Specimens
Counts
Potpourri
Patient
Sterilization
100
Specimens for culture testing must be recorded here prior to being sent to microbiology.
What is Cerner?
100
This must be placed in the patient's chart after the miscount x-ray has been completed.
What is the radiologists report? (yellow radiology slip)
100
The cerebral aneurysm cart is located here.
What is in the hallway across from room 5?
100
These should be placed in a bag with a patient's sticker and given to the patient's family or to security.
What are a patient's personal effects?
100
Bioburden is avoided/decreased exponentially on instrumentation when this is performed during a surgical procedure.
What is intra-op mechanical cleaning of instruments with water?
200
I am required to be sent directly to pathology in order to be studied STAT.
What is a frozen section specimen? Indicated with an encircled FS on the pathology sheet and the pathology label. The excision time, OR number, and phone extension should be placed on the pathology sheet along with the other required information. The specimen should not be soaked in any fluid. The Specimen Log Book must be filled out when sending any specimens.
200
A full sharps and inventory count is required of these procedures at the start of the case, however if the incisions remain small, a sharps count is performed by both the scrub and circulator, and an inventory count is performed by the scrub.
What are Abdominal Laparoscopic and Robotic Procedures?
200
Across from Room 11 entrance, Next to positioning device room, Near ORs 19 and 20.
What is location of the OR crash cart?
200
During resuscitation, when a patient presents with ventricular tachycardia or ventricular fibrillation, interventions include high quality chest compression, medication administration, and this.
What is defibrillation?
200
Location of the Cardiac Arrest Documentation
What is the Operating Room Crash Cart?
300
Sending specimens to pathology in the manner in which they are normally handled.
What is Routine? Routine specimens are any specimens sent as they routinely are sent. For example if a surgeon asks a breast specimen to be sent routine, the specimen will be handled as a fresh specimen as that is how we routinely send breast specimens. A gallbladder sent as routine, will be sent in formalin.
300
As per policy, this must be done regardless of the type/ size of a missing item, and regardless of objections from others.
What is call for an x-ray?
300
This cart must be kept plugged in.
What is the malignant hyperthermia cart?
300
These must be discussed and completed by the surgeon and anesthesiologist prior to surgery.
What are the surgical and anesthesia consents?
300
This is the type of sterilization used for EGD scopes.
What is high level disinfection?
400
These specimens at SBMC are classified routinely as Fresh Specimens and must be sent through the pneumatic tube or walked down to pathology without being placed in formalin.
What is Breast, Bowel, Prostate, Uterus, Kidney, Bladder and Radical Neck Dissection Tissue?
400
You call them when you first recognize a countable item is missing.
Who is the Charge Nurse?
400
You call this department when the crash cart lock has been broken or items are expired.
What is Central Distribution?
400
Injuries that result from a patient's arms being positioned on armboards >90 degrees, not parallel to the floor, and not level to the height of the bed.
What are brachial plexus, ulnar and pudendal nerve injuries?
400
Conclusion and intervention when a sterilized tray contains moisture after opening it for a case.
What is contaminated and not placed on sterile field? Gloves, and, if contaminated, gown, must be removed by unscrubbed personel and re-donned. Tray should be returned to SPD and a replacement obtained. If no replacement, call the manager to assist in alternatives. If no alternatives, charge nurse, surgeon, and pre-op should be notified of the contaminated tray ASAP.
500
These cultures must be sent to microbiology separately in an enclosed tube containing a gel-like substance.
What are anaerobic cultures? They must have their own label and must be entered into Cerner. Aerobic, fungal, and AFB can be sent as one specimen in a sterile cup.
500
Most significant degree of heart block requiring immediate pacing
What is Complete Heart Block or 3rd Degree Heart Block?
500
You call this when an ACLS Certified PACU Nurse is not available to assist during a code.
Rapid Response Team
500
These must match the patient's wrist band in order to ensure documentation on the correct patient and encounter.
What are the MR and PA numbers?
500
Integrator class used in trays that undergo sterilization.
What is Class 5?
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