Equipment
The person who decides the settings on Electrocautery
The Surgeon
The first thing you do in your procedure room on first procedure room of the day
What is Wash your hands, and Damp Dust all surfaces
2 items that must be worn in a procedure room once sterile items are opened
What is a Mask and Head covering
The item that must be opened onto each table for fire prevention
What is sterile water or saline
The item you use along with electrocautery to prevent burns
The Three things you check for sterility on a sterile item or a tray?
1. Expiration
2. Integrity (tears, wetness)
3. Indicator
The number of pairs of gloves that must be worn at all times during a procedure
What is 2
The length of time that Duraprep or Chloraprep must dry on hairless skin before starting the case
3 minutes
The time suction equipment should be set up for the case
When is before the case starts
Core Power
Impervious definition
Waterproof
The way to pass a nonsterile person if you are sterile?
What is Back to back
Components of a time out
What is: entire poster but :
1. Patient identified (3 identifiers)
2. Procedure is correct
3. Site/side is correct
4. Valid Consent form
5. Marking of site
6. Complete drying of skin prep--fire risk
The person who inflates the tourniquet in the OR
The Anesthesiologist, Surgeon or RN
The distance away from a sterile field you must stand if you are unsterile
12-18"
The concern about the white cuff of the gown being exposed during a procedure
What is the cloth can get wet with fluid or sweat and become contaminated (not considered sterile)
One or more action you should take that would be proactive in a procedural emergency and save time.
What is:
1. Notify nursing personnel that you are doing a procedure especially if late in day and ask them to check before leaving, as well as
2. Have all emergency equipment such as nasal cannula and mask, and AED where you know how to find them.
Places on the skin you would AVOID placing the grounding pad
What is bony prominances, tattooed or scarred areas, over implanted devices, skin not intact.
Look for muscular areas with smooth intact skin
The items that must be in the room for use with a tourniquet --which one is sterile and which is not?
What is:
Tourniquet cuff--not sterile (CAN be put on sterile) but usually not
Webril--Not sterile unless tourniquet is also
Esmark--Always sterile
The action to take if you become contaminated during a case
1. Stay calm, it happens but don't waste time
2. Immediately step away from any sterile area and communicate to the surgeon exactly what was contaminated to prevent further contamination
3. Doff PPE, immediately make a plan with clear communication to provider of what items need to be replaced, and if you need to scrub back in or not
4 rules for passing instruments
Pass firmly--snap
Strait up and down
Position to use
Finger on box lock
The action you take if a patient stops breathing during a procedure (code blue)
CPR, Call for Help, 3333 to call 911
Surgical Conscience Definition
Knowing Where things are around you and the possibility of contamination at all times when moving around the surgical room