Safety
Specimens
Perioperative RN
Medication
Miscellaneous
100
When a Bier block is used during a procedure, the perioperative nurse ensures the tourniquet is safe to use by: (2)
1. checking the calibration of the tourniquet before applying it 2. monitor the length of time the tourniquet is inflated
100
Why does tissue implant documentation require such rigorous documentation on time, preparation, and implantation?
Tissue is monitored by the department of health. Each implant must have a traceable chain of custody.
100
What components should be included in perioperative nursing documentation? (4)
1. Evaluation of patient outcomes
2. Nursing plan of care
3. Occurrence of any unusual events
4. Perioperative nurse's legal signature
100
What is a desired outcome most closely related to use of local anesthesia for a procedure?
The patient reports adequate pain control throughout the perioperative process
100
The are the benefits of having minimally invasive (MIS) vs open surgical procedures is that MIS: (3)
1. Less pain and medication use post op 2. Faster recovery 3. Fewer complications
200
A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which skin prep agent is contraindicated for use in this case?
What is Chlorhexidine gluconate (CHG)
200
To ensure proper handling of surgical specimens, which 3 documents are reviewed prior to specimen handoff? (3)
1. Labeled specimen container 2. Consent 3. Specimen Requisition
200
What phases of the nursing process does the perioperative nurse practice during the PREOPERATIVE phase of the surgical experience? (4)
1. Assessment
2. Identification of desired outcome
3. Nursing Diagnosis
4. Planning
200
What equipment should be avaoided when flowable agents are used as a hemostatic agent intraoperatively?
An autologous blood salvage unit (i.e. cellsaver).
There is a risk the product will be processed and create an embolism when the blood is readministered to the patient.
200
To properly cover a sterile table due to case delay you use this method.
Cuffed Method
300
What is a surgical conscience?
the ethical and professional responsibility of the healthcare provider to always act in the interest of patient safety even when faced against opposition. They are to act with honor and honesty, admitting to any errors, even if the error is not witnessed.
300
Which specimen type(s) recieve formalin?
Permanent
300
What practice violates a patient's ethical right to self-determination?
Automatic INTRAoperative suspension of a do-not-resuscitate decision.
**DNR may be active, rescinded, or modified but must be documented in the anesthesia consent. Both surgeon and anesthesia must be aware of code status prior to patient arrival in the OR suite.
300
Prior to medication delivery to the sterile field, what information is reviewed between the circulator and scrub? (5)
1. Allergies 2. Drug name 3. Drug concentration 4. Expiration 5. Maximum safe dose
300
IUSS: Immediate Use Steam Sterilization is approved for use when patients meet these specific criteria (4)
1. Patient is anesthetized 2. No alternative is available 3. Delay would cause patient harm (urgent/emergent) 4. There is an unexpected/unplanned need for a specific item
400
The nominal hazard zone for laser use is the:
space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure
400
During living related Kidney Transplant cases, what information needs to be included in labeling the donor kidney prior to transporting it to the recipients room? (4)
1. UNOS number 2. Patient Name 3. Patient DOB 4. Laterality of Organ
400
What is the difference between negligence and malpractice?
Negligence occurs when a nurse fails to provide the level of care a reasonably prudent nurse would under similar circumstances, resulting in harm.
Malpractice occurs when a nurse knowingly or willfully fails to meet the professional standard of care, and this breach directly causes injury to the patient.
400
Which hemostatic agents are made from plant based materials making them safe alternatives for patient with religious restrictions or Alpha Gal sydrome?
Surgicel products (fibrillar, snow, powder, etc.)
400
What are signs and symptoms of a gas embolism and how is it treated in an emergency? (4)
1. Tachycardia 2. Decreased oxygen saturation 3. Increase FiO2 to 100% 4. Position patient into left lateral decubitus
500
What are the two most dangerous parts of any surgical procedure?
Intubation and Extubation because we are actively choosing to lose an airway.
That is why the circulator must be present at the bed during this time and music must be off.
500
In which surgical wound category should a total abdominal hysterectomy (removal of uterus) be classified?
Clean contaminated
500
The DNV stands for what?
Det Norske Veritas
500
Which are true clinical manifestations of a true allergic response to latex? (3)
1. Contact urticaria 2. Periorbital edema and itching 3. Wheezing
500
EPA-registered germicides labeled as hosptial disinfectants must have demonstrated effectiveness against: (3)
1. pSEUDOmonas aeruginosa
2. SALMONELLA cholerae suis
3. STAPHylococcus aureus