Ring, Ring, Beep, Beep
On call staff have a call back time of _______ minutes for trauma/emergency response.
What is 30 minutes?
When an operative or invasive procedure is performed, where surgical smoke is generated, smoke will be removed how?
What is filtered using a smoke evacuation system...ULPA filtration?
Each piece of forensic specimen should be placed in ______________?
What is a separate paper bag or envelope?
(best practice = change gloves between different specimen collections)
Hypothermia is defined as: _____?
What is a core body temperature less than 36 degrees?
(98.6F)
The primary purpose of using a hybrid OR in trauma cases is to ________?
What is allow near simultaneous performance of endovascular and open techniques for timelier hemorrhage control?
Who does the on-call team consist of?
Who is one registered nurse, one surgical tech, a PST, and AOC?
[OR two registered nurses (one of whom has competency to scrub all specialties).]
ULPA stands for?
What is Ultra-Low Particulate Air?
How should bullets/penetrating objects be handled on the sterile field?
What is do not handle bullets with metal instruments (use rubber shods as needed)?
True or False: It is okay to plug in the bair hugger to the IV pole power ball.
What is false?
Who identifies the need for utilization of the hybrid OR based on patient condition?
Who is the TRACS surgeon or APP?
(case should be booked at Class T or A)
Staff unable to arrive to the hospital within the 30 minute window can...?
What is utilize call room 3 or 4?
At the Elliot, the best product to use during a laparoscopic procedure for smoke evac is?
What is the buffalo filter or air seal?
Name three goals for completing the chain of custody process for forensic specimen in the OR.
What is to provide proper handling, labeling, and preservation of surgically removed forensic specimens; document specimens in the patient’s record; to establish a chain of custody (paper trail).
Who's responsibility is it to ensure patient normothermia?
Who is the entire surgical team?
Who alerts IR of an emergent trauma case being booked in the operating room?
Who is the TRACS surgeon or APP?
(from there the IR MD will notify his/her team on call)
Communication for on-call personal will be done via...?
What is a pager/beeper or phone number/cell phone?
How close should hand-held suction devices be to the site of smoke production?
What is less than or equal to 2 inches?
How should clothing be removed from a patient when evidence is being preserved?
What is cut along the seams and/or around bullet/stab holes? Avoid shaking clothes and handle as little as possible.
Name three methods to warm a patient:
What is increasing room temperature for pedi and trauma patients, using warmed irrigation and IV fluids, utilizing a bair hugger/warm blankets/drapes.
Name a clinical indication (injury or test result) that may indicate the use of the hybrid OR.
(not limited to) What is a penetrating injury to the neck, chest, abdomen or pelvis; a +FAST; trauma with hemodynamic instability (SBP less than 90mmHG despite resuscitation); blunt trauma with +FAST?
Questions/concerns/emergencies that arise after hours can be directed to who?
Who is the administrator on call? (AOC)
One day in an operating room (being exposed to surgical smoke) is equivalent to smoking how many cigarettes?
What is 27 cigarettes?
(data from Stryker)
If a law enforcement officer is not present, who should the forensic specimen be given to?
Who is an EHS security officer will take responsibility for it until the law enforcement officer is available?
(complete chain of custody form)
Name four patient risk factors for a patient having unplanned hypothermia.
What is: age (low-birth weight infants, 65 years or older), lower body-surface area or weight, trauma patients, preexisting medical conditions (ie. hypothyroidism, malnourishment, burns, neurological disorders, congestive heart failure), history of previous cardiac surgery or organ transplant?
What is the first task that must be completed when setting up OR 12 for a case?
What is power on the hybrid room by using the green button in the control room?