Counting
Counting must be performed and visualized by (# of people & positions)
2 People. One must be an RN
What are ways that an instrument packs/trays can be contaminated
Bioburden, strike-through, moisture, holes
Time Out should be conducted _________ prior to incision/start of procedure
Immediately
Person responsible for wiping, flushing, and spraying instruments immediately upon completion of the case to prevent drying of blood and particles on the instrument's surface
Scrub Person
According to AORN and our policy, these should never be worn in the OR by any personal, as they harbor bacteria/pathogens.
Artificial Nails
Radiopaque sponges must be completely __________ when counting in performed.
separated
The direction to face when two sterile persons pass each other
front-to-front, or back-to-back
All activities must be ______ during the time out.
halted
Types of instruments that should be flushed at point of use with sterile water to prevent obstruction from organic debris
Cannulated aka channel instruments
Instruments with lumens/hollow
The IFU required amount of time ChloraPrep should dry prior to draping the patient.
Minimum of 3 min. You should allow longer if still has a shiny appearance or the presence of hair.
bottom to top
When implementing SSI reduction techniques, the OR team should do this at the time of wound closure.
Change gown and gloves
When is it acceptable to NOT mark the site of surgery on the patient.
If the practitioner performing the procedure remains with the patient continuously from the time the decision is made to do the procedure (and consent is obtained from the patient) up to the time of the procedure.
Saline
When is regulatory learning due in 2026?
September 30th
According to policy, what is the correct count sequence?
Surgical field, Mayo, Back table, Off the surgical field
The normal humidity level of the OR must remain within these conditions.
30%-60% relative humidity
Your patient is having a bilateral mastectomy, and reconstruction with two different surgeons. You need how may time-outs
Two.
Proper instrument transportation to decontam includes
In a closed container/case cart that is leak-proof, puncture resistant, labeled biohazard.
The only time you can remove a countable item from the room.
Prior to the initial count.
Nothing should ever be removed during the procedure or when patient enters the room.
When a count discrepancy cannot be reconciled, the Radiology Imaging Protocol will be implemented and __________ will be obtained and interpreted prior to closure.
X-ray of any views deemed necessary
Begins with the knowledge of the principles of aseptic technique, infection control, and safety, and is supported by constant awareness of self and surroundings to maintain sterile integrity. Involves ethical and moral decision-making and an obligation to speak up and act with courage on behalf of the patient.
Surgical Conscience
Date of National Time Out Day
June 11th OR 2nd Wed of June
An accumulated mass of bioburden that adheres to the surface of an instrument, making it difficult to effectively clean and sterilize the instrument
Biofilm
An instrument set is considered this when there is a hole in only one side of the double instrument wrap.
Contaminated!