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A 32-Year-Old Gravida 2 Para 2 Is Scheduled for a Hysteroscopy

question 23

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A 32-year-old gravida 2 para 2 is scheduled for a hysteroscopy for heavy bleeding of 2 weeks duration and possible retrieval of a displaced intrauterine device (IUD) .She is tired and weak from blood loss and has marked anemia.During the vaginal prep,the perioperative nurse noted several large blood clots.The nurse communicated an estimated blood loss amount to the anesthesia provider and surgeon.After the patient was draped,the circulating nurse connected the hysteroscopic insufflator,pressure-infusion pump,and a video camera,light source,and monitor.The uterine cavity was distended with Ringer's Lactate at a continuous pressure through the hysteroscopic pump into the irrigating channel of the hysteroscope.The circulating nurse was relieved for lunch after she gave a hand-off report to her relief nurse.What patient safety information relevant to the hysteroscopy should be given to the receiving relief nurse before the circulating nurse leaves for lunch?


Definitions:

Certainty

The condition of being sure about something or having no doubt.

Risk

The potential for losing something of value or the possibility of an adverse outcome, often quantified in terms of probability and impact.

Objectivity

The practice of basing decisions or conclusions on unbiased facts and evidence rather than personal feelings or opinions.

Strategic Planning

The process of defining an organization's direction and making decisions on allocating its resources to pursue this strategy.

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