Zones and Attire
Surgical Counts
Admission to the OR
Instrument Care
Miscellaneous
100
Healthcare workers should not wear this on their hands and wrists as it prevents effective cleaning and harbour's microorganisms.
What is jewelry? (rings, bracelets and watches)
2.7.22
100
Timing of the surgical count should include but are not limited to these three key phases of the operation.
What are before the incision, at the first layer of wound closure and at the skin closure?
3.12.13
100
As a safety measure to help prevent injury the perioperative nurse should confirm that THIS is applied as soon as the patient is positioned on the OR bed.
What is the safety belt/strap?
3.6.6
100
Once a patient has entered the operating room where sterile supplies have been opened, those supplies should be considered_______.
What is contaminated?
2.17.11
100
Unsterile health care team members shall remain at a safe distance at least _____FT from the sterile field.
What is 1?
2.18.9
200
These shall be clean, short, natural and be in good condition.
What are fingernails?
2.7.20
200
Actions that must be taken by the circulating nurse if a discrepancy occurs during the count.
What is: notify the surgeon, recount, ask surgeon to recheck the wound, search the drapes/floors/garbage and laundry, request an x-ray, complete an RL6?
3.20.2/3.20.3
200
If the patient's arms are place palm-side down during positioning, what structure is most commonly injured?
A. Obturator nerve
B. Ulnar nerve
C. Brachial plexus
D. Median nerve
What is the Ulnar nerve (b)?
200
As a scrub nurse you notice a hair in your instrument pan. You know that it has gone through the sterilizer and high-disinfection. You will get rid of the pan, and anything it has touched ( including your gloves ) because of this standard.
What is "if there is any doubt about the sterility of the item, it should be considered contaminated?"
2.17.4
200
The Perioperative nurse participates in the " briefing" phase with the surgical team prior to initiation of anesthesia.
What is the surgical safety checklist?
3.4.1
300
This zone includes the storage for clean supplies and equipment, sterile supplies and scrub sinks.
What is semi-restricted?
2.6
300
The order a scrub nurse should take when counting sponges upon closure.
What is the sterile field- mayo stand- back table- any items off the sterile field?
3.12.16
300
These are examples of areas where using a chlorhexidine skin prep are contra-indicated.
What are:
- Mucous membranes
- Eyes/ears (above the neck)
- Open wounds
2.19.9
300
Large, Heavy or irregularly shaped bundles/packages shall be open on a _______surface.
What is flat?
2.17.9
300
The perioperative nurse shall assess patients preoperatively for risk factors associated with this rare hypermetabolic condition.
What is Malignant hyperthermia
5.8.1
400
Surgical attire must be changed daily and in these situations to avoid cross contamination to patients, staff and the public.
What is become visibly soiled, contaminated or wet?
2.7.10
400
This is a legal document that becomes part of the patients health record.
What is the surgical count sheet/record?
3.13.1
400
2 locations to avoid when placing a cautery grounding pad.
What are:
- bony prominences
- over metal implants
-tissue with excessive hair
-scar tissue
3.37.53
400
These are used to verify that one or more of the conditions necessary for sterilization have been achieved within each item
What is a chemical indicator?
2.17.3
400
These are essential for every medication that has been removed from it's original packaging and placed on the sterile field.
What are- Labels that include at a minimum medication name and strength?
3.22.15
500
This zone is open to employees in street clothes and can include staff cafeteria, hallways, and staff lounge.
What is the unrestricted?
2.6
500
All items shall be counted ________ and viewed ________ by both the scrub and circulating nurses in a systematic/organized manner.
Audibly, concurrently
3.12.6
500
Name 2 patient specific identifiers that can be used to confirm the patients identity.
What are:
-patient's full name
- date of birth
-unique organization/personal identification number on the patients armband
500
The term "Flash" sterilization is no longer used - the correct term is I.U.S.S.
What do these initials stand for?
what is Immediate Use Steam Sterilization?
2.34
500
These 3 things should be verified with the surgeon prior to handing off the specimen.
What are:
-Name of the specimen
- Preservative/handling required
- Whether it can be passed off the sterile field
3.24/3.24.5/3.25.6