Principles
These thrive deeper below the surface of the skin and are therefore more difficult to remove
What are resident flora?
The study of drugs and their actions
What is Pharmacology?
This provides the noninvasive assessment of the blood oxygenation levels in the blood
What is a pulse oximeter?
This is obtained and the necessary instrumentation and supplies are gathered for the surgical procedure
What is the surgeon's preference card?
Surgery of the spine are done in this position often called recumbent
What is prone?
All sponges, sharps and instruments are counted on the sterile back table before the skin incision is made
What is the initial count or First count?
An inanimate object that harbors microorganisms, including dust and environmental surfaces
What is a Fomite?
The period of time required for the effects of the medication to begin to be demonstrated in the patient.
What is onset?
Involves the administration of an anesthetic along a major nerve tract. This technique blocks nerve impulse conduction from all tissues distal to the injection site.
What is regional?
Back table
basin set
Small wrapped items
peel packs
container systems
What is the sequential order to opening supplies?
This can be called the knee chest position and is used for anorectal procedures.
What s Kraske or jack-knife?
What is cavity within cavity count?
Destruction of all microorganisms including the spores
What is sterilization?
Undesirable and potentially harmful effect of a medication that can lead to organ damage or failure
What is an adverse effect?
This phase of general anesthesia is when surgical intervention takes place.
What is maintenance?
Anesthesia method
Procedure and incision site
Patient considerations
Surgeon's Preference
What are considerations for patient positioning?
To keep the microbial count within the sterile field to an irreducible minimum.
What is the purpose of the surgical skin prep?
Field
Mayo
Back table
off-the-field
confirmation
documentation
What is the intraoperative sequence of counts?
Contamination of a sterile field or package that occurs from the passage of fluid through a permeable sterile barrier by wicking action.
What is Strike through contamination?
adding a liquid diluent to a dry ingredient to make a specific concentration of liquid
What is Reconstituting?
Malignant Hyperthermia can be triggered by the use of this popular medication
What is Succinylcholine?
This is placed 2" above the patient's knees over the thighs if the patient is in the supine position
What is the Safety strap?
Self-contained unit that is constructed of a sponge applicator tip and chamber containing antiseptic solution
What is the one-step prep?
Foreign objects
Forensic evidence
Limbs and digits
Stones
What are always Fresh specimens?
Techniques of creating and maintaining a protected sterile field and remaining vigilant to prevent contamination and taking corrective action if it occurs to mitigate the potential for SSI
What is Sterile Technique?
These are the 6 rights of administration
What are right drug, dose, route, patient, time and documentation?
This is the name of the maneuver utilized when assisting the anesthesia provider with intubation.
What is Sellick's maneuver?
This may be used to lengthen the O.R. table for tall patients or for the lithotomy position
What is the foot board?
Allergies
positioning injuries
trauma to bladder or urethra
urinary tract infection (UTI)
What are safety considerations for catheterization?
These are included in the chart review
What are the allergies, dx tests and interventions, hx and physical the signed consent, the surgeon orders and the surgical safety checklist?
These microbes originate or are produced within an organism, tissue or cell. Or maybe the patient
What are endogenous microbes?
These prevent blood clot formation during vascular procedures, graft insertion
What are anticoagulants?
This is the only known medication to treat malignant hyperthermia
What is Dantrolene?
This is used to move patient from operating table or gurney
What is the patient Roller?
Indwelling
irrigating
temporary
What are the catheter types?
This person documents the time out process in the patient chart
Who is the circulating Nurse?