LAYING OUT THE GEAR
SURGICAL DILEMMAS
INTRA-OP HIP HOP
KEEP IT STERILE-ASEPTIC TECHNIQUE
I'M IN POSITION!
100
Large, Heavy or irregularly shaped bundles/packages shall be open on a _______surface.
What is flat? Standard 2.15.7
100
You are called in to an emergency case late one night. Your partner arrives first and starts to set-up the OR. When you arrive you notice that he has flipped EVERYTHING onto the sterile table. You ask him if he is familiar with this standard.
What is "items shall not be flipped" as it may create air turbulence and may increase the potential for device contamination or damage. Standard 2.15.6
100
The Perioperative nurse participates in the " briefing" phase with the surgical team prior to initiation of anesthesia.
What is the surgical safety checklist? Standard 3.2.1
100
These should not be left unattended. They should be continuously monitored for possible contamination.
What are opened sterile supplies/set-up? Standard 2.16.1
100
The patient position most likely to compromise the respiratory system is:
A. Reverse Trendelenburg
B. Lateral decubitus
C. Trendelenburg
D. Sitting
What is: C. Trendelenburg? 
200
Only the working surface of a draped area shall be considered ______.
What is sterile? Standard 2.14.3
200
You are circulating for an LAVH (Laparoscopic Vaginal Hysterectomy). The surgeon is in a hurry, grabs the prep and starts to clean the abdomen before the perineal area. You stop him and explain this standard.
What is; preps should be done in a manner to prevent contamination of antiseptic agents from areas of higher microbial counts ( vaginal/perineal)? Standard 2.19.23
200
The order a scrub nurse should take when counting sponges upon closure.
What is count the field first, mayo second, back table and off field last? Standard 3.2.35
200
______into and out of the room increases the potential of contamination from increased air turbulence in the room. It shall be kept to a minimum.
What is traffic? Standard 2.13.3
200
When arms are out at the sides, they should be positioned at ____ degrees or less
What is: 90 degrees or less?
300
Once a patient has entered the operating room where sterile supplies have been opened, those supplies should be considered_______.
What is contaminated? Standard 2.15.9
300
The scrub nurse you are working with is requesting the dressing before the surgical team closes the fascia in an abdominal case. You kindly explain to her this standard.
What is "wound dressing shall not be opened for use until the wound is closed and the final count is complete? Standard 2.21.1
300
As a safety measure to help prevent injury the perioperative nurse should confirm that THIS is applied as soon as the patient is positioned on the OR table.
What is a safety strap (where applicable)? Standard 3.2.5
300
At the completion of the case, the gown is removed first, turning the gown inside out and discarding carefully. _______ are removed last.
What are gloves? Standard 2.12.11
300
If the patient's arms are placed palm-side down during positioning, what structure is most commonly injured?
A. Obturator nerve
B. Ulnar nerve
C. Brachial plexus
D. Median nerve
What is: B. ulnar nerve? 
400
True or False- You can easily remove a table cover from a sterile set-up.
What is False? Standard 2.16.8
400
As a scrub nurse you notice a hair in your instrument pan. You know that it has gone through the sterilizer and high-disinfection. You will get rid of the pan, and anything it has touched ( including your gloves ) because of this standard.
What is "items with doubtful sterility must be considered unsterile"? Standards 2.15.2/2.15.3
400
Sponges & Instrument sets/trays stay ______ until initial count is done and no set-up should occur until count is complete.
What is TOGETHER? Standard 3.2.22
400
The ambient temperature in the OR should be maintained between _____and _______and humidity between 30%-60%.This reduces microbial growth and static electricity.
What is 20C -23C? Standard 2.13.5
400
This nerve bundle runs through the shoulder and supplies nerves to the lower shoulder, arm and hand.
What is: Brachial Plexus? 
500
____personnel shall stay within the _____field. _______persons shall not walk around or go outside of the operating room.
What is Sterile? Standard 2.16.5
500
The surgeon you are working with is blasting dance music during her cases (once the patient is asleep). You are scrubbed and can barely hear what they are asking for during the procedure. You decide to speak with the surgeon after the case. You will refer to this standard.
What is; the OR should be as quiet as possible except for essential sounds of communication between team members directly concerned with the patient's care. Any talking should be done in a low voice? Standard 4.3.1
500
Perioperative nurses should confirm that all medications and/or solutions in medication containers, syringes and basins, on and off the sterile field are _____. Even if there is only 1.
What is labelled? Standard 3.2.85
500
Unsterile health care team members shall remain at a safe distance at least _____FT from the sterile field.
What is 1? Standard 2.16.6
500
Which of the following positions and positioning devices are associated with causing injury to the common peroneal nerves?
A. Lithotomy position and the use of stirrups
B. Supine position and the use of a shoulder brace
C. Trendelenburg position and the use of a footboard
D. Modified Fowler position and the use of a headrest
What is: A: lithotomy position and the use of stirrups?