Microbiology for Surgical Technologists
2nd Edition
ISBN: 9781337243209
Author: Margaret Rodriguez
Publisher: Cengage Learning US
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Textbook Question
Chapter 10, Problem 1UTM
A dilatation and curettage (D&C) for missed AB (missed abortion is the technical term for miscarriage) is on the OR schedule. Danny, a CST, finished setting up and went to the preoperative care unit (PCU) to help the circulating nurse bring the patient back to the OR. The young woman was tearful and said she had been told the 16-week fetus had been infected with a
To which parasite was she likely exposed?
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The surgery was a planned caesarian section. Delivery of the baby via C-section was uncomplicated until it was time to close the patient. The attending had left the OR and let the fellow and resident take over the case. The circulating nurse informed the doctors that a pad was missing. The fellow and resident were very sure of themselves and insisted that the nurse had counted wrong and went on and closed the patient up. Two days later, the patient became hypotensive and febrile and complained of sharp abdominal pain. A flat plate of the abdomen revealed a foreign object left inside of her. The circulating nurse should have spoken up using CUS with the doctors, stating, "I'm concerned, I'm uncomfortable, and closing her up without accounting for the missing pad is unsafe." The two-challenge rule should have also been invoked when the initial concern was ignored. The nurse should have voiced her concern twice to ensure she was heard. The doctors should have acknowledged her challenge…
Chapter 10 Solutions
Microbiology for Surgical Technologists
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