Sample interview questions: How do you handle patients who require intraoperative neuromuscular blockade monitoring?
Sample answer:
Intraoperative neuromuscular blockade monitoring is a critical aspect of patient care in the operating room (OR). As an OR nurse, my role in managing patients who require this type of monitoring involves several key steps.
Firstly, I ensure that I am well-versed in the principles and techniques of neuromuscular blockade monitoring. This includes understanding the various types of neuromuscular blocking agents used, their pharmacokinetics, and the equipment necessary for monitoring neuromuscular function.
Before the patient enters the OR, I review their medical history and any relevant preoperative assessments to identify any potential contraindications or risks associated with neuromuscular blockade. If necessary, I communicate with the anesthesia provider to discuss the patient’s specific needs and to address any concerns.
Once the patient is in the OR, I assist the anesthesia provider in administering the appropriate neuromuscular blocking agent. This may involve preparing and administering medications intravenously or assisting with intubation if required. Throughout the procedure, I closely monitor the patient’s vital signs, level of consciousness, and neuromuscular function.
To monitor neuromuscular blockade, I use a peripheral nerve stimulator, which delivers electrical impulses to stimulate the nerves and assess the muscle response. By placing electrodes over the appropriate nerve, such as the ulnar or facial nerve, I can measure the response of the corresponding muscle groups. This helps me assess the degree of neuromuscular blockade and guide the administration of additional medications if needed.
During the procedure, I communicate closely with the anesthesia provid… Read full answer
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