OR Geography
Who am I?
Who Do You Call?
Safety & Chain of Command
Surgery Outside the Hospital
100

This area of the surgical department allows street clothes 

What is the unrestricted area? 

100

I work within the sterile field and pass instruments and supplies to the surgeon.

Who is the surgical technologist in the scrub role?

100

The surgeon removes a suspicious mass that needs to be examined and diagnosed.

What is Pathology?

100

This term describes the established line of authority used for communication and problem resolution.

What is the chain of command?

100

Surgery performed with the expectation that the patient will generally return home the same day is commonly called this.

What is ambulatory/outpatient surgery?

200

Surgical attire is required in this area, which may include hallways leading to operating rooms and clean supply areas. 

What is the semirestricted area?

200

I work outside the sterile field and coordinate many nursing activities and patient-care needs during surgery.

Who is the circulating registered nurse?

200

A patient requires additional blood products during a surgical procedure.

What is the Blood Bank/Transfusion Service?

200

You are a student in clinical and do not know how to perform a requested task. This is the safest action.

What is stop and ask for assistance or clarification?

200

This facility is specifically designed to provide surgical procedures without admitting patients for a traditional inpatient hospital stay.

What is an ambulatory surgery center (ASC)?

300

This area includes operating rooms where sterile procedures are performed.

What is the restricted area?

300

I perform the surgical procedure and direct the surgical intervention.

Who is the surgeon?

300

The surgical team needs a medication that is not currently available in the OR.

What is the Pharmacy?

300

You observe contamination of the sterile field, but no one else appears to notice it. Your surgical conscience requires you to do this.

What is speak up immediately?

300

A minor surgical procedure performed in a physician's properly equipped office is an example of this surgical setting.

What is office-based surgery?

400

This large piece of equipment is positioned in the center of the OR and supports the patient during surgery.

What is the operating table?

400

I monitor the patient's airway, oxygenation, vital functions, and anesthesia during the surgical procedure.

Who is the anesthesia provider?

400

The surgeon needs imaging performed during the surgical procedure.

What is Radiology/Diagnostic Imaging?

400

A team member asks you to perform something that is outside your scope of practice. This is your appropriate response.

What is do not perform the task and use the appropriate chain of command?

400

True or False: Because ambulatory surgery patients usually go home the same day, sterile technique standards are less strict.


What is FALSE?

500

Controlling the movement of people through the surgical suite primarily helps reduce this threat to the surgical patient.

What is environmental contamination?

500

I provide exposure, retraction, hemostasis, and other technical assistance to the surgeon during a procedure within my defined role.

Who is the surgical first assistant?

500

A piece of powered medical equipment is malfunctioning and needs technical inspection.

What is Biomedical Engineering/Clinical Engineering?

500

The surgeon is frustrated and tells you not to worry about a contamination you witnessed because “the case is almost over.” Your primary responsibility remains to this person.

Who is the patient?

500

Compared with a large hospital, an ambulatory facility may have fewer resources immediately available to manage this type of unexpected situation.

What is a major emergency or serious complication?

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