Infection Prevention
What is the wet time for Oxivir?
One Minute
Besides the patient’s name, what are the patient identifiers that can be used during the patient verification process?
DOB
or
MRN
Where are the emergency (red) binders located?
Charge Desk
What does PASS stand for?
Pull
Aim
Squeeze
Sweep
True/False: Malignant Hyperthermia is a life-threatening genetic disorder triggered by certain medications.
True
What are the components of WHO's "My 5 Moments of Hand Hygiene"?
Before patient contact
Before aseptic task
After bodily fluid exposure
After patient contact
After contact with patient surroundings
A patient has arrived for a lap chole. The procedure went as planned and case remained laparoscopic. What counts must be completed (type of count & items counted) during each phase of the procedure?
Initial - instruments and smalls
Closing - smalls
Final - sharps (or smalls)
How do you call "Anesthesia STAT"?
Dial #00 and then 2 (for zone 2)
What does RACE stand for?
Rescue
Alarm
Call 911/Contain
Evacuate/Exit/Extinguish
What are at least 2 signs/symptoms of a MH crisis?
Increased ETCO2
Increase temp/hyperthermia
Cardiac dysrhythmias
Hyperkalemia
Muscle rigidity
Myoglobinuria (dark urine)
What are the elements of proper surgical attire?
No hair
Appropriately fitting scrubs
Hospital based shoes
No allowed outside of the facility
What are 3 elements of universal protocol?
Pre-procedure verification
Site marking
Time-out
Where is the OR code cart?
Equipment alcove
Where are the fire extinguishers in the OR?
Across from each OR and on the laser cart
Bonus: External doors by CS
What are non-medicinal interventions used during MH crisis?
Call MHAUS Hotline
100% O2
Apply ice to head, axillae, and groin
Cold fluid irrigation
Cool IVF
Change anesthesia circuits
What is the temperature range that an OR room should be kept for patient normothermia?
68-72 F
What is included in the pre-procedure verification process?
Patient ID
Documentation (H&P and Anesthesia Eval)
Complete and accurate permission for procedure form (correct procedure, site, laterality & signed, dated)
Site marking (if applicable)
Where is the MH cart located?
Equipment alcove
Where are the fire pulls located?
By the time clock/External doors
What medications cause MH?
Succinylcholine (depolarizing muscle relaxants)
Halothane, enflurane, sevoflurane, desflurane (volatile inhaled anesthetics)
What is included in post procedure instrument management (3 things)?
Pre-treating instruments
Water-soaked towel
Biohazard tag
What information can be found in Perioperative Care (Periop 8415)?
Documentation requirements in each phase of care
SSI Prevention SOP
What cart has the emergency supplies if Local Anesthetic Systemic Toxicity (LAST) is suspected?
Block cart
What is a horizontal evacuation?
Staff and patients exiting department through the nearest and safest fire door.
What is the medication given during MH crisis?
Dantrolene or Ryanodex