STERILITY
What is the recommended distance you should keep when passing or approaching the sterile field?
2 Feet
When a count discrepancy cannot be reconciled what must be performed at end of case?
X-ray
This is the process used to charge for items not in the lawson system
one time supply
In the OR what are the areas that need to wiped down(damp dusted) in the morning before the first case of the day?
All horizontal surfaces
What method is used to ensure the highest level of comprehension/understanding when going over discharge instructions with patient and family?
Teach Back
What is recommended if two sterile people need to pass each other during a case?
Front to Front or Back to Back
Counting must be performed and visualized by? (#of people, position)
2 people, one must be an RN
You do this to attach your electronic signature to sign your documentation
Verify
What is the last item that should be cleaned during turnover?
Floor
How many identifiers should be used to verify correct pt, site, procedure?
Two
What is the timeframe a medication must be labeled when it's placed on the sterile field?
Immediately.
On what closing layer during a C-section are you doing a full instrument count including Instruments?
Peritoneum
If the procedure performed differs from the procedure originally booked, where do you document the change?
Intra-Op procedures/Navigator
Name of the cloth used to clean surfaces after C.Diff case?
Bleach wipes
What are the first 3 assessment a PACU nurse should perform upon pt arrival?
ABC's- Airway, breathing, circulation
When opening instruments at the field what are 4 things that would make them considered unsterile and not safe for patient use?
Bioburden, Moisture, Hole, No indicator
An Instrument count during closure should be performed during which types of Hysterectomies?
All- Laparoscopic, Vaginal, Abdominal
When you are working in ENDO where would you find the phone number for a patients contact person?
Under Pre procedure Recovery under contact person
What is the dwell time for purple top cleaning wipes?
2 minutes
Name 2 early signs of post-op hemorrhage that you should watch for?
Tachycardia, hypotension
How long are the IV fluids LR/NACL good for once they are removed from the clear plastic sleeve?
30 Days unless the expiration comes before that.
This does not need to be performed during endoscopy procedures, hand, foot, or small skin lesions
Sponge Count
What would you do for documentation if a case is canceled in pre-op?
Procedure not performed(click) add where and why it was CX in the pop up box.
What is the dwell time for Hyperfect cleaning solution?
10 minutes
How long can Exparel be out of the fridge if in a room that is a controlled (68F-77F)?
30 days