AORN Periop 101

Safety

100

This is the most important action the perioperative team can perform to prevent infection.

hand hygiene

200

A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which skin prep agent is contraindicated for use in this case?

What is Chlorhexidine gluconate (CHG)

300

OR doors must remain closed to preserve this environmental control.

Positive Pressure

400

The minimum PPE included in standard surgical attire for the restricted zone.

space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure

500

An accurate interpretation of the Institute of Medicine's recommendations for improving patient safety is:

Changes WITHIN the healthcare organizations have the greatest potential impact on improving patient safety

Specimens

100

Proper handling of an explant removed because of an apparent defect of failure includes: (2)

1. Documentation fo the serial number in the medical record and on the pathology requisition 2. Completing a risk management report

200

To ensure proper handling of surgical specimens, which unique identifiers should the perioperative nurse verify BEFORE the patient enters the OR? (2)

1. Patient's medical record number 2. Spelling of the patient's name

300

After a surgical specimen is procured by the surgeon, the scrub person should: (2)

1. Keep it in a sterile basin until it can be passed to the circulating nurse 2. Keep it moist with saline

400

Proper handling of an explant removed because of an apparent defect or failure includes:

Documentation of the serial number in the medical record and on the pathology requisition

500

In which surgical wound category should a total abdominal hysterectomy (removal of uterus) be classified?

Clean contaminated

Suture

100

How can you easily identify the material of a suture?

Color of the package identifies the suture material

200

What phases of the nursing process does the perioperative nurse practice during the PREOPERATIVE phase of the surgical experience? (4)

1. Assessment 2. Identification of desired outcome 3. Nursing Diagnosis 4. Planning

300

What practice violates a patient's ethical right to self-determination?

Automatic INTRAoperative suspension of a do-not-resuscitate decision

400

The perioperative nurse's role in bioethical decision making is most justifiable with:

Perioperative nurse should act according to the terms of agreement establishing the nature of the relationship between the patient and the nurse

500

Critical thinking is:

An abstract concept that has been developing since Socrates

Medication

100

What is a desired outcome most closely related to use of local anesthesia for a procedure?

The patient reports adequate pain control throughout the perioperative process

200

What precaution should be taken when microfibrillar collagen is used as a hemostatic agent intraoperatively?

Avoid using it with an autologous blood salvage unit (i.e. cellsaver)

300

The PERIOPERATIVE nurse's role in preparing and administering medications includes: (3)

1. Assessing the patient's medication allergies and use of herbal or dietary supplements 2. Verifying the administration of the correct medication, dose, and route 3. Writing down and reading back the surgeon's oral orders before preparing medication

400

Which route are antibiotics most commonly administered by the PERIOPERATIVE nurse during the INTRAoperative phase?

Irrigation solution

500

Which are true clinical manifestations of a true allergic response to latex? (3)

1. Contact urticaria 2. Periorbital edema and itching 3. Wheezing

Miscellaneous

100

These evidence-based documents guide safe perioperative nursing practice.

AORN Guidelines

200

Types of powered cutting instruments include: (4)

1. bone reamers 2. dissectors 3. saws 4. tissue shavers

300

This device saves and reinfuses the patient’s own blood during certain surgeries.

Cell Saver

400

What should be the most important considerations when selecting drape materials? (2)

1. Risk of contamining patients with endogenous and exogenous microorganisms 2. Risk of exposing healthcare workers to patients' blood and body fluids

500

EPA-registered germicides labeled as hosptial disinfectants must have demonstrated effectiveness against: (3)

1. pSEUDOmonas aeruginosa 2. SALMONELLA cholerae suis 3. STAPHylococcus aureus