Is it Sterile
INSTRUMENT CLEANING WITH STERILE WATER THAT IS DONE DURING THE PROCEDURE
WHAT IS POINT OF USE CLEANING
Per Winchester policy, in the case of an incorrect surgical count, an x-ray must be obtained and read before which action can occur?
What is skin closure? (final stitch)
Cold ischemic Time (CIT) and Time in Formalin (TIF )
What are 2 important measures in breast cancer specimens?
This must occur before any medication is drawn up and administered in the OR.
What is reading the medication label aloud and verifying it with another licensed provider?
"know while you go." and Front desk communication white board.
Where can you find important information and updates for the OR
A chemical device inserted into a packed set that will change in response to the time, temp, and steam penetration and demonstrates visually that parameters necessary for sterilization have been met.
What is an Integrator?
THIS SIZE NEEDLE DOES NOT NEED AN X-RAY IF MISSING FOR AN INCORRECT COUNT
WHAT IS < 13mm
Safety tool to prevent lost or missing specimens
What is the visual and verbal debrief at the case end?
GRAB THIS MEDICATION FROM THE MH CART IF MY PATIENT IS EXPERIENCING MALIGNANT HYPERTHERMIA
WHAT IS DANTROLENE (BRAND NAME RYANODEX)
THIS IS THE TOP TEMPERATURE THAT THE WARMING BLANKET CABINET SHOULD NOT EXCEED
WHAT IS 130 DEGREES F
This is a thin layer of microorganisms that can form on instruments if blood or other organic materials are allowed to dry.
What is biofilm?
Procedure involves entering a body cavity or organ.
when is an instrument count required.
Need to call for OR CA to take directly to the lab, it can't be left at the desk or in ACU drop zone.
what is a fresh specimen
Medications prepared off of the surgical field MUST be labeled UNLESS the medication is IMMEDIATELY administered by the nurse, doctor who prepared the medication. True/False?
What is true?
This must be allowed to fully dry before draping to reduce fire risk.
What is alcohol-based prep solution?
The Shelf Life of a packaged sterile item depends on the quality of the wrapper material, the storage conditions, the conditions during transport and the amount of handling refers to.
What is Event Related Sterility?
According to guidelines from the Association of periOperative Registered Nurses, counts must be performed audibly and ______.
What is visually verified?
This process requires read-back verification between the surgeon and circulating nurse when labeling specimens.
What is verbal confirmation of specimen identification?
Must be given prior to incision and run over 1 hour
What is Vancomycin?
This is used to prevent patient from sliding when in steep T-Berg.
What is a prime pad?
Contamination of a sterile surface by penetrating moisture that has originated from a non-sterile surface
What is Strike-Through?
This intraoperative factor involving team structure increases the risk of count discrepancies.
What is multiple staff changes during the procedure?
According to the Joint Commission, failure to correctly label specimens can result in this type of serious reportable event.
What is a sentinel event?
This information must appear on every medication and solution label on the sterile field.
What are the medication name, strength, dose, and expiration time?
Sign-in, Time out and debrief are part of this process to prevent wrong site, wrong side surgery.
What is the universal protocol?