W
O
H
O
O
100
a designated area/location where sharps only may be placed and retrieved to prevent hand-to-hand passing
Neutral Zone
100
SBAR
Situation
Background
Assessment
Recommendation
100
What determines how a skin prep agent is utilized?
Manufacturer's guidelines for use, patient condition
100
True or false: sterility is based on expiration dates
False, sterility is event-related. Implants have expiration dates
100
OR air exchange rate and humidity range
20 air exchanges, 4 fresh air
20-60 humidity range
200
A rongeur is what type of instrument?
Cutting
200
PICO
Patient/Population
Intervention
Control
Outcome
200
Purpose of the AORN Guidelines
Make practice recommendations. Work settings/environment may determine how well they can be applied
200
Medication given to counteract heparin
Protamine
200
Phase of healing
Inflammation, proliferation, remodeling
300
Where should a blunt needle be used?
Liver
300
List two semi-restricted areas
SPD, OR hallways
300
Describe NPO times
2 hrs- clear liquids, breast milk
4 hrs- formula
8 hrs- light meal
12 hrs- heavy/fatty meal
300
Give an example of hemostatic agents for each:
Thermal
Mechanical
Chemical
Thermal: laser, ESU
Mechanical: Bone Wax
Chemical: surgicel
300
When donning a surgical gown, what considerations must be made to prevent contamination?
The scrub personnel steps away from table/mayo stand to allow gown to open freely and not come in contact with nonsterile surfaces
400
Explain the proper way to conduct a time out
Once the patient is prepped and draped (with applicable site marking visible), the circulating RN or surgeon begins the time out using a question/answer format. All team members should be engaged
400
List some fire reduction practices in a craniofacial case
Reduce ESU settings, place cautery pencil in holster when not in use, reduce O2 as applicable, place wet sponge near incision site
400
Physiological risks with lithotomy position
Hypertension intraop, hypotension post op
400
Clean items should be kept separate from sterile items in the OR
True
400
When donning and doffing a mask, what parts of the mask can be touched?
Ties.
Do not cross ties, top and bottom ties must be tied. No gaping at sides.
500
What are the 3 phases of the Universal Protocol?
Preoperative verification, site marking and time out
500
When opening a wrapped item, which flap/tab is opened first? And which is opened last?
Nearest flap opened first, farthest last
500
Define Spaulding's Classification categories
non-critical: low-level disinfection, comes in contact with intact skin
semi-critical: high-level disinfection, comes in contact with mucous membranes or non-intact skin
critical: requires sterilization, enters bloodstream
500
Three stages of immediate latex reaction
1. Contact urticaria
2. edema, itching around eyes, asthma, SOB
3. sudden drop in BP, circulatory collapse, anaphylaxis
500
Talk through doffing a surgical gown
1. Circulator unties gown in back
2. Scrub pulls gown from shoulders
3. Rolling gown forward in on itself
4. Throws in garbage
5. Removes gloves
6. Hang hygiene