Hemostasis, Sponges
& Drains
Perioperative Safety:
Patient Focus
Preoperative Skin Antisepsis
Positioning
Safe Use of Surgical Energy
100
Member of the surgical team who typically initiates the count process.
Who is the circulating RN?
100
RSI
What are retained surgical items?
100
Bacteria easily removed by mechanical cleansing.
What are transient microorganisms?
100
To protect sensitive areas of the skin with appropriate padding is a recommended practice to prevent this.
What is intraoperative skin injury?
100
Can inhibit the flow of electrical current.
What are hairy sites?
200
Tube inserted into biliary tract.
What is a t-tube?
200
Minimum number of caregivers required to move an unconscious patient from the OR table to a guerney.
What is 4?
200
This skin prep agent is contraindicated for use during reconstruction of the external ear.
What is Chlorhexidine Gluconate (CHG)?
200
Occiput, scapulae, thoracic vertebrae, olecranon process, sarum and elbows.
What are the pressure points that should be padded when a patient is in the supine position?
200
Contain metallic elements that could attract electrical current.
What are tattoos?
300
Simultaneously and audibly.
How should counts be conducted?
300
May be the source of electromagnetic interference.
What are implantable electronic devices?
300
To reduce the resident microbial count to below pathogenic levels in a short period of time and with the least possible tissue irritation.
What is one goal of performing a surgical skin prep?
300
To place a patient safely in this particular position, the knees are placed over the break in the procedure bed to allow for knee flexion.
What is Trendelenberg position?
300
Generator that converts electrical energy into mechanical energy.
What is an ultrasonic electrosurgical device?
400
Pressure, hemostatic clamps and ligaturres.
What are some mechancial methods used to achieve hemostasis?
400
Ensuring that prep solutions do not pool under the patient.
What is one method to reduce intraoperative skin injury?
400
Assessment conducted as part of the Time-Out that addresses the use of alcohol based solutions.
What is a fire risk assessment?
400
The best intervention to prevent intraoperative pressure ulcer development on the patient’s heels.
What is elevating the heels off the bed?
400
Grounded, isolated, return electrode contact quality monitoring, and tissue response monitoring.
What are types of ESU systems?
500
A non-absorbable suture support used to prevent sutures from tearing through tissue.
What is a pledget?
500
Type of allergic response that occurs within 5 - 30 minutes of exposure to an antigen.
What is Immediate Type I Hypersensitivity Reaction?
500
High log reduction, persistency, fast acting.
What are desirable characteristics of surgical skin prep solutions?
500
Grounded, isolated, return electrode contact quality monitoring, and tissue response monitoring.
What are types of ESU systems?
500
The transfer of electrical current from the active electrode through intact insulation to adjacent conductive items such as tissue or trocars.
What is capacitive coupling?
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