BIRTHWAYS OR Jeopardy

Spills

100

Kit used to clean up Formalin spills

Spill Kit

200

Spill Kit location(s)

OR dirty utility (outside of OR 1)

300

Formalin location 

OR 1 and OR 2 in the far left cupboard, bottom shelf

400

Supplies/PPE found in the Spill Kit

Goggles, respiratory mask, gloves, black trash bag, dust pan, broom

500

Correct method to apply STARDUST to a formalin spill

Around the perimeter of the formalin spill

Bladder

100

Surgeon does this to check for bladder integrity 

Backfill the bladder

200

Items needed from Omnicell to check bladder integrity

Indigo Carmine and 500 mL warmed Normal Saline

300

Items needed to backfill the bladder

Indigo Carmine, warmed normal saline, needle, syringe, clamp (Curve/Kelly from Scrub), filter needle and IV tubing

400

Before administering the fluid into the bladder, this needs to be done to the catheter drainage tubing

Clamp the tubing (At least 3 inches below the port)

500

DOUBLE JEOPARDY!!

Demonstrate how to backfill the bladder

• Use needle and syringe to draw up Indigo Carmine and inject into bag of NS
• Spike and prime IV tubing with dyed NS bag
• Use antiseptic swab on blue EZ Lok Port and connect to IV tubing     
• Occlude drainage tubing a minimum of 3 inches below the port using a clamp (Kelly/curve)
• Use roller clamp on IV tubing to irrigate bladder with dyed NS
• Irrigate bladder as directed by the physician
• When done irrigating, close roller clamp, disconnect IV tubing from EZ Lok Port, and unclamp occluded drainage tubing

SurgiFlo

100

Surgiflo is used for

Hemostasis

200

Location of Surgiflo

OR Omnicell

300

Components of the SurgiFlo package

Thrombin, vial adapter, needle free syringe, sterile water, sterile liquid transfer cup

400

Number of times to transfer syringe with sterile thrombin solution into syringe with gelatin matrix 

6

500

DOUBLE JEOPARDY!!

Demonstrate Surgiflo assembly as the Scrub RN

Use educational kit 

Infection Prevention

100

Patient patient prep 

Closed leg prep-hair clipped with clipper and sticky mit to pick up loose hair. 

Chg abdominal prep 

Preop checklist

200

Two types of skin prep in OR

Duraprep-paint prep on skin. 

Chloraprep-

-Scrub at the incision for 30 seconds

- Gentle, repeated strokes up the abdomen

- Use second prep on the legs and pubis area

300

Preop documentation

Preop Checklist-take credit for doing the closed leg prep and CHG wipes on the abdomen. 

400

Types of Surgical dressings

Primapore-24-48 hours in hospital. Not water resistant. 

Mepilex Border Post-op-covers incision for up to 7 days. Water resistant. May shower with dressing on. 

Mepilex AG-(has antimicrobial action)Can be worn up to 7 days postop-water resistant. May shower with dressing on. 

Pico-wound vac applied in OR. Can be worn 7-10 days. For patients with high risk for SSI. Send home extra dressing, tape and give pt the battery clip.

500

Double Jeopardy!!

Demonstrate discharge instructions

Discuss discharge process using an AVS

Malignant Hyperthermia

100

Etiology of Malignant Hyperthermia

MH-life threatening genetic condition characterized by a hypermetabolic state. It is triggered by inhaled general anesthetic agents. 

200

Location of Malignant Hyperthermia cart & hotline number

PACU next to OR 1. Hotline number is listed on the side of cart along with instructions. 

300

Location of Malignant hyperthermia fluids and ice

Anesthesia workroom in main OR-cold extra IV fluids. Dietary has extra ice. Call House Manager at time of onset to help with process and send extra staff for supplies. 

400

Symptoms of Malignant Hyperthermia 

Tachycardia, Arrhythmias, tachypnea, hypoxemia, muscle rigidity, profuse sweating and/or mottling of the skin, acidosis, extreme temperature elevation, hyperkalemia, cyanosis, coagulopathy, myoglobinuria (dark urine)and kidney failure. 

500

Double Jeopardy!!

Look through the MH cart and familiarize yourself with the medications and contents of the cart, the hotline number and the procedural manual.