Does That Go to the Lab?
Name 4 rights of specimen handling
What is Correct: pt, surgeon, date of operation, spec. ID, documentation
When a surgical count is incorrect (over or under) in any manner this must occur. (name 3)
1. Notification to the surgeon
2. A search of the room
3. A recount of the items missing or too many
4. An X-ray if the count remains incorrect.
5. An occurrence report
The function of a tourniquet
What is to reduce or eliminate arterial and venous blood flow
What type of fire extinguisher is recommended for an operating room
What is CO2 or water mist extinguisher.
All specimens sent to pathology require this documentation on the lab req. (3 elements)
What is record of specimen sent, verification of proc., Diagnosis tx or therapy.
T or F: A count is incorrect only if there are missing items
What is False, counts that are in excess of those recorded are also incorrect.
Application of the tourniquet should be done by
Who is the surgeon, PA or RN per physician order
Professional Recommended Standards Supersede hospital policy.
What is false.
Most likely cause of a rapid decrease in BP and HR for a pt. being infused with 1.5% Glycine during a urology procedure.
TUR syndrome due to excessive glycine absorption into the circulation.
Frozen section should never be exposed to this solution
What is formalin
This is the minimum number of sponge/sharps counts required when performing a laparotomy, myomectomy.
What is 3. Closure of uterus, closure of peritoneum, closure of skin.
if there is significant tissue you may count at closure of the subqutaneous (fat) layer as well.
Tourniquet Cuff Pressure should be set according to provider preference and (name at least 1 correct answer)
What is minimum pressure to maintain a bloodless field.
The pt.'s systolic BP
This trait of professionalism is used to describe telling the truth and keeping promises
What Fidelity
Explain the technique that is safest to use when securing the arms of a pt. at their sides.
What is Drawing a sheet over the arm and ticking it between the pt. and the mattress.
Proper documentation of an implant includes (list 5 required items)
What are (Sherie to Validate Correct Answers)
1.
2.
3.
4.
5.
According to AST and AORN the scrub person actively participates in reducing the likelihood of an RSI by doing the following (state 3)
-Maintain an organized field
-Maintain awareness of location of counted items
-Verify integrity and completeness of items as they are returned from the field.
-Count items in a manner that allows the RN to see the surgical items being counted.
-Speak up when a discrepancy exists
-Perform additional counts as requested by any member of the team.
These elements are required in documentation when implanting a device in a pt. (name 5)
What is: placement, manufacturer, lot#, serial #, size, date of implant, who implanted the device, Fluid used to reconstitute implant (biologic), date of expiration of any fluid used to reconstitute or soak an implant.
Failure to exercise care that a prudent person under the same circumstances would provide.
What is negligence
The name of the 'crash' cart/resource used in case of a Pediatric Emergency
What is the Broselow Cart
Failure to properly document a specimen could result in this charge by the your BON
(Wilfull) Negligence
-Nursing negligence is defined as doing something or failing to do something that a prudent, careful, and reasonable nurse would do or not do in the same situation. 2. It is the failure to meet accepted standards of nursing competence and nursing scope of practice.
What is term used in AST and AORN for how to count new sponges added to the sterile field
What is drop count method.
The AORN definition of an implant
What is a non degradable device that is intended to be left in the body greater than 1 year.
The Center for Transforming Healthcare is part of this organization dedicated to encouraging cultures of safety for pt. and personnel
What is: The Joint Commission
Describe "Point of Use Cleaning" for surgical instruments according to AST, AAMI and AORN.
What is During the procedure the instrument is cleaned with a moist sponge after each use.