Aseptic & Safety Practices
Medication Safety & Specimen Handling
Surgical Counts & Electrosurgery
Attire Worn In The Surgical Environment
Scrubbing, Gowning, & Gloving
100
True or False: You are setting up for a pacemaker procedure. You open the instrument tray and discover that there is no indicator strip in the tray; however, the tray was appropriately fastened and the outside indicator/tape confirmed that the tray had been processed. You decide that it is acceptable to use the instrument tray.
What is: FALSE?
100
According to Broward Health’s policy # 300.12, this must be performed at the time of specimen collection.
What is: SPECIMEN TIME OUT?
100
True or False: A surgeon had to reopen a patient’s incision after discovering that the needle count was incorrect. This is not a reportable event because the patient never left the procedure suite.
What is: FALSE?
100
These statements are true regarding hair covering in the procedure suite (Select all that apply): a) A bald head does not need to be covered. b) Hair covering should include head, facial hair, sideburns, and necklines. c) Hair acts as a filter when left uncovered and collects bacteria, which are released into the air during activity; shedding from hair has been shown to affect wound infection. d) Putting on a hair cover before scrub attire will ELIMINATE the risk of hair and dandruff shedding on attire.
What are: B & C?
100
The surgical technologist uses this gloving technique when performing the initial donning of gown and gloves.
What is: CLOSED-GLOVING TECHNIQUE?
200
These are the three components of the fire triangle.
What are: FUEL, IGNITION, & OXIDIZER?
200
True or False: It is acceptable practice for the scrub person to label the medication container before the circulating RN delivers the medication to the sterile field/back-table.
What is: FALSE?
200
This is the best time to place the grounding pad on the patient who is undergoing an invasive procedure that involves electrosurgery use.
What is: AFTER FINAL POSITIONING OF THE PATIENT?
200
Which of the following statements about surgical attire are true? (Select all that apply): a) Appropriate surgical attire reduces microbial shedding. b) It is not necessary to wear a head cover on a bald head. c) Warm-up jackets and cloth hats may be stored in the locker and worn the next day. d) Long-sleeved shirts from home are acceptable in place of a warm-up jacket. e) A head cover should be donned before donning the scrub shirt. f). Hair covering should include head, facial hair, sideburns, and neck hair.
What are: A, E, & F?
200
When performing a surgical hand scrub, it is recommended practice to scrub this distance up the arm.
What is: TWO INCHES ABOVE THE ELBOW?
300
These are the actions that must be taken to determine the sterility of surgical instruments in a peel pack or instrument tray. (Select all that apply): a) Check peel-packed instruments appropriately for package integrity and sterility. b) Check chemical indicator located on the outside of the instrument tray to verify that the color has changed from white to black. c) Remove blue filter from inside of instrument tray and verify integrity before placing instrument tray on the sterile back-table. d) Check chemical indicator located on the outside of the instrument tray to verify that the color has changed from black to white.
What are: A, B, & C?
300
Which of the following are recommended practices for specimen collection, preparation, and transport? (Select all that apply): a) Follow five rights of specimen collection. b) Perform specimen time out. c) Use Raytec sponge to hand off specimen to circulating RN. d) Send culture specimens to lab immediately. e) Place specimen label on the cover of the specimen container.
What are: A, B, & D?
300
Which statement about monopolar electrosurgery involving the use of the bovie is correct? (Select all that apply): a) Confirm power settings with the surgeon before the start of the procedure. b) Assess patient’s skin before application and after removal of the grounding pad. c) When the surgeon continually asks you to increase the setting because he is not getting enough power, it is ok to increase the settings. d) Always place the bovie pencil in the white insulated holster when the surgeon is not using it.
What are: A, B, & D?
300
Which statements about surgical attire are true? (Select all that apply): a) Scrub shirts should be secured at the waist or tucked into pants. b) Appropriate surgical attire reduces microbial shedding. c) Warm-up jackets and cloth hats may be stored in the locker and worn multiple times before laundering. d) Long-sleeved shirts are acceptable in place of a warm-up jacket. e) A head cover should be donned before donning the scrub shirt. f) Cloth hats from home may be worn without being covered by a surgical bouffant.
What are: A, B, & E?
300
Any surgical personnel who is about to perform the surgical hand scrub should do this prior to beginning the scrub.
What is: Remove all Jewelry and Inspect Hands and Arms for Abrasions or Break in Skin?
400
The following statements about aseptic practices are correct. (Select all that apply): a) The back-table cover is sterile from table top to 2" below the level of the table. b) An unsterile team member moving around a sterile field should be at least 12" away from the sterile field, and face the sterile field. c) The circulating RN may retrieve the specimen off the sterile back-table after the scrub person places the specimen in a specimen cup on the Mayo stand. d) If normal saline spills on the back-table and strikes through the sterile drape the area is not considered contaminated. e) The edges of the wrapper of a wrapped sterile item are considered unsterile.
What are: B & E?
400
AORN recommends that this device be used to deliver medication, in a vial or IV bag, to the sterile field or sterile back-table, aseptically.
What is: A STERILE TRANSFER DEVICE (Decanter or Sterile Syringe & Needle)?
400
This is the best area to place the grounding pad (dispersive electrode) when electrosurgery is used for an invasive procedure.
What is: Over a well-perfused, large muscle mass area, and as close to the incision site as possible?
400
The following are recommended standards for appropriate surgical attire in the procedure suite: (Select all that apply): a) Wear hospital-laundered scrubs, including a long-sleeved warm-up jacket. b) Change hospital-laundered scrubs daily, when visibly soiled, and when leaving the hospital building. c) Wear lanyards to secure ID badges. d) Cover head and facial hair. e) Wear backless nursing clogs or cloth shoes. f) Use surgical mask for epidural and spinal procedures. g) Keep warm-up jacket open in the front. h) Ensure any clothing worn under surgical attire is not visible.
What are: A, B, D, F, & H?
400
These two methods are used to perform the surgical hand scrub.
What are: TIMED & COUNTED STROKES?
500
a) This is the purpose of The Joint Commission's Universal Protocol. b) These are recommended practices for performing the final Time Out before an invasive procedure.
What are: A) To prevent wrong site, wrong procedure, and wrong person surgery/procedures. B) 1. It is performed immediately before incision. 2. It requires a "hard stop"; that is, all surgical team members must stop what they are doing and give their full attention to the Time Out process. 3. It requires all surgical team members to verbally verify their agreement of the Time Out components?
500
These are the five rights of specimen collection.
What are: Right patient/MR#; Right date/time; Right lab test; Right surgeon; Right specimen?
500
These are four general guidelines for performing surgical counts.
What are: 1. The count is performed by two people simultaneously, one of whom should be the RN circulator. 2. The count should be recorded at the time of counting. 3. All sponges must be separated at the time of counting. 4. The count should not be interrupted?
500
These are the parts of the sterile surgical gown that are considered sterile.
What are: 1. Font of the gown, from the chest to level of the sterile field; 2. Sleeves, from two inches above elbows down to edge (beginning) of the cuffs?
500
These are recommended practices for performing the surgical hand scrub procedure.
What are: 1. Fingernails should be cleaned under running water. 2. Forearms should be scrubbed up to two inches above the elbows on all sides. 3. Hands should be held higher than the elbows to scrub and rinse. 4. Shirts should be tucked in at the waist. 5. Jewelry should be removed before starting the surgical hand scrub?
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