traffic flow
Includes central control point where personnel monitor the entrance of patients and is used for communication of information between the surgical suite and the rest of the healthcare facility.
What is the Unrestricted area?
Includes the area surrounding the site of the incision and all work areas, furniture and equipment covered with sterile drapes and all personnel who are wearing sterile attire
What is the sterile field?
(related to positioning) the responsibility of the anesthesiologist/anesthesia provider
Initiation of readiness of the patient for movement into required position
examples include mastectomy, vascular bypass graft, hernia repair, thyroidectomy, total hip replacement
What is a clean wound?
criteria includes incision above xiphoid process, open oxygen and ignition source
What is high fire risk?
includes areas where surgical procedures are performed and unwrapped sterile supplies are used
What is the restricted areas?
What is a preference card or pick list?
Both legs are raised and lowered slowly and simultaneously to prevent hip dislocation
What is the lithotomy poistion
Examples include gangrenous gallbladder, ruptured appendix, perforated bowel, drainage of abcess
What is a dirty wound?
The only know drug to counteract the S/S of Malignant Hyperthermia
What is Dantrolene
Includes peripheral support areas of the surgical suite, such as work areas for processing and storing instruments; storage areas for clean and sterile supplies; scrub sink areas
What is semi-restricted areas
Should be positioned as far as possible from the OR doors and human traffic that occurs in and out of the room
furniture; (back table, mayo stand, basin ring)
Increased pressure on the diaphragm can cause respiratory compromise
What is the Trendelenburg position?
An operative wound in which the respiratory, alimentary, genital or urinary tracts are entered under controlled conditions and without unusual contamination
What is a clean/contaminated wound?
Signs and symptoms include metallic taste, dizziness or lightheadedness, drowsiness, oral numbness, visual or auditory disturbances
What is local anesthetic systematic toxicity (LAST)?
Area in which the surgical site is confirmed and marked
unrestricted area
The concept that the field is considered sterile unless it has been contaminated
event-related sterility
Occurs when a body part is moved without lifting and skin remains fixed
What is shearing?
Open fresh, accidental wounds or operations with major breaks in sterile technique or gross spillage from gastrointestinal tract
What is a contaminated wound?
may prevent rapid progression of toxic manifestations when administered during first signs of arrhythmia in patients with suspected LAST are recognized
What is 20 % lipid emulsion?
surgical attire is required and head and facial hair should be covered
What is the semi-restricted area?
Using antibiotics according to national guidelines; maintaining normothermia in patients, and implementing glycemic control for cardiac patients
What are the SCIP guidelines?
required positioning devices include chest rolls, head rest/support, pillow
What is the prone position?
temperature range for the OR
What is 68 - 75 degrees?
Can result from failure to perform the TIME OUT before surgery
What is wrong-site surgical errors