OR settings
safe distance from sterile field (inches)
12 inches
type of needle used for vascular anastomosis?
taper point needle
laparotomy with significant spillage, traumatic wounds, acute appendicitis or chole, compound fractures are all which wound class?
class III - contaminated wounds
what does the IOM report state?
institute of medicine says that nurses should practice to the full extent of their education and training
first step in sterilization process
cleaning (removing gross soil and moistening)
humidity range for an OR
20-60%
What type of sutures are these: nylon monofilament (coated/uncoated), polyester fiber (coated/uncoated),
synthetic nonabsorbable suture
which wound class would be eye surgery, hernia repairs, breast surgery, nontraumatic neuro, ortho surgery, cardiac, or vascular?
class 1 - clean wounds
health care organization that deal with patents on items
FDA
steps in decontamination process
1. open box locks / disassemble instruments with multiple parts
2. use enzymatic detergent on heavily soiled instruments
3. wear ppe
4. instruments with lumen should be flused with water or detergent solution
temperature range for the OR
68-75 degrees fahrenheit
this type of suture is made from surgical gut or collagen, loses pliability if dried out, and should be opened over small basin
natural absorbable suture
D&C, total hysterectomy, gastrectomy, chole without spillage, elective appendectomy, cystoscopy are all which wound class?
class 2 - clean contaminated
3 main categories of direct costs
medical supplies, personnel, and purchasing services
what are the 3 categories of disinfection according to spaulding classification systems?
noncritical, semi critical, critical
Number of ventilation exchanges for an individual OR
20 per hour with 4 exchanges from outdoor air
Monocryl, vicryl, PDS
synthetic absorbable suture
I&D, total evisceration, perforated viscera are all which wound class?
class IV - dirty wounds
this health care organization develops policies, guidelines, and procedures used to carry out this organization's responsibilities for administering health insurance provision of the social security act.
CMS (centers for medicare/medicaid)
class 3 chemical indicator reacts to:
change your gloves every ___mins.
60-150 minutes
What types of sutures are these:
silk, surgical cotton, stainless steel
natural nonabsorbable suture
elimination of what is critical to healing?
dead space
this organization evaluates health care organizations and inspires them to excel in providing safe and effective care of the highest quality and value
the joint commission
class 5 chemical indicator reacts to:
ALL critical parameters over a specified range of sterilization cycles