Patient Prepping:
Get'er Done!
Get'er Done!
If you need it:
Hair Clipping
Hair Clipping
At LAST
Speak Now or
Forever Hold Your Peace
Forever Hold Your Peace
Monster Mash
100
You are precepting a new RN employee. You know our CHG sticks are tinted with an orange color. You tell the nurse the solution is tinted because . . .
What is:
To be able to visualize the area that has been prepped.
100
What color clipper head is used for sensitive areas?
What is:
The pink head
100
You are reviewing LAST protocol. You know that patients who receive a local block should be monitored closely for at least 30 minutes post injection even though most signs and symptoms begin to appear when?
What is:
10 minutes or greater after injection
100
The consent covers only the Procedure to be performed and the receiving of receiving of anesthesia. You need additional forms for any additional services, i.e., blood. True or False?
What is:
False. It also covers the provision of other Medical Services. for example, receiving blood.
100
You are pulling the next day's cases. You will be reinforcing an internal defect. What material is usually used for reinforcement?
What is:
Mesh
200
You are reading your Patient's H&P and notice that they are allergic to CHG. The surgeon has not stated a preferred substitute. You know you should use what solution to prep the patient instead of CHG
What is:
Betadine Prep
200
How often is it advised to clean the Clipper Handle?
What is:
After each used and in-between each patient.
200
You have been studying for your AORN certification and your OR bestie has been your Tudor. You both know that what (2) allergies are contraindications for Lipid Rescue emulsion.
What are:
Egg and/or Soybean allergies
200
Your patient is having a Lap Appy. It is much faster and easier to write Lap Appy on the consent. How should it be written?
What is:
Abbreviations are not permissible. It should be written as Laparoscopic Appendectomy.
200
Dr. Tatsumi uses what to mark the location of his lumbar laminectomies?
What is:
A bent hypodermic needle.
300
This is the appropriate prep pattern for which prep agent?
What is:
Traditional Betadine
300
Yes, we have a Policy in the PDRS (formerly PolicyStat) for Perioperative Electronic Minimum Documentation. You are so lucky to have a photographic memory. You know that you should document Hair Clipping where?
What is:
Site Prep, Hair removal, clipped by
300
You know that Lipids are an effective medication to help treat a LAST episode. You also know that, in short, this is because . . .
What is:
Lipids neutralize the local anesthetic.
300
You are performing a preop on a young minor who is having a tonsillectomy. Both of the parents came with the minor for surgery. Do you need to have them both sign the consent?
What is:
No. Either parent whose parental rights have not been terminated, whether the parents are married, unmarried, or separated at the time of consent can sign. Consent from only one parent is required, even if the two parents do not agree.
300
You are precepting a Senior Practicum student. You are explaining a case that you are getting ready to start that is a bring back because the wound just spontaneously opened. The you tell the student that the correct medical term used to describe this occurrence is what?
What is:
Dehiscence
400
You are prepping a shoulder case for one of our surgeons, You know that they like to have the armpit area prepped. When do you prep the armpit area?
What is:
Last
400
When clipping a patient for surgery you know that the clipper is supposed to be at a 65-dgree angle to the skin. What is a good way to make sure you achieve that angle
What is:
By placing the blade flat against the patient's skin
400
How do you know what dose to draw up during an attempted LAST rescue?
What is:
Use the Dosing Chart that is in the drawer with the LAST Rescue Kit.
400
Your patient's religion forbids them from receiving blood during surgery. You know that you need what additional paperwork in additional to the consent on file.
What is:
Blood Refusal form
400
Simply stated, forcing a patient to sign their consent could be considered to be what legal term?
What is:
Coercion
500
Why is it advised to not "scrub" too vigorously when doing an internal vaginal prep?
What is:
Because the mucous membranes are thinning and may be prone to tearing.
500
The closer and smoother you get the shave makes for a visually clean and appealing operating field. But you know that the clipping the hairs to a short stubble is best. Why?
What is:
Because a smooth shave increases the chances of incurring a skin nick and creating an opportunity or bacteria to enter the skin.
500
Why is a LAST episode so dangerous
What is:
Because it clocks conduction to tissues of the heart and/or brain.
500
When sending blood as a specimen, what is different from regular specimen collections when identifying the name of the person who collected the blood?
What is:
The First and Last name of the collecting caregiver is visible
500
You are a super scrub! You are precepting a newer scrub how to anticipate what the surgeon's next move will be. They will be performing a bowel anastomosis. What are 2-3 types of anastomoses that they may perform?
What are:
End-to-End, End-to-Side, Side-to-Side, or a Roux-en-y.