Perioperative Safety: Patient Focus
True or False
You can remove soiled linens from the room prior to the final count.
False.
All items used to care for the patient must REMAIN in the room until the final count has be complete and all items reconciled.
Please select all that apply:
The overall goals of surgical positioning are to:
A) Maintain a physiological and anatomically safe environment.
B) Provide optimal exposure during the surgical procedure.
C) Maintain the pt's airway.
D) Ensure the patient is strapped in to prevent sliding.
E) Allow for access to monitoring devices and intravenous lines.
What are A, B, C, and E
The general term hand hygiene refers to decontamination of the hands by one of two methods:
What are:
1. hand washing with antimicrobial or plain soap and water.
or
2. Use of an antiseptic hand rub.
Transcient microorganisms live in the _________part of the skin.
What is Epidermal.
Free from signs and symptoms of infection are the primary importance and expected outcome for surgical draping.
What is:
True
True or False
If a missing item for a count is not located an intraoperative x-ray should be performed to rule-out a retained object prior to the wound closure.
True.
What are the three basic surgical positions that may be varied to accommodate specific patient positions?
What are:
Supine, Lateral, and Prone.
The antiseptic surgical scrub or antiseptic hand rub performed preoperatively before donning sterile attire is:
What is surgical hand antisepsis
The skin can __________be sterilized.
What is: Never
True or False
Draping is the procedure of covering a patient and surrounding areas with a sterile barrier to create a sterile field.
What is True
What are four.
Intraoperative factors that must be considered individually to determine pt tolerance to the planned operative position include:
What are:
Anesthesia, Length of Surgery, and Position Required.
True of False:
During surgical hand scrub almost all transient organisms are removed from the skin, and microbicidal or antiseptic agent reduces and neutralizes the resident skin flora.
What is:
True
Desirable characteristics for antimicrobial agents are:
A) Non-irritating
B) Broad spectrum
C) Persistent
D) High log reduction capability
E) Slow action
F) Fast action
What are: A, B, C, D, and F
Drapes are selected based on the following:
A) The cost.
B) Type of procedure of to be performed.
C) Amount of area around the incision to be included and the amount of fluid exposure expected.
D) Furniture and equipment to be draped.
What are:
B, C, and D.
True or False.
In the ambulatory setting patients unmedicated can walk to and from the operating room unaided.
What is false.
When a pt is placed in the supine position the knees should be slightly ______________and the heels should be _______off the bed.
What are flexed and elevated.
Based on the knowledge you gained on checking your arms and hands before scrubbing select all that apply:
A) The skin on the hands and forearms should be inspected for cuts and abrasions.
B) The skin must be free from open cracks and abrasions.
C) The fingernails should be short, clean, and healthy.
D) The cuticles should also be clean and in good condition.
What are: A, B, C, and D.
Iodophors with added detergents are referred to as __________ and those without added detergents are referred to as _____________.
What are:
Scrubs and Paints
There are four basic types of drapes (select all that apply):
A) bair huggers
B) towels
C) fenestrated sheets
D) non-fenestrated sheets
E) plastic drapes
What are:
B, C, D, and E
True or False
Reduced skin perfusion can contribute to intraoperative skin injuries.
True.
When tucking the arms, the sheet should never be secured under the _________.
What is mattress.
True or False:
Shoe covers are required for orthopedic surgeries, autopsies and recommended for c-sections, and trauma cases.
What is:
True
Which of the following are antimicrobial agents? Select all that apply:
A) Chlorhexidine Gluconate (CHG)
B) Povidone Iodine (an iodophor)
C) Alcohol
D) Phenylephrine
What are:
A, B, and C
Aperture drapes (select all that apply)
A) Permit visualization of skin tones and landmarks
B) Are used to "wall off" a contaminated area such as a stoma from clean skin
C) Conform to body contours
D) May be used to to cover equipment such as a tourniquet or a microscope
What are:
A, and C