DOH Nursing Surgical and Perioperative Nursing — Questions and Answers
Question 1: What preoperative assessment does DOH Abu Dhabi require nurses to perform?
- Only check blood pressure
- Comprehensive assessment including medical history, allergies, medication review, fasting status, consent verification, surgical site marking verification, and anxiety management (Correct answer)
- Only verify the consent form
- Preoperative assessment is the surgeon's responsibility
Correct answer: Comprehensive assessment including medical history, allergies, medication review, fasting status, consent verification, surgical site marking verification, and anxiety management
DOH preoperative nursing assessment includes medical/surgical history review, allergy verification, current medication assessment, NPO status confirmation, informed consent verification, surgical site marking, VTE risk assessment, and patient anxiety management.
Question 2: What is the DOH Abu Dhabi surgical safety checklist requirement?
- Checklists are optional
- Mandatory WHO Surgical Safety Checklist completion at sign-in (before anesthesia), time-out (before incision), and sign-out (before leaving OR) (Correct answer)
- Only the time-out is required
- Checklists are only for complex surgeries
Correct answer: Mandatory WHO Surgical Safety Checklist completion at sign-in (before anesthesia), time-out (before incision), and sign-out (before leaving OR)
DOH mandates the complete WHO Surgical Safety Checklist with three phases: sign-in (identity, consent, site marking, allergies), time-out (team introduction, procedure confirmation), and sign-out (instrument count, specimens, recovery plan).
Question 3: What intraoperative nursing responsibilities does DOH Abu Dhabi define?
- Only hand instruments to the surgeon
- Surgical count management, sterile field maintenance, specimen handling, patient positioning, monitoring, and documentation of all intraoperative events (Correct answer)
- Only monitor vital signs
- Intraoperative nursing is not defined in Abu Dhabi
Correct answer: Surgical count management, sterile field maintenance, specimen handling, patient positioning, monitoring, and documentation of all intraoperative events
DOH defines intraoperative nursing roles including surgical instrument/sponge/needle counts, maintaining sterile technique, proper specimen management, safe patient positioning, continuous monitoring, and comprehensive documentation.
Question 4: What postoperative assessment does DOH Abu Dhabi require in the recovery unit?
- Only check blood pressure once
- Continuous monitoring of vital signs, airway patency, consciousness level, pain, surgical site, IV fluids, and Aldrete score for discharge readiness (Correct answer)
- Only observe until the patient is awake
- Post-anesthesia care is the anesthesiologist's sole responsibility
Correct answer: Continuous monitoring of vital signs, airway patency, consciousness level, pain, surgical site, IV fluids, and Aldrete score for discharge readiness
DOH recovery nursing includes continuous vital sign monitoring, airway management, consciousness assessment, pain management, surgical site observation, fluid balance monitoring, and Aldrete scoring for safe discharge from recovery.
Question 5: What VTE (venous thromboembolism) prophylaxis nursing responsibilities does DOH Abu Dhabi mandate?
- VTE prevention is not a nursing concern
- Risk assessment using validated tools, application of mechanical prophylaxis (TED stockings, SCDs), administration of pharmacological prophylaxis, and patient education on early mobilization (Correct answer)
- Only administer medications as ordered
- VTE prevention applies only to orthopedic patients
Correct answer: Risk assessment using validated tools, application of mechanical prophylaxis (TED stockings, SCDs), administration of pharmacological prophylaxis, and patient education on early mobilization
DOH requires nurses to assess VTE risk, apply mechanical prophylaxis (compression stockings, sequential compression devices), administer prescribed anticoagulants, promote early mobilization, and educate patients on prevention.
Question 6: What surgical site infection (SSI) prevention measures does DOH Abu Dhabi require?
- SSI prevention is not a nursing role
- Proper skin preparation, appropriate antibiotic timing, normothermia maintenance, glucose control, sterile dressing management, and surgical wound assessment (Correct answer)
- Only apply dressings after surgery
- SSI prevention only involves antibiotics
Correct answer: Proper skin preparation, appropriate antibiotic timing, normothermia maintenance, glucose control, sterile dressing management, and surgical wound assessment
DOH SSI prevention nursing measures include chlorhexidine skin preparation, ensuring prophylactic antibiotics within 60 minutes of incision, maintaining normothermia, blood glucose control, sterile dressing technique, and systematic wound monitoring.
DOH Nursing Surgical and Perioperative Nursing
What preoperative assessment does DOH Abu Dhabi require nurses to perform?