Malignant Hyperthermia
The earliest sign of Malignant Hyperthermia is an elevated temperature
False
*Early sign = Rising ETCO2*
What is the preferred method for passing sharps?
A. Hand-to-Hand
B. Neutral Zone
C. Mayo Stand Toss
D. Verbal Alert Only
What is:
B. Neutral Zone ✅
When should counts occur?
A. End of Case Only
B. Beginning and End
C. Multiple Times Throughout Procedure
D. Only During Open Cases
What is:
C. Multiple Times Throughout Procedure ✅
Most common nerve injury in lithotomy position?
A. Radial
B. Median
C. Common Peroneal
D. Ulnar
What is:
C. Common Peroneal ✅
Why is prep dry time important?
A. Improve Odor
B. Fire Prevention
C. Increase Room Temperature
D. Faster Turnover
What is:
B. Fire Prevention ✅
Who obtains informed consent?
A. Nurse
B. Surgical Technologist
C. Surgeon/Proceduralist
D. Unit Secretary
What is:
C. Surgeon/Proceduralist ✅
What medication triggers MH?
A. Propofol
B. Fentanyl
C. Succinylcholine
D. Ketorolac
What is:
✅ C. Succinylcholine
Double gloving helps reduce:
A. Surgical Site Infection
B. Needle Stick Exposure
C. Fire Risk
D. Positioning Injuries
What is:
B. Needle Stick Exposure ✅
Which item must be counted?
A. Instruments
B. Sponges
C. Sharps
D. All of the Above
What is:
D. All of the Above ✅
When placing a patient in lithotomy:
A. Raise One Leg at a Time
B. Raise Both Simultaneously
C. Raise Right Leg First
D. Raise Left Leg First
What is:
B. Raise Both Simultaneously ✅
Prep solution should:
A. Pool Under Patient
B. Remain Wet
C. Dry Completely ✅
D. Be Wiped Off Immediately
What is:
C. Dry Completely ✅
A patient says, "I don't understand my surgery."
The nurse should:
A. Explain Risks
B. Have Patient Sign
C. Notify Surgeon Immediately
D. Cancel Surgery
What is:
C. Notify Surgeon Immediately ✅
Name 3 signs of MH
What is:
A used scalpel blade should be:
A. Left on Mayo Stand
B. Handed Back to Surgeon
C. Removed with Approved Device
D. Wrapped in Gauze
What is:
C. Removed with Approved Device ✅
An incorrect count requires:
A. Continue Procedure
B. Reconciliation Process
C. Ignore if Surgeon Says OK
D. Document Later
What is:
B. Reconciliation Process ✅
What is a positioning complication?
A. Pressure Injury
B. Bradycardia
C. Hypoglycemia
D. Pneumonia
What is:
A. Pressure Injury ✅
Hair removal should be performed using:
A. Razor
B. Clippers
C. Scissors
D. Depilatory Cream
What is:
B. Clippers ✅
A valid consent requires:
A. Patient Signature
B. Procedure Listed
C. Witness Signature
D. All of the Above
What is:
D. All of the Above ✅
MH Emergency!
Where is the MH cart located in Surgical Services?
What is:
The back hall across from Tracy's office
Which is considered a sharp?
A. Sponge
B. Hemostat
C. Suture Needle ✅
D. Bovie Pencil
What is:
C. Suture Needle ✅
A count should be performed when:
A. Staff Relief Occurs
B. Lunch Begins
C. Surgeon Requests
D. PACU Calls
What is:
A. Staff Relief Occurs ✅
Trendelenburg positioning increases risk of:
A. Brachial Plexus Injury
B. Foot Drop
C. Burns
D. Hypothermia
What is:
A. Brachial Plexus Injury ✅
Fire Triangle includes:
A. Oxygen, Fuel, Ignition Source
B. Prep, Water, Drapes
C. Oxygen, CO₂, Water
D. Fuel, Water, Smoke
What is:
A. Oxygen, Fuel, Ignition Source ✅
If the procedure changes:
A. Original Consent Is Fine
B. New Consent Required
C. Nurse Can Edit Consent
D. Verbal Agreement Is Enough
What is:
B. New Consent Required ✅
This medication is the antidote used to treat Malignant Hyperthermia.
What is:
Dantrolene
Following a sharps injury, the FIRST action is:
A. Complete Incident Report
B. Finish Procedure
C. Wash/Flush Area
D. Call Employee Health
What is:
C. Wash/Flush Area ✅
Who participates in counts?
A. Surgeon Only
B. Scrub Only
C. Circulator Only
D. Scrub and Circulator Together
What is:
D. Scrub and Circulator Together ✅
Padding should be applied to:
A. Bony Prominences
B. Hair
C. Surgical Instruments
D. Prep Area Only
What is:
A. Bony Prominences✅
For a clean procedure, prep begins:
A. At Periphery
B. At Incision Site and Moves Outward
C. Randomly
D. From Foot to Head
What is:
B. At Incision Site and Moves Outward ✅
What should occur if there is:
A. Proceed Quickly
B. Notify PACU
C. Stop and Resolve Safety Issues
D. Document Later
What is:
C. Stop and Resolve Safety Issues ✅