Ring Ring Beep Beep
Upon notification of a Class T, the OR's treatment plan is to have the patient in the OR in _____ minutes.
What is 15 minutes?
You are ill and need to call out for your next scheduled shift. Who do you contact?
Who is the charge nurse?
How are ID badges to be worn in the OR setting?
What is secured to the surgical top and visible. No lanyards, chains or beads are to be used to secure the badge in the perioperative setting.
__________ medications must always be stored in a yellow bucket for transport, storage, and disposal.
What is chemotherapy.
True or False: All intraoperative foley catheters are placed under the order "Intraoperative Foley Placement (OR only)" in Epic.
What is false?
- If the foley is planned to be removed at the end of the surgical case, place order: "Intraoperative Foley Placement (OR only)"
- If the foley is planned to remain in place at the end of the surgical case, place order: "Urinary Catheter Protocol - Insert Urinary Catheter."
Besides a pager, how else may the hospital contact you while on-call?
What is by calling your personal cell phone or telephone number provided?
(Charge RNs should never text a team to respond)
Fun Fact***All on-call team members will carry an alpha numeric pager which must be turned on and ready to go within one hour prior to the start of their shift.***
If you are injured at work...what documentation is required to be completed?
What is an EZ-track?
(if exposed to bloodborne pathogens - there is additional paperwork & processes - seek out the Charge RN for assistance).
Why is specific surgical attire worn in the semi-restricted and restricted areas of the hospital? (provide 2 reasons)
What is:
-"to provide a safe environment for surgical patients and operating room team members by providing a barrier to contamination that may pass from personnel to patient as well as from patient to personnel"
-"to protect personnel against exposure to infectious microorganisms and hazardous materials"
- to "promote a high level of cleanliness"
- "to decrease the risk of surgical site infections from microbial contamination"
Name three characteristics of a drug that are verified when transferring the medication to a sterile field.
What is the RN and scrubbed staff member need to confirm:
-drug name
-concentration or dose
-expiration date
True or False: Only RNs and CST-FAs are currently competencied on foley placement & manipulation in the OR.
What is true?
All CSTs need to meet with either Anna or Tasha by September 15th to complete a foley insertion competency. THEN all staff will be verified.
What is the on-call employee's responsibility when a trauma alpha is paged?
What is call the charge nurse (603-391-1248) to see if their assistance is required?
(additional info - the in-house charge RN needs to call the ED extension to confirm the message was received and their ETA to the trauma)
An employee has had persistent eye drainage from their left eye for two days with itchiness. What is the correct action by the employee?
What is call out sick and follow up with their MD/Employee health for return-to-work status?
If your work shoes are worn to and from home/outside of the hospital...what must be worn while in the semi-restricted and restricted areas of the OR environment?
What are bootie covers?
What details of a medication need to be written on the medication cup and syringe on the sterile field?
What is the medication name and strength?
During foley placement into a female patient, the catheter is accidentally placed into the vagina. What should the staff member do to place the foley appropriately?
What is stop, do not remove the misplaced foley, and change sterile gloves. With a new foley kit, prep and place the foley into the urethral opening. Remove the misplaced foley AFTER correct placement is confirmed.
If you are planning to swap a call shift with another staff member, when should this be completed?
What is 24 hours prior to the shift?
(All other shift changes will be approved on a case by case basis and can only be approved by a RRN, manager, or AOC).
If you have a fever (temp higher than 100.4), when can you return to work?
What is when you are without a fever for 24 hours without the use of fever reducing medications?
True or false: Per Elliot hospital policy, surgical masks will be discarded after each surgical procedure?
What is true.
True or False: You can always use the de-capping device to remove the rubber stopper for pouring medications to the sterile field.
What is false.
The de-capper should only be used when the stopper is specifically designed for removal by the manufacturer. (metal peel tab/perforation)
You are meeting resistance when placing a foley on a patient with BPH. What is the first thing you should do?
What is alert the primary surgeon?
***DO NOT force the foley or place a coude foley without an MD order.
Describe the process for a call-out of an in-house team member and how the shift is filled.
What is:
1 - Charge RN will ask for volunteers to have the in-house call covered.
2 - If no one volunteers...the on-call team member will be assigned to work in-house and another staff member will be mandated to be on-call.
Name three times employee health must be contacted for clearance to return to work.
Options:
1- Upon return from an LOA.
2- When 5 or more consecutive days are missed due to illness or injury.
3- After surgical procedures, hospitalization, or emergency treatment.
4- When the injury or condition may alter physical abilities of the job.
5- Communicable disease/infection: covid, conjunctivitis, chicken pox, shingles, impetigo, measles, TB, lice, strep, staph infection, etc.
Surgical vendors must wear _______ while in the surgical environment?
What are rep scrubs and a red bouffant. (shoe covers as applicable)
Bunny suits are acceptable if they will be in the restricted areas for less than one hour.
During shift relief, the scrubbed staff member notices a med cup on the sterile field is not labeled and is filled with 10ml of clear fluid. What is the correct action the scrubbed staff member should take?
What is discard the medication?
When can the balloon of a foley catheter be safely inflated?
What is:
-Female: The catheter is inserted into the urethra until urine is flowing (indicating that is has reached the bladder). Advance 1-2 more inches (depending on the patient anatomy) to ensure the balloon is inflated in the bladder and not the urethra. Gently pull back to set the balloon against the bladder neck.
Male: The catheter is inserted into the urethra until the hub of the catheter. Slowly inflate the balloon - stop if you are meeting resistance. Gently pull back to set the balloon against the bladder neck.