Scrub It Like You Mean It
During the surgical scrub, keep your hands in this position relative to your elbows.
What is above the elbows
You are not sterile. When passing a sterile field, you should always do this.
What is face the sterile field
When opening a wrapped sterile package, this flap is opened first.
What is the flap farthest away from you
This piece of attire must completely cover the hair on your head.
What is a surgical head covering (hat).
This is the main reason you perform a medical handwash.
What is to remove/reduce microorganisms and prevent transmission.
Your back table isn't a drive-thru. When walking around it, a nonsterile person should maintain this distance from the sterile field (minimum).
What is 12 inches.
Water should flow in this direction during the surgical scrub. (Anatomical description)
What is from the fingertips toward the elbows
Two sterile tables are positioned near each other. As an unsterile person, you decide the shortest route is straight between them. This is your mistake.
What is walking between two sterile fields
When opening a sterile package, your unsterile arm should never do this over the sterile contents.
What is reach across them
Your mask is on, but your nose is hanging out. The Fashion Police issue you a citation for this.
What is improperly wearing a surgical mask.
Before washing your hands, these items should be removed from your hands and wrists.
What is jewelry (rings, watches, and bracelets).
You're walking around the sterile field while scrolling on your phone. Besides making your instructor twitch, what's the problem?
What is you aren't maintaining awareness of the sterile field.
Once an area of the arm has been scrubbed and you move on, you should never do this.
What is return to a previously scrubbed area
You’re standing near the back table talking to your friend. You turn your back to the sterile field. Your instructor immediately says this.
What is “Face the sterile field!”
You’re opening a sterile package and accidentally touch the inside wrapper with your bare hand. Your package now has this unfortunate status.
What is contaminated
You walk outside for lunch wearing your OR shoes, then return to the restricted area. The concern is this.
What is bringing outside contamination into the surgical environment.
After rinsing, use this to dry your hands rather than shaking them like a wet dog.
What is a clean disposable paper towel.
You need to donn your sterile gown. This area of the unwrapped sterile gown is acceptable to grab and remove the gown from the Mayo stand.
What is the center of the gown.
While scrubbing, your hand accidentally touches the sink. This is what you should do.
What is restart/repeat the scrub.
Your instructor asks you to plug in equipment on the opposite side of the sterile back table. You stretch your arm across the table because you're pretty sure you can reach. What rule did you violate?
What is never reach over a sterile field
Before opening a sterile package, check these important things.
What are package integrity, expiration date, and sterility indicator
Before entering the semi-restricted or restricted area, this everyday outfit gets traded for freshly laundered surgical attire.
What are street clothes.
This is the amount of time that should be spent physically washing your hands during the medical handwash process.
What is 20 seconds.
When open gloving, you cannot touch this part of the glove wrapper with your bare hands.
What is the inside.
You finish your surgical scrub without touching anything, but while rinsing you move your arm back and forth underneath the running water. Why is this incorrect?
What is the rinse should proceed in one direction from fingertips to elbows without returning to previously rinsed areas
You’re nonsterile and squeeze between two sterile team members because “there was totally enough room.” Nobody appears to touch you. Why is your instructor still having a meltdown?
What is a nonsterile person should never pass between sterile personnel/fields
You open a sterile package perfectly and deliver the item(s) to the sterile field. You immediately throw the package away. Why is this an issue?
What is I didn't check the integrity of the outer wrapper after opening.
You’re wearing a mask, but it’s dangling around your neck between cases. The OR Fashion Police say to do this instead.
What is remove and discard it.
Your hands are visibly contaminated with blood or body fluids. Which hand-hygiene method should you choose
What is soap and water.
When closed gloving, it is necessary to have donned this first.
What is the sterile gown.
These are the two things you are trying to get rid of during the surgical scrub
What is transient and resident flora.
When opening your back table pack, you bent over to stretch out the drape and your bouffant touched the sterile field. You didn't feel it, but your preceptor saw it. What is the appropriate response?
What is get a new pack and reopen.
This distance around an opened, sterile package is considered contaminated.
What is one inch.
It important to wear closed toe, closed back shoes in the operating room, because....
What is so you can avoid getting blood and/or body fluid on your feet.
When working in the OR, this procedure is done at the beginning of the day, after lunch, after using the bathroom, or if you changed the oil on your car during a break.
What is the medical handwash.
You successfully donned your sterile gown and closed gloves. Your worried the circulator will be upset if you don't clean up after yourself, so you grab the gown and glove wrapper from the Mayo stand, wad it up and toss it in the trash. Your mom would be proud of you, but why won't your instructor?
What is I contaminated myself by touching the side of the gown wrapper that was laying against the bare Mayo stand.