AORN
Infection Control
EPIC
PT Safety
Add-Ons
100

As close to surgery as possible; constant monitoring; sterile draping of back table; no taping of doors

What are the AORN recommendations concerning time frame for opening a sterile field?

100

Hand hygiene, Hand washing and Surgical hand scrubs

What aremost effective ways to prevent and control infections?

100
This is the process used to charge for items not in the Lawson system.
What is one-time supply?
100

Laser goggles/masks, warning signs, water/nacl, wet towels and smoke evacuator

What are safety precautions that are the laser operator’s responsibilities?

100
CUSP
What is the Comprehensive United Based Safety Program?
200

The farthest wrapper flap; each side flap; and then nearest flap

What is the order one should open sterile wrapped items?

200
No substitute or sterile item availiable;proper decontamination; closed container, P4 cycle
What is the “immediate use” process for non-sterile instruments?
200
You do this to attach your electronic signature to sign your documentation (log)
What is verify?
200

Using a bovie holder; Connecting light cord to lenses; Allowing alcohol prep to dry for 3 minutes

What are ways to prevent surgical Fires ?

200
Prior to administering blood, a visual ID and verification of the blood and patient should occur by two licensed individiuals following this process
What is confiming with EPIC, the patient’s arm band, and blood product ID?
300

Tissue ID number,& expiration date, Tissue Bank, Recovery and Preparation Staff, Reconstitution solution,lot numbers & expiration date, Reconstitution start & stop time

What are AORN/JCHAO required charting data points for implanted allograft tissue?

300
Bioburden, Clampled instruments, Moisture
What are ways that trays can be contaminated?
300
This should be entered in the Procedure Description field in the Intra-OP Log
What is the procedure performed as stated by the Surgeon?
300
Stop the transfusion and notify the patient’s MD for orders and the Blood bank to describe signs and symptoms
What is your first action when your patient develops a rash following the start of his packed red blood cells transfusion?
300
Call blood bank, complete authorization of emergency blood release, take to blood bank stat.
What are first steps taken to obtain emergency blood for patient without crossmatched blood?
400

Before the procedure to establish a baseline (initial), at wound closure or at the end of the procedure when counted items are no longer in use (final) and at the time of permanent relief of either scrub or RN circulator.

What are times when an instrument and soft count are required ?

400

Patients with an open wound and known on going infection i.e.: C-Diff, MRSA

When do you need to treat a patient with isolation precautions?

400
What these icons represent (See Screen Shot)
What is A. Patient is under isolation B. Patient has a latex allergy C. Anesthesia pre-assessment not completed D. H&P not updated E. Consents not complete F. Pre-op Labs/Radiology results needed
400
An electrolyte-free medium that can cause hyponatremia and fluid overload when used in procedures
What is Glycine?
400
One of the 2 areas the OR will focus on based on this year’s Gallup survey
What are giving praise and recognition or Having the materials I need to perform my work?
500

Only when the entire procedure will be performed at that level

What is the AORN’s recommended practice for OR personnel (scrubbed team members) sitting during a procedure?

500

Head and Neck Procedures, Thoracotomy and where there is a potential for reopening procedure

When are the times when the scrub nurse should remain sterile and keep back table sterile?

500
Choose Prepare and Transfuse blood products (Red Blood Cells Product Crossmatch and Transfusion), and then deselect Prepare Red Blood Cells (Crossmatch)?
What is how to order transfusion of available units of blood product?
500
Dyspnea, nausea & vomiting, Fever greater than 2 degrees
What are symptoms that indicate that a patient may be having a transfusion reaction?
500
Where a staff member can find information on any chemical used in the hospital, including clean up how to treat exposure.
What is Chemwatch on the Sibley Intranet (MSDS)
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