patency, secure drain position, assess insertion site, and recognize complications (Correct answer)
- Only empty drains once per shift
- Drain management is the surgeon's responsibility only
Correct answer: Monitor drain output (type, color, volume), maintain patency, secure drain position, assess insertion site, and recognize complications
DOH nursing responsibilities for surgical drains include monitoring output characteristics, maintaining drainage system patency, securing drain position, assessing insertion site for infection, and recognizing complications such as blockage or dislodgement.
Question 3: What patient positioning safety standards does DOH Abu Dhabi require during surgery?
- Position as convenient for the surgeon
- Assess risk, use appropriate padding and supports, prevent nerve injury and pressure areas, maintain alignment, and document position and equipment used (Correct answer)
- Only secure the patient to the table
- Positioning is the surgeon's sole responsibility
Correct answer: Assess risk, use appropriate padding and supports, prevent nerve injury and pressure areas, maintain alignment, and document position and equipment used
DOH surgical positioning standards require risk assessment, appropriate padding for bony prominences and nerve pathways, maintaining body alignment, preventing pressure injuries, and documenting the position and protective measures used.
Question 4: What is the DOH Abu Dhabi standard for managing surgical specimens?
- Place all specimens in one container
- Correct labeling at the point of collection, appropriate preservative use, chain of custody documentation, and timely transport to the laboratory (Correct answer)
- Only label specimens when convenient
- Specimen management is the surgeon's sole responsibility
Correct answer: Correct labeling at the point of collection, appropriate preservative use, chain of custody documentation, and timely transport to the laboratory
DOH requires immediate specimen labeling at the point of collection with patient identifiers, appropriate preservative (formalin for histology), documentation of specimen details, and timely laboratory transport with chain of custody records.
Question 5: What enhanced recovery after surgery (ERAS) protocols does DOH Abu Dhabi support?
- ERAS is not practiced in Abu Dhabi
- Evidence-based protocols including preoperative carbohydrate loading, early mobilization, multimodal analgesia, early oral nutrition, and reduced IV fluid use (Correct answer)
- Only early mobilization is recommended
- ERAS only applies to colorectal surgery
Correct answer: Evidence-based protocols including preoperative carbohydrate loading, early mobilization, multimodal analgesia, early oral nutrition, and reduced IV fluid use
DOH supports ERAS protocols incorporating preoperative optimization, reduced fasting with carbohydrate drinks, multimodal opioid-sparing analgesia, early mobilization, early oral nutrition, and goal-directed fluid therapy.
Question 6: What is the DOH Abu Dhabi requirement for surgical count procedures?
- Counts are only done at the end of surgery
- Perform counts at the beginning, before closure of a cavity, at skin closure, and when team members change, with documentation and resolution of discrepancies (Correct answer)
- Only count instruments
- Counts are optional for short procedures
Correct answer: Perform counts at the beginning, before closure of a cavity, at skin closure, and when team members change, with documentation and resolution of discrepancies
DOH mandates surgical counts (instruments, sponges, needles, miscellaneous items) at specific intervals: initial count, before cavity closure, at skin closure, and during personnel changes, with mandatory discrepancy resolution before proceeding.
DOH Nursing Surgical and Perioperative Nursing 2
What is the DOH Abu Dhabi protocol for managing post-anesthesia complications?