Environmental Control
Why should OR doors remain closed during surgery?
To maintain positive pressure and reduce airborne contamination
What parts are included in a full OR table setup (Skytron)
1. Headpiece
2. 2 Arm boards
3. Bottom section
4. Power Cord
5. Controller
6. Base of Table
If you sustain an injury during your shift, what is the process for reporting it?
Safety Always
** NOTICE ** Inova is implementing a new system.
Primary means to prevent health care associated infections.
Hand Hygiene
If a TJC rep asked you a question and you do not know the answer to?
"I do not know that answer, but I know my resources and who I can ask. (Supervisor, Manager, Unit sup, SLL)
In the OR, who can authorize shutting off oxygen?
Anesthesia
When should you foam in and foam out?
Before and after each patient interaction.
Before entering and after exiting the OR
When should shoe covers be removed?
When soiled or leaving the Perioperative space
What is the Main Tower, Women’s and CVORs between case Turnover Goal?
30 minutes - Wheels-Out to Wheels-In (Patient out to patient in)
What is the Contact Number for EVS?
64527
Red Power Outlets work when?
During a Power Outage
The type of cleaning is done between each case.
Turnover Cleaning
What 4 ORs in the Tower must always have Sonosite Ultrasound?
OR 2
OR 14
OR 28
OR 29
Where should you dispose of sharps?
(Hypo's, suture needles, blades)
In the Red Sharp Bins
True or False: Alcohol-based hand rubs can be used for surgical hand antisepsis.
TRUE
5 ways to prevent SSI (Surgical Site Infections)
1. Antibiotics and timing
2. Blood sugar control
3. Temp control - keep pt warm
4. Limit traffic in the room
5. Sterile technique
What does P.A.S.S. stand for?
-Pull - Pull the safety pin
-Aim - Aim the nozzle at the base of the fire
-Squeeze - Squeeze the handle
-Sweep - Sweep side to side at the base of the fire
What should the humidity in the OR be?
20%-60% Humidity
(Monitored by the Reese system)
How should masks not be worn?
Not hanging around your neck. Masks are single use only and should be changed when soiled or between patient contact
What is the 2026 IFMC PeriOp WIG (Wildly Important Goal)?
Turnovers > 60 minutes = 5% or less as a division
What is the Contact Number for Transport
62490
What is the dwell time for Oxivir 1 wipes?
1 minute
Enhanced room cleaning measures are implemented when….
When the patient is suspected or diagnosed with transmissible disease. (Contact Isolation)
What is the minimal amount of stepping stools that should be in each OR in the Tower
No less than 2 (certain neuro rooms have additional)
How does Inova dispose of hazardous waste?
Daniels collects and disposes per protocols. Ex: chemo, cactus and red sharp bins
True or False: Jewelry, watches, and artificial nails are permitted in the OR setting?
FALSE
If present during an OR Pre-Procedure Pause, which team members are involved?
Everyone in present in the room should stop what they are doing, listen and participate in the pause.
What should the Temp in the OR be?
68 - 75 F
(Monitored by the Reese system)
Where do OR masks need to be worn?
In the semi-sterile cores and OR Rooms when sterile items are open
What is IFMC PeriOp 2026 First Case on Time Start (FCOTS) Goal?
85% First Case On Time Starts as a division
What is the Contact Number for Linen
63793
What is the dwell time for Bleach wipes?
3 minutes
Term used to for how long it takes for a cleaning agent to kill organisms.
Contact Time (dry time)
When setting up a diving board on an Skytron Ultra slide table (Both head and the foot) what is important to remember?
Safety Pins are removed when placing diving board on bed, insert until you hear the click and feel the latching engage, then place pins and ensure diving board is secure. (2 tugs)
Name the 4 steps of the 4S Process (Used by the clinical team’s w/ Instruments after the surgical case)
Sort - Remove sharps and paper from instrument trays
Squirt - Flush lumens w/ sterile water
String - Re-String Instruments, unclamped
Spray - Spray Enzymatic foam on instruments before sending to SPD
These types of nail products are NOT permitted for team members who provide direct patient care or work in the patient’s immediate environment.
Artificial nails, nail accouterments of any kind (including synthetic, acrylic, silk, dips, glitter, wraps, and nail extenders/tips), and long-lasting nail enamel that requires UV curing or cannot be removed immediately (such as gel or shellac) are not permitted.
What 2 patient identifiers will the PSS runner be asked to give when picking up blood in the blood bank.
Patients full name and Patients MRN (Medical Record Number)
Who should be called if the temp and humidity are out of range in the OR?
Charge nurse and engineering - They document on how it is being corrected.
What is the only type of scrubs that should be worn in the OR space?
Hospital laundered scrubs. Personal scrubs should not be worn while on the job.
What is PSB3 & Woodburn ORs between case Turnover Goal?
25 minutes - Wheels-Out to Wheels-In (Patient out to patient in)
Who do you call for Hospital / IR bed delivery to the OR at what time?
Transport -6:30am - 3pm
EVS - After 3pm, Weekends & Holidays
How do you know a piece of equipment has been tested by biomed and is safe for use?
Check the biomed sticker with dates.
EVS does this type of clean once a day, typically at the end of the day and is a deeper cleaning than the Turnover Clean.
Terminal Cleaning
If taking a Mayfield base and horseshoe headrest to a room for a procedure, what other item should you be bringing to the OR for the padding?
Red transport bin for headrest padding post procedure. OR team will place padding in red bin for transport to SPD.
How do you locate a Safety Data Sheet?
At the front desk or on Inova net
How should gloves be used in all clinical areas at IFMC?
As single use. Remove promptly after use and foam. Refrain from wearing gloves in the corridors and elevators Note: Gloves may be worn in corridors and elevators while transporting a specimen or hazardous material. Staff members wearing gloves should avoid contact with environmental surfaces.
Where are MH (Malignant Hyperthermia) Carts located?
There is 1 located in each Core
What does R.A.C.E. stand for?
-Rescue - Remove patients and staff from immediate danger
-Alarm - Pull the nearest fire alarm and call emergency services
-Contain - Close doors and windows to slow fire spread.
-Extinguish - Use a fire extinguisher if the fire is small and manageable (P.A.S.S.)
When needing to enter an OR mid procedure which door should you enter through?
Use the door from the Sterile Core. If the OR has more than one entry, the doors to the main corridor should be used as little as possible.
What accessories are permitted to be worn on your Inova One Badge?
None. Badges should remain free from pins, stickers, badge buddies, or any other accessories. For security and identification reasons, badges must always be clearly visible and readable from both sides. Badge buddies are specifically not permitted, as they tend to obstruct badge visibility.
What was the Main Towers Turnover Average for April 2026?
36.9-minute average between cases
What is your supervisors number
Days - Chris Ramos - 63833
Evenings - Wubishet - 5309349
A. How are the Red Sharp Bins maintained?
B. How are the Blue recycle Bins maintained?
A. Vendor Daniels handles the Red Sharp Bins, Yellow Chemo, Cactus Bins
B. Vendor Medline handles the Blue Recycle Bins