Sterile Technique
Honesty, and moral integrity to strictly adhere to the principles of asepsis and the practices of sterile technique.
What is surgical conscious
True or False
The goals of sterile technique and asepsis are:
1. Prevent surgical site infections
2. Optimize primary wound healing
3. Minimize the length of recovery from surgery
What is true
How many unique identifiers must be used to identify a patient?
What are two
Which of the following handle medications and solutions in the operating room suite?
a. The nursing assistant
b. The scrub person
c. The circulator
d. The anesthesia provider
What are:
b. The scrub person
c. The circulator
and
d. The anesthesia provider
Specimens can be removed multiple ways. This method is defined as a fine gauge needle and syringe are used to aspirate an area of abnormal appearing tissue or body fluid.
What is:
Needle Aspiration
The absence of pathogenic microorganisms.
What is Asepsis
Surgical conscience demands the recognition of improper practices observed during surgery by:
1. The surgeon
2. The anesthesiologist
3. The perioperative nurse
4. Any member of the surgical team
What is: Any member of the surgical team
Based on your understanding of patient verification the following are true statements:
1. Asking the patient to state the planned procedure is a valid procedure identifier.
2. The pt's room number is a valid identifier.
3. The site marking should be visible after prepping and draping.
4. The site should be marked by visually showing the site to the pt or verbal confirmation.
5. Confirming the consents given for the procedure is a valid procedure identifier.
What are 1, 3, 4, and 5
The perioperative RN prepares medications and solutions after receiving orders from:
a. anesthesiologists.
b. first assistants.
c. surgeons.
d. advance practice rns
What are:
a. anesthesiologists.
c. surgeons.
and
d. advance practice rns
Specimens can be removed multiple ways. This method is defined as a small portion of tissue is incised and sent for examination.
What is:
Excisional Biopsy
The absence of all microorganisms including spores.
What is sterility
Risk factors which contribute to post operative infection include all below except for:
1. Age
2. Nutritional Status
3. Length/Type of Surgery
4. Ethnicity
5. Surgical technique
What is Ethnicity
True or False
Time out should occur in the room where procedure is performed and involve the entire surgical team.
What is true
Preprinted orders must be reviewed at least annually by the prescribing licensed practitioner.
a. True
b. False
What is:
a. True
Specimens can be removed multiple ways. This method is defined as an entire section of tissue is sent for examination.
What is:
Excisional Biopsy
Methods used to maintain sterility and prevent contamination throughout the surgical procedure.
What is sterile technique.
How many wound classes are there?
What are four
Counts are a strategy to prevent retained surgical items (RSI).
True or False
Any surgical team member can initiate a count or additional count.
What is true
What are the Seven Rights of Medication Administration?
What are:
1. Right Pt
2. Right Medication
3. Right Dose
4. Right Time
5. Right Route
6. Right Indication
7. Right Documentation
There are Five Rights to ensure proper handling of surgical specimens:
What are:
1. Right Pt
2. Right Date and Time of Collection
3. Right Laboratory Test
4. Right Surgeon
5. Right Specimen
The foundation of sterile technique is.
What is Asepsis
An acute appendicitis/cholecystitis would be classified as a
What is Wound Class III/Contaminated Wound
Counts should be performed at multiple points during surgical intervention. Select all that apply
1. As a baseline before the procedure.
2. When new items are added to the field.
3. Before closure of a cavity (ie. uterus, hernia).
4. When attending surgeon leaves room.
5. When wound closure begins.
6. At skin closure.
7. At the time of permanent relief for scrub person or circulator.
What are 1, 2, 3, 5, 6, and 7
True or False:
Medications that are found in a secondary container and are NOT labeled should be discarded.
What is true
True or False
The identification of the specimens begins when the specimen is removed from the patient. Confirmation should be completed both verbally and in writing, and should include a readback verification.
What is:
True