The Perioperative Environment
These are the 3 Zones of the Perioperative Environment
What are: Unrestricted, Semi-restricted and Restricted
These are the 3 main types of needle points used in surgery and when they would likely be used.
What are: Cutting (for Skin or Tough Tissue), Blunt (Friable tissue - Spleen, Liver and Cervix), Taper (pretty much everywhere else)
This is the purpose of the Universal Protocol
What is to eliminate wrong site, wrong procedure and wrong person surgery.
This is the difference between Asepsis and Sterility
This is the system for categorizing items to be disinfected according to their use. Items are categorized as Critical, Semi-Critical or Non-Critical
What is the Spaulding Classification System
This is the document we use as a cheat sheet or "recipe card" for surgery - specific to each surgeon for each surgery - and also to pick all the supplies need for that case.
What is a Doctor's Preference Card (DPC) or Picklist
These are the 6 phyiscal characteristics of sutures.
What are: Diameter, Physical Configuration (Mono vs Multifilament), Capilarity, Knot Tensile Strength, Memory, Elasticity
HIPAA is not a large land mammal, but an acronym for this US organization responsible for maintaining privacy within healthcare
These are the primary goals of sterile and aseptic technique
What are: to prevent surgical site infection, to optimize wound healing, and to minimize surgical recovery time
Surgeries where there is controlled (intentional) entry into the respiratory, alimentary (GI) or genitourinary (GU) tract fall into this wound classification
What is Class 2 - Clean Contaminated
These are the areas of the Hospital where you can wear your surgical attire (scrubs, shoe covers and hat)
These are the two main classifications of suture Materials
What are Absorbable and Non-Absorbable
What is the Center for Medicare and Medicaid Services, or CMS
What is: Always face the sterile field when passing by; Stay as far back as possible; Do not pass between two sterile fields; Do not reach over a sterile field
This is the first step in the decontamination process for surgical instruments
What is Cleaning
This is the best course of action if you spot someone in the OR corridor (Racetrack) not wearing hair covering
What is - be respectful, remind them that one is required in this area and advise them of the closest location to get one
What are: Needles should be kept in their packages or in a puncture proof container until use, Use a Neutral Zone instead of Hand to Hand passing, Use an appropriate size/length of needle driver for the area/suture.
This is the catch phrase of the IOM report "To Err is Human - Building a Safer Healthcare System"
What is "do the right thing"
These are examples of major breaks in Sterile Technique
What are: Use of unsterile instruments or equipment ; Gross spillage from the GI tract; Delay from contamination to recognition of contamination
What is: when there is insufficient time to process by the preferred wrapped method, and not as a substitution for inadequate inventory.
These are part of your Room Safety Check that needs to be completed every morning before the first case.
OR Bed (location and configuration), Lights (Room and Operating), Suction (Anesth and Surgical), Safety Straps, IV Pole with Clips x 2, Semi-circle furniture, Slate, Case Cart
This is an example of a synthetic, absorbable suture
Polyglyconate (Maxon)
Poliglecaprone (Monocryl)
Polyglactin (Vicryl)
Polydioxanone (PDS)
These are the three types of errors that can occur in healthcare based on Human Factors
What are: Skill Based, Situational and Knowledge Based
These are the items that should be verified prior to opening any sterile packaged item to the sterile field.
What are:
correct item, package integrity, external sterility indicators, expiration date (if applicable)
What is Steam Sterilization