PATIENT SAFETY
These should be activated BEFORE induction to prevent PE/DVT.
What are athrombic devices (SCDs)?
Body part/s most susceptible to pressure/shear injuries in patient positioning.
What are bony prominences?
This term is about consistently exhibiting ethical behavior and promoting patient safety all the time, in every circumstance—and doing the “right thing” in a surgical setting even if nobody else is watching or is aware that patient safety has been compromised, however minor or insignificant the compromise may appear to be.
What is surgical conscience?
What is the best method of transferring sterile liquid to the sterile field.
What is a sterile transfer device (decanter)?
These should be performed in the same sequence each time; facility policy should define the sequence. A typical sequence is: surgical field, Mayo stand, back table, and off the field
What are surgical counts?
This prep solution is contraindicated around ears and eyes.
What is CHG (chlorhexidine glutamate)?
Nose, forehead, chest, genitalia, iliac crests, patella, toes.
What are body parts at risk for injury using prone/jackknife positining?
Chemical, mechanical, and thermal are examples of:
What are methods of hemostasis?
This is a thin layer of microorganisms that can
form on instruments if blood or other organic materials are allowed to dry.
adhere to organic or inorganic surfaces.
be difficult to remove when allowed to dry.
What is biofilm?
Do this when anticipating the possibility of entering a body cavity such as the abdomen, pelvis, chest, or laparoscopic procedures.
What is when a preoperative instrument count is necessary.?
-Keep patient’s upper leg straight and support with pillows between legs
-Pad dependent knee, ankle, and flex patient’s dependent leg at hip and knee
-Maintain overall spinal alignment and monitor status of dependent ear
What are considerations for a patient in lateral position?
These three steps:
1-Conduct a pre-procedure verification process (huddle).
2-Marking of the surgical site
3-Performance of a "time-out"
What is the Universal protocol?
This is a non-absorbable suture support used to prevent sutures from tearing through tissue.
What is a pledget?
Patients can have the following as a result of this event:
1-abscess formation
2-infection/sepsis
3-intestinal obstruction or abscess
4-pain
5-death
What is an incorrect count?
Medications prepared off of the surgical field MUST be labeled UNLESS the medication is IMMEDIATELY administered by the nurse, doctor who prepared the medication. True/False?
What is true?
Signs/symptoms: numbness, tingling, decrease/loss of function or mobility.
What are symptoms of a peripheral nerve injury?
This is an unexpected occurrence that involves the death or risk of serious physical or psychological injury to a patient.
What is a sentinel event?
Toxic chemicals such as: benzene, toulene, hydrogen cyanide, carbon monoxide, formaldehyde are commonly found in this-
What is surgical smoke/plume?
The following factors contribute to this issue in the operating room:
1-patients with an increased body mass index (BMI),
2-procedures performed on an emergency basis,
3-procedures with an unexpected change during the surgery,
4-instances in which more than one major procedure is performed during the surgery,
5-procedures with a longer duration,
6-procedures with multiple surgical teams,
What are incorrect counts?
This term describes the type of injury that is a result of the movement of tissues moving on one another or another surface.
What is shearing?