Instruments
Scrub Tech
Circulator
Medications
Hodge Podge
100

Point of use treatment

What is spraying the instruments with pre-cleanse prior to removing from the room.

100

6 minutes

What is first scrub of the day

100

Circulator at the bedside

What is when patient is going to sleep and waking up

100

Multi dose vials

What is 

  1. Only vials clearly labeled by the manufacturer for multiple dose use can be used more than once
  2. The use of multi dose vials is limited to use on only a single patient to reduce the risk of contamination.
  3. Date, time, and initial when opened with the expiration date (28 days after opening or as specified by manufacturer if less than 28 days).
100

Prevention of wrong site surgery


What is pre-procedure verification, site marking and time-out

200

Storing instrumentation

What is they must be stored in a 24/7 temperature and humidity-controlled environment.

This is only in the front part of our center core.

200

You touch the inside of the formalin container with sterile forceps

What is immediately remove from the sterile field.  Do not put it on a corner of your back table.  

Change your gloves if appropriate.  Discard any other items that may have come in contact with it.

200

Opening an implant for the scrub tech

What is verifying the impant, size and expiration date.

200

Immediately upon receiving the medication

What is labeling the container as soon as they are dispensed.

This is a responsibility for both the ST and RN


Do not pre label

200

Biomed checks are done

What is when any equipment comes from an outside vendor it must be checked by BioMed before it can be used on a patient

300

IUSS

What is, is never allowed.

300

Parts of the surgical gown that are considered sterile

What is the front of the sterile gown from the chest to the level of the sterile fiel and the gowns sleeves from the cuff to 2" above the elbow circumferentially

300

You are contaminated

What is do not argue.   Address the contamination accordingly

300

8 rights of medication Administration

What is

  1. Right Patient, Right Medication, Right Dose, Right Time, Right Route, Right Documentation, Right Reason, Right Pre and Post Assessment
300

The absence of  organisms

What is Asepsis

400

Checking filters, sterilization indicators, checking for moisture

What is inspecting the sterile instruments prior to placing on the back table.

400

When if every, is it okay for the scrub person to sit?

Avoid Changing levels, and be seated only when the entire procedure will be performed at that level.

400

Opening the sterile field

What is check package integrity, verification of indicators, deliver items to the sterile field in a manner that prevents unsterile objects or unscrubbed team members from leaning or reaching over the sterile filed (being mindful of your body in relation to the sterile field - not to close)

400

Labeling of medication

  1. Name of drug
  2. Concentration or dosage
  3. Volume if not apparent on container
  4. Expiration date and time if expires in less than 24 hours
  5. At the end of the procedure, the nurse will discard all unused syringes containing medications
400

Proper wearing of surgical masks

What is masks should be on or off, never left dangling around the neck or saved in a pocket.  Used masks should be removed and handled only the ties.  Masks must fit securely to prevent the escape of microorganisms.

500

You drop a sterilized instrument container on the floor.  Lid and arrows are intact.

What is it is considered contaminated and cannot be used.

500

Counting of soft goods.

  1. All procedures will have an initial and final count of sponges, sharps, needles and other other soft items which are counted. Instruments will be counted as per policy.
  2. All countable items used on the sterile field, will be noted on the count board/count sheet.
  3. All counts will be conducted in the same sequence each time beginning at the surgical field, continuing to the mayo stand, then to the back table and concluding with the circulator identifying any counted items that have been removed from the sterile field.
  4. Separate counts will be done for each new procedure.
  5. A scrub person, circulating nurse or physician may request an additional count at any time it is deemed necessary.
  6. Hand-off communication and count will be done when staff members are relieved.
  7. Unnecessary activity and distractions are curtailed during the counting process.
  8. If the patient's condition is critical and the time taken to count instruments, either initially or finally, further jeopardizes the patient's safety, the count may be omitted. Radiography must be performed and read at the end of the procedure to insure no retained instruments.
  9. When sponges, sharps or instruments are passed or inadvertently drops off the surgical field, the circulating nurse retrieves it, shows it to the scrub person, and isolates it from the field, to be included in the final count.
  10. Contaminated sponges, instruments and sharps must be handled according to Occupational Safety and Health Administration (OSHA) blood pathogen standards.
  11. Linen and waste containers are not removed from the room until counts are completed and resolved and the patient is transferred out of the room.
  12. All used countable supplies will be removed from the room after the completion of the procedure.
500

Briefing, Induction, Time out, counts, specimens and emergence from anesthesia

What are critical phases of surgical procedure, music off and no extraneous conversation

500

Pharmaceutical Waste Container

What is 

  1. Medication is to be discarded in a pharmaceutical waste container
500

Positioning of patient's arm at the side

What is padded elbow, palm against the patient's side, sheet tucked under the patient (not the mattress)

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