Surg Attire
My brand new cloth hat has this handy little hole in the back for my bun to hang out. How do I make sure my surgical attire is compliant?
Hair must be contained within the hat. SO either don a new hat that covers the bun or place a bouffant over the cloth hat
A mask is required in the area (pre-covd times)
Restricted zone
The face sheet provided by legal in the patient's chart
Can I wear gloves when I escort the patient to PACU
No
Who performs turnover cleaning?
When are jackets required?
When sterile tasks are being performed- opening sterile packages, surgical skin antisepsis
This area is monitored not controlled
Unrestricted zone
Name two patient identifiers
Name, DOB, medical record number
The patient has a history of MRSA. You don't recall seeing any recent negative MRSA swabs in the patient's chart but there's no signage or contact precaution carts outside the preop bay. What actions do you take?
Verify MRSA status in the chart. Obtain contact isolation cart as needed.
False
Outside shoes can be worn inside the OR
Only if shoe covers or worn or the shoes have been cleaned
"Hey! You have to wear a mask if you're going to walk in there!"
Restricted zone
Patient is having a right ACL repair. How is the site verified?
Site marking, patient verification and patient consent
My patient is TB positive and we're transporting from the unit directly to the OR. Who needs to wear a mask?
The patient
What is zone 4 cleaning, how is is completed, and when is it performed?
It's mopping, outside to inside and then out the room. It's completed once everyone has left the room
A resident comes into the OR with their earrings dangling out of their hat. What concerns do you have?
Retained foreign body. Ask the resident to contain their jewelry within their attire or ask that they remove them prior to scrubbing in
A provider is rushing to their OR for an ectopic pregnancy. They're wearing their fleece jacket over their surgical attire. What do you do?
Ask them to remove their jacket prior to entering the semi-restricted area
The patient is ready to be rolled back into the OR and anesthesia has given Midazolam. You notice the consent has not been signed by the patient. The team is anxious to get going- what do you do?
Stop the line! The consent must be signed by the patient when they are capable of doing so
Upon completion of an emergent case, the patient's covid test comes back positive. How long does the OR need to be left undisturbed prior to cleaning?
28 min
Who performs terminal cleaning and when?
EVS- when the room has been utilized