Ancillary Services
Besides a PCSA, which other ancillary personnel could take an ABG to the lab?
Anesthesia Tech
The formal timeout cannot be combined with the _________ timeout prior to the patient being draped.
Injection
Patient could have a WSS if the two were combined prior to draping and wrong site was then draped. No timeout to catch that the wrong laterality was draped.
This staff member is designated to assist the surgeon. Duties include holding retractors, assisting with cautery, and closure
Surgical assistant
If you are doing any of these jobs and are not a certified Surgical Assistant, you are working outside of your scope of practice.
An x ray is warranted even if the count is correct if 2 surgical services are working in the same _______
cavity
________ cannot go into the blanket warmer because the temperature that the blanket warmer is set at could harm the patient
Fluids
When do drapes go into the biohazard bin?
Only if the items are saturated
How many consents does the following procedure require?
"Low anterior resection with ureteral stent placement"
answer: 2
1- General surgeon for low ant resection
2- Urology for stent placement
A surgeon can only consent to procedures that they have privilege's to perform
Who can retrieve medications from the pharmacy?
A licensed person (RN, CRNA, MD, ect).
ST's and anesthesia techs are not allowed to retrieve them for you.
For eye procedures, an __________ is not allowed to be used in place of a physical site marking.
eyepatch
They should be marked above the eye of the correct laterality. An eyepatch can be moved and is not permitted.
This is the distance that must be between stored items and the ceiling
18 inches
When do the floors in the operating room have to be mopped?
Only if visibly soiled
Always is considered contaminated.
How long is a consent good for?
Never expire
Given the patients condition, and risks/benefits of the procedure have not changed since the consent was obtained.
Who can be called to perform intra operative EKG's?
Anesthesia Techs
When is a relief count warranted?
At the time of permeant relief of either the scrub person OR the circulator
Cannot omit if only one is leaving and the other person who started the case stays.
What color is this bin that collects items including laparoscopic scissors, trocars, drill bits, and saw blades for reprocessing?
Teal
Stryker- please see items that are collected on bins. Do not cut cords, items must remain intact to be able to reprocess.
This person, who is not employed by the hospital is not allowed to touch any patient and is only allowed to obtain items and cannot deliver them to the sterile field.
Vendor
Although it is commonly believed to be so, this common legal document is NOT automatically suspended for patients undergoing surgery.
DNR
If a patient is a DNR, a discussion is had with the surgeon, anesthesia and the patient to determine if they wish to uphold the DNR. If the patient still wishes to enforce DNR, then the surgeon/anesthesia determine whether they want to procedure with surgery or not. May choose not to perform. If they decide to proceed, DNR will be upheld during surgery.
Who can wear a bunny suite in the semi restricted/restricted areas?
Those who are making an unplanned trip to the OR, under 5 min
This device commonly used to prevent hypothermia is supposed to be placed directly on the patients skin to achieve the best desired effect.
Bair Hugger
You do still need a barrier for bovie pad and seat belt buckle.
What is the area in inches that cannot be blocked around the medical gas shutoff valves?
36 inches
This type of tray is the only sterile item that is allowed to be wet when presented to the field
One Tray
This person must be used when obtaining consent on a non-English speaking patient
Interpreter
Required to use for signing of legal documents. A family member cannot act as an interpreter and interpretive services cannot be waived for this.
You may turn off the medical gas shutoff valves if directed to do so by the following individuals (4).
Director
AOD
Charge Nurse
Fire Department
This item is only supposed to be used for positioning to fill gaps and build up.
Eggcrate
All mattresses/arm boards are made with tempurpedic padding and do more than eggcrate.
Best practice is to elevate feet off of bed.
Women who are expecting or potentially pregnant should leave the OR while this product is being compounded and not re enter the room until after it is cured, approximately 10 min
Bone cement
Also be aware contact lenses should not be worn by those mixing d/t eye irritation.