Miscellaneous
A patient without a uterus
A patient who has had a Hysterectomy
Surgical Sponge
What is: the most common retained item after surgery
List of 14 items that the Joint Commission lists annually
What are: National Performance Goals
2 major benefits for using the Alexis retractor
What is: Improved exposure and reduced wound contamination/tissue trauma
This is called when there is a violence/security alert.
What is the Gray Alert
Reasons to call an OB CAT-list 5
What is Hemorrhage, seizure, stroke,
This is where to locate policys
What is policystat
35 charts per month, per ST
What is: Hand Hygiene Audits
During a C/S, the surgeon asks for clamps to control major pelvic bleeding
What are: Heaney, Zeppelin, or other hysterectomy/ vascular clamps based on surgeon's preference
This is called when there is an armed intruder.
What is the Stay Away Alert?
Situation that needs immediate attention in the OR
What is: Delta
Small hole in surgeon's glove- (2 answers)
What is: a contaminated glove and must be changed using appropriate sterile technique
Safety device(s) that help prevent retained items?
What is: sponge /instrument counts and triton
Infant that is without a known heartbeat
Fetal Demise
This is called to rescue an obstetrical patient.
What is an OB-CAT?
Promotes uterine contractions and delivery of placenta
What is: Pitocin
Delivery of head causes the uterine incision to extend laterally and significant bleeding occurs. what structure is at risk?
What are: uterine vessels
After delivery of infant the uterus remains atonic, list 4 medications that may help
What are: pitocin, methergine, hemabate, misoprostol (Cytotec)
Massive hemorrhage continues despite uterotonics, (list 4 items)
What are:
1. B-Lynch suture
2. uterine artery ligation
3. uterine tamponade balloon (JADA)
4.compression sutures
This is called when there is an infant/ child abduction.
What is a pink alert?
Incorrect count procedure-list 4 answers
What is:
pt stays in the OR, repeat count, search field and room, obtain intraoperative imaging
Increase risk of retained surgical items-list 6 situations
What are: emergency surgery, unexpected change in procedure, obesity, multiple teams, excessive blood loss, incorrect counts,
During uterine closure the surgeon identifies continued bleeding from lateral angle of the hysterectomy, what 5 things should the ST anticipate next?
What are: additional suture, appropriate clamps, suction, improved exposure, recognizing proximity of uterine vessels
Hysterectomy is called during a cesarean section, what should the ST be thinking before another word is spoken? list 9
What are: hysterectomy instruments, (long ones), hemorrhage supplies, additional suction, additional laps, appropriate sutures, vascular control instruments, additional retractors, (Hysterectomy cart) prep for prolonged surgery, massive blood loss (MTP)
This will be activated by any staff member when immediate and emergent resuscitative measures are needed in any newborn.
What is a neonatal blue alert?