OR 101
What does WHO stand for?
World Health Organization
Triggering Agents for Malignant Hyperthermia (MH)
Anesthetic gases, succinylcholine
2 times surgical counts must be done
baseline, prior to cavity close, change of shift etc...
3 topic of the surgical/procedural safety check list
Briefing, Time out, Debriefing
List 3 patient positions used in OR
Supine, prone, lithotomy, jack-knife, trendelenburg
Required surgical attire for restricted area?
Hospital laundered scrubs, hair cover, (shoe), mask
Early signs of MH
Tachycardia, Tachypnea, increase end tidal CO2, muscle rigidity
2 ways to reduce RSI in surgery case?
count boards, count bags, stop the line, communicate
Who should mark laterality
Case patients would be in prone, jack-knife, lateral positions
hemrrhoids, neuro, achilles heel, nephrectomy, shoulder
Fire Triad
Oxidizer, Fuel, Ignition source
Late sign of MH
Dysrhythmias, high temp, myoglobinuria, organ failure
Process for unresolved counts
speak up, order stat x-ray, wet reading
Considerations for placing bovie pad
bony prominences, metal implants, hair, sweat etc
Patient in left lateral, which knee is bent
Lower, left knee
step stool, cords, suction, spills, too lg gowns
What Medication to give to treat MH episode?
Dantrolene/Dantrium
What does green armband mean
Intentional packing
I have a concern, I am uncomfortable, Safety issue
List 1 type of bed used in OR (NOT regular OR bed)
Hana, DaVinci bed, cysto bed, Jackson bed
Organization for best practice for OR & SPD
AORN & AAMI
What solution is used to reconstitute MH Medication
Sterile water
List 3 soft count items
laps, x-rays, needles, blades, suture
3 questions for Fire Risk Safety Score
Xyphoid, open O2 source, ignition source
List 3 positioning devices used in OR?
Beanbag, lami, ulnar, shoulder/axillary gel rolls, pillows, peg board etc...