COVID Requirements
Where intubation and extubation should be performed.
What is a negative pressure room?
Fluid used to clean surgical instruments during the case.
What is water?
Perforation indication system in the operating room.
What is double gloving with an indicator (colored) glove closest to scrubbed personnel?
The only specimens that should be in formalin.
What are permanent specimens?
The three places to document specimens.
What are the patients surgical record, the tracker board, and the binder/book in lab?
The number of days prior to surgery in which a patient must have had a COVID test.
What is three?
This process is performed throughout the surgical procedure to instruments containing lumens.
What is flush with sterile water?
What is any item that can penetrate through surgical material or skin?
Specimen drop-off location between 0700 and 1700, Monday-Friday.
What is in histology?
These specimens can be double-bagged in a large red biohazard bag.
What are amputated limbs?
The proper PPE when caring for COVID+ patients.
What are gown, gloves, N95, and face shield?
The correct way to send instruments in the tray.
What is sprayed with Pre-Klenz, flushed lumens, disassembled, opened box-locks, with no gross debris, and back in correct tray?
The correct way for blades/sharps to be loaded.
What is using a "No-touch" technique (handling the sharp with an instrument)?
Specimen drop-off location between 1700 and 0700, and on Saturday/Sunday.
What is the laboratory front desk (across from blood bank)?
Surgical instruments utilized to transfer specimens off the sterile field are considered this.
What is contaminated?
Isolation discontinuation time for COVID+ patients.
What is 10 days for asymptomatic and non-severe symptomatic patients AND 20 days for severe illness?
The appropriate time and place to spray instruments with Pre-Klenz.
What is on the back table after the incision is closed?
Steps employees should take when sharps injury occurs.
What is check the patient's blood exposure consent, draw patient's blood, report event to board runner, fill out online occurrence report?
The five times specimens should be verified.
What is pre-procedure (anticipated specimens), at the time of collection, at conclusion of procedure, upon entry to tracker board, at end of shift?
Tissue that may be discarded in room.
What are placenta, foreskin, scar tissue, liposuction tissue, teeth, blood clot from AV grafts, bone from total joints, foreign bodies (unless forensic), medical devices, skin removed for cosmetic procedures?
The process of obtaining supplies in OR 10 for a COVID+ patient.
What is; 1. Circulator calls out for supply from OR 10; 2. Runner retrieves supply and places it in empty substerile room; 3. Runner leaves substerile and shuts door; 4. Circulator enters substerile and retrieves supply?
The process of sending instruments to decontamination.
What is disassemble, flush lumens, remove gross debris, open box-locks, place instruments back in the correct tray, spray with Pre-Klenz while on back table, place dirty instruments inside case cart, turn dial to "dirty" on case cart, transport case cart to decontam?
The process of using a neutral zone.
What is avoiding hand-to-hand transfers by placing sharps in a communicated and identified location on the Mayo or back-table?
The process of specimen delivery.
What is, obtain the specimen from the sterile field, confirm specimen and type, label specimen, transport specimen as soon as possible to lab, deliver to appropriate location (lab front desk/histology), sign in specimen to book and place specimen sticker next to signature?
The process for collection of forensic foreign bodies.
What is contact security, pass item off sterile field directly to security/law enforcement (if possible), seal and sign plastic container, document officer/security name, badge number, organization and disposition in the EMR?