Accreditation
ROP Alert - what procedures do we follow to provide a safe physical environment to prevent falls and reduce injuries from falls
1. Provide mobility aids 2. Keeping floors clean and dry 3. Utilizing handrails, grab bars, adequate lighting. 4. Minimize clutter 5. Conducting safety checks. 6. Bed rails up 7. Stretcher at lowest position 8. Ensure patient is constantly observed 8. Screening 9. Patient armbands 10. Report falls (RL6)
What specific information must be documented if a patient requires an interpreter for the surgical consent?
Approved medical translation service (not just a family member)
When a Day Surgery patient is discharged, what piece of information must be explicitly provided in they case they experience a post-operative complication at 2:00 AM
To go to their nearest ER
True or False, a Day surgery patient can be discharged home alone in a taxi after receiving general anesthesia.
FALSE: The patient must be discharged into the custody of a responsible adult who can stay with them overnight
What is the attire permitted in the semi-restricted areas of the OR?
Surgical attire and head coverings. Semi-restricted areas include clean and sterile supply rooms, storage areas, scrub sink areas, and corridors leading to restricted areas.
What is the attire permitted in the unrestricted areas of the OR?
Street clothes. Unrestricted areas include staff lounge, booking office, or manager's office.
ROP ALERT: When transferring a patient within the perioperative area, what must happen? What documentation tools are utilized?
Transfer of Accountability. Includes effective communication that is timely. Only relevant information.
What is the attire permitted in the restricted areas of the OR?
Surgical attire and facemasks. Restricted areas include any area where scrub personnel are present and sterile supplies are opened.
ROP ALERT- What is involved in our organization's VTE Prophylaxis program to prevent VTEs? What happens if a patient has a VTE?
RL6
ROP ALERT: If a surveyor asks where the Surgical Safety Checklist data goes, what would you say?
Documented in the patient's EMR and compliance audits are shared with the team
ROP alert - how does your unit "screen" for risk of impaired skin integrity. What happens if you find heakthcare associated impaired skin integrity?
PACU - Incision/Wound/Skin
OR - Assessment and documentation in Perioperative Doc
Day Surgery - "DO you currently have any pressure injuries and/or wounds?
SUBMIT AN RL6
When you are proceeding with IUSS, what are at least 4 things you must do (after receiving approval)
1. Ensure instrument is decontaminated 2. Place instrument in Flaskpak with indicator 3. Complete IUSS Log 4. Add and complete "Rapid Instrument Processing" in Periop Doc 5. Complete RL6 (must get at least 3/5)
If an adverse event or "near miss" happens mid-case, what internal system do you report to, and why do we report near misses?
Our hospital reporting system, RL6. To identify system flaws and prevent future actual harm.
Provide examples of how clients and families are encouraged to be actively engaged in their care.
1. Involved in surgical site marking 2. Participation in the SSCL 3. Real-Time intraoperative tracking board 4. Pediatric waiting room
ROP ALERT Provide one example of how we showcase safe medication practices
Independent double-checks for high-alert medications, barcode scanning, smart infusion pumps, limit verbal orders, utilizing pre-filled syringes, mandatory labelling. best possible medication history
How many complete air exchanges per hour are to occur in rooms where surgical and invasive procedures are performed?
What is 20 complete air exchanges per hour?
If a surveyor asks you a question and you don't know the answers, what is the worst thing you can do?
Make up an answer.
20 air exchanges per hour is a requirement for what areas besides the OR?
Endoscopy, cystoscopy and PACU.
True or false: Only the surgeon can initiate the "time out"
FALSE, any member can initiate
ROP ALERT - what does client identification involve?
At least two person-specific identifiers are used to confirm the clients receive the care or procedure intended for them, in partnership with clients and families
How are emergency outlets identified in the hospital, and what are they used for?
RED outlets, hooked up to the generator to ensure life-saving equipment (like anesthesia gas machines) stay powered during an outage
To meet compliance, who must be actively present and paying attention during the "Time Out" phase of the SSCL?
ALL MEMBERS
What are at least (but limited to) 3 things that need to happen before you proceed with IUSS?
Needs to be an emergency, the surgeon has approved, the manager has approved
What should you do if there is a discrepancy between the consent form, the patient's verbal statement, and the surgical site marking?
Do not proceed, patient is not to go to the OR or induce anesthesia. Surgeon must clarify and fix discrepancy
Immediate Use Steam Sterilization is used in the OR/Procedure room in what circumstances.
An emergency