Fire Safety
The acronym for how to use a fire extinguisher.
What is PASS (extra 50 points for knowing the words associated with the acronym)
The times we should count include but aren't limited to:
Prior to surgery, when items are added during the surgery, before the closure of a cavity within a cavity, when wound closure begins, at skin closure, at the time of relief of either the scrub personnel or the circulating RN, any time there is a discrepancy or concern about the risk of retention, as requested by any member of the perioperative team.
Glove should be worn when...
What is when in contact with blood, bodily fluids, mucous membranes, dressings, non-intact skin, etc., is anticipated.
Appropriate foot wear for universal fall precautions.
The 8 rights of medication administration.
Right Patient, right medication, right dosage, right time, right route, right reason, right documentation, right response.
What acronym describes the correct response to fire or smoke?
What is RACE? (extra 50 points for knowing the words associated with the acronym)
What to do when there is a count discrepancy.
What is "Notify the surgeon, recount, search the room, wound exam, x-ray, record"?
Appropriate time to use alcohol-based hand rub
what is when hands are not visibly soiled
A teammate places one or two hands on the patient's body to provide support and help steady the patient's balance.
What is contact guard assist?
When we can access a PICC line or Midline here at Surgery Center at Grove Creek.
When is NEVER!!
True or False, a fire blanket is appropriate for use in the OR
What is a False?
Activities you can do during a time-out
Nothing! Cease all other activity, music, and background noise. Be sure all team members are engaged.
Steps to proper hand sanitization with alcohol-based hand rub.
1. Apply the manufacturer’s recommended amount of alcohol-based hand rub to palm of one (1) hand.
2. Rub hands together, covering all areas of the hands and fingers, until hands are dry, per manufacturer’s recommendations.
This is required for any patient using assistive devices or has visible difficulty with ambulation.
What is a wheelchair?
List the items to verify with the patient before medication administration.
What is
*Patient Name
*DOB
*Allergies
*List and times of medications last taken
The type of fire extinguishers to be kept in each OR.
What are CO2 Extinguishers?
A time-out should include the following (name at least 4)
1. Turn on water and adjust temperature for your comfort.
2. Wet hands and apply manufacturer’s recommended amount of soap to hands.
3. Lather well (soap reduces surface tension enabling the removal of bacteria).
4. Clean fingernail area (bacteria may be harbored beneath fingernails).
5. Wash hands thoroughly, using rigorous scrubbing action for at least 15 seconds. Work lather around fingernails, top of hands, etc. (to facilitate eradication of all bacteria).
6. Rinse hands and wrists under running water.
7.Dry hands with clean paper towel. (Multiple use towels, i.e., rolling towels, are not recommended for healthcare facilities.)
8. Turn off faucets with used paper towel and discard.
9. Avoid using hot water for hand-hygiene. Repeated use of hot water may increase the healthcare worker’s risk of dermatitis.
Precautions that apply to all patients regardless of fall risk score that is intended to keep the patient's environment safe.
What is universal fall risk precautions?
Length of time a new multi-dose vial is useable once opened.
What is 28 days?
The three sides to the Fire Triangle
What are heat, oxidizers, and fuel?
An implant time-out should include:
What is the sterility confirmation, temperature indicator as applicable, type/unique identifier, size, expiration date?
Steps of a surgical hand scrub
1. Remove all jewelry from hands and forearms.
2. Don a surgical mask.
3. Adjust water temperature.
4. Keep arms level and well away from body and hands up above elbows for duration of scrub.
5. Wet hands and forearms. Wash with soap and water if visibly soiled.
6. Clean nails and subungual areas with disposable nail cleaner, under running water. Discard nail cleaner in receptacle.
7. Rinse hands and arms thoroughly.
8. Scrub hands and forearms with surgical hand scrub using a soft non-abrasive sponge. Apply according to manufacturer's instructions.
9. Your arm, hand and fingers each have four (4) sides. Wash/Scrub all four (4) sides of your arms, hands and each finger as efficiently as possible in the timeframe defined by the surgical hand scrub manufacturer.
10. Discard sponge into sink or waste receptacle.
11. Rinse hands and arms thoroughly, keeping hands raised above elbows and away from surgical scrubs.
12. Turn off water, using knee control.
13.Proceed to OR, keeping hands above the elbows and out from scrub clothes.
14. Dry hands and arms with a sterile towel in the OR using sterile technique.
Implement on any patient with a fall history in the last 6 months, a fall assessment score of 20 points or higher, and all PACU patients.
What is high-risk fall precautions?
Should a second nurse should verify the order and dosage drawn up to administer to the patient?