No bugs here...
This surface is always considered contaminated in the OR.
What is the floor.
Fluid-resistant, slip-resistant, dedicated, washable and closed-toe.
What are shoes in the OR
What are countable items
R A C E
What is Rescue, Alarm/Alert, Contain, Evacuate/Extinguish
This is placed 2 inches above the knees when supine
What is the safety strap
This vital first step of the sterilization process takes place in the OR.
What is point-of-use cleaning
Bonus: Why is this so important?
Hospital-laundered
What are OR scrubs
Bonus: Why is this important?
Per AORN, initial counts should be conducted at this time:
What is before the patient enters the room, whenever possible.
("..if not possible, a second circulator may assist the scrub person with the count.")
The fire triangle has 3 parts: An Oxidizer, a fuel, and this..
What is an ignition source.
Bonus: What's the most common ignition source in the OR, and how do you contain it?
This is done to our rooms first thing in the morning to remove dust and debris.
What is damp dusting.
A sterile field should be set up ______________ to the time of the procedure start as possible.
What is as close to
Prevents shedding of bacteria, must be fully-containing and, if personal, laundered after each use.
What are head-coverings
Used sponges are to be placed here to be visible to everyone in the room and help facilitate accurate counts
What are in sponge counter bags
This is the acronym for using a fire extinguisher.
What is PASS. Pull, Aim, Squeeze, Sweep
For any procedure with laterality, this must be done before the patient can enter the OR.
What is site-marking.
Bonus: Who is allowed to mark our patients?
This should be performed immediately after removal of a gown and gloves at the end of a procedure.
What is Hand Hygiene
Artificial nails, rings, Fit-bits, bracelets and dangly earrings
What are no-no's for anyone scrubbed at the field (and technically, most OR personnel)
These should be minimized during surgical counts.
What are interruptions and distractions.
Bonus: What things distract you during your counts?
Call this phone number to report a fire.
What is ________
330
Traffic control is essential because of this:
What is unsterile microscopic debris stirred up whenever doors open and close.
Bonus: How can we lessen traffic in the ORs?
Describe clean closure (Also called 'isolation technique') in relation to a bowel resection.
What is a separate, covered mayo/table used only for closure at the end of bowel surgeries or cases involving malignant cancers.
TJC and OSHA required. Must be made available by your facility. Some are plastic, some are glass, but all are oh-so-'fashionable.'
What is eye protection
Bonus: are prescription glasses enough? Why not?
Using a standardized, logical sequence, utilizing pre-printed count sheets, and following the same order during every case.
What are AORN recommendations for keeping counts safe and effective.
1, 2, 3, 4 or Low, Medium, High... This should always be part of the time out.
What is a fire risk assessment for the case.
Patient safety is the primary focus and responsibility for this member of the OR team.
What is EVERYONE! =)