Aseptic Technique
Why should OR suite doors remain closed except for procurement of supplies, receiving patients and admitting personal?
Open doors reduce the positive pressure environment and allow air pressure to equalize, contaminants are more likely to contact the sterile field.
What warming methods do you take to maintain normothermia for our surgical patients?
Active and Passive warming.
Prewarming with Flex gown, Bair huggers,
warm irrigation I.V. fluids, increase O.R. suite temperature, blood warmer.
What is steps can a O.R. scrub nurse take to prevent a sharps injury?
neutral zone/hands free method (basin), safety engineered devices, puncture proof containers for disposal,
not recapping needles, using a mayo tray stand, clear communication, distraction free environment.
A patient arrives in the O.R. without a signed consent form. The doctor has a dictated consent. Following HSN policy is the dictated consent enough to proceed with surgery?
HSN policy reads that a signed HSN consent form is required for all surgical procedures.
What animal fingerprints are nearly identical to humans that police are occasionally confused at crime scenes?
The Koala
How many air exchanges should each O.R. suite have per hour?
20/hr
What factors increase a patients risk of surgical hypothermia?
DAILY DOUBLE!
burn patients, female patients, older adults, lean body mass, peripheral vascular disease, trauma patients, high ASA score, fluid shifts,
general or regional anesthesia, skeletal muscle relaxants (disrupt shivering mechanisms)
central nervous system depressants (decrease reflexes that regulate T)
Where can I report a exposure to a work place hazard?
work jam > hazard reporting,
inform charge nurse and Glen or Kelly
occupational health and safety
Who can lead the SSCL?
Any surgical team member
It is the whole teams responsibility to participate and perform.
In the city of Gainsville Georgia, what is the only food that is illegal to eat with a fork?
Fried Chicken
What steps does the O.R. nurse take to maintain sterility of supplies when opening supplies to the scrub nurse?
Expose contents for scrub nurse to retrieve, without touching heat seal.
Never reaching over the sterile field.
Inspect supplies and chemical indicators prior to presenting/opening for scrub nurse.
What should the temperature in the O.R. suite be?
20-23 degrees Celsius
What steps do you take in an event that you are injured by a contaminated sharp?
DAILY DOUBLE!
Allow the area to bleed freely and wash with soap and water for at least 10-15 minutes.
Notify charge nurse, and manger.
Go to occupational health during the week, or emergency department after hours.
The SSCL has been completed and the operating nurse has noticed that the right knee is not marked for a TKR.
What steps can the operating nurse take to ensure the right surgical site.
Clearly communicate to the surgeon surgical site needs to be marked and visible in the surgical field.
Confirm with the surgical team, the patient, consent, patient history.
Who is considered the first superhero?
Superman
Why are sterile supplies not flipped onto the sterile field?
DAILY DOUBLE!
Flipping increases air turbulence, increases risk of contaminating the sterile field.
The item may come into contact with the non-sterile edges of a package while dispensing.
The item might fall off the sterile field, or may become damaged with the impact of dispensing on the table.
What temperature should the prewarming process start on a patient?
If the patients temperature is below 36 degrees Celsius.
There is a cytotoxic spill in O.R. 9, where would the cytotoxic spill be kit be located?
O.R. attendants room.
"MOTHER SHIP"
The surgical procedure is completed, and the team is getting ready to transfer the patient from the O.R. table to the stretcher.
Should the O.R. nurse remove the patient safety strap, and leave the patients side to obtain the stretcher?
No
The safety strap should remain on the patient until team members are ready to transfer the patient.
Which animated series is known for predicting events, such as Trumps presidency?
The Simpsons
How do you maintain sterility when pouring sterile solutions to a receptable on the sterile field?
Pour slowly
Scrub nurse can present receptacle, or place on the closest edge of the sterile field.
Solution bottles are used once, any unused portion is discarded after the case.
Do not pour over sterile field.
At what anticipated surgical duration is prewarming of the patient indicated?
Procedures longer than 30minutes.
What risk factors are associated with a latex allergy?
food allergies: banana, avocado, kiwi, chestnuts, potatoes, papayas, stawberries, pitted fruit
patients or health care personal who are frequently exposed to latex
The circulator and scrub nurse has started their initial count 1st count closing. The surgeons are more relaxed now that the procedure is coming to an end, and are in a loud political debate. The scrub nurse is unable to locate a 12x12 sponge. What steps does the nursing staff take to locate the missing 12x12?
DAILY DOUBLE!
Notify the surgeon
Scrub nurse: search all sterile areas of the patient
Circulating nurse: search the floor, garbage, linen.
Recount.
If located inform the surgeon.
If not located inform the surgeon and order a chest x-ray, complete an incident report, document incorrect count on count sheet, document within intraoperative record.
How many miles is a standard full marathon?
26.2 miles