Scrubbing, Gowning, Gloving
A surgical mask must cover these 2 parts of the face & fit snugly & comfortably.
What is mouth & nose?
The complete elimination or destruction of all forms of microbial life
What is Sterilization
Patient identification should be confirmed using 2 unique identifiers. These are:
What is the patient's name and date of birth?
The transfer of information and responsibility for care from one provider to another
What is handoff (communication)
Clean surgical attire should be worn in what areas of the perioperative area? a. only restricted areas b. semi-restricted & restricted areas c. unrestricted, semi-restricted & restricted areas
What is b. semi-restricted & restricted areas?
In a traditional hand scrub, the scrub person must lather the hands & forearms ____ inches above the elbow
What is 2 inches?
This type of sterilization should only be used when there is not enough time to process an instrument by the preferred method.
What is immediate use sterilization (Flash Sterilization)
This is intended to prevent wrong site surgery and consists of 3 main parts: preoperative verification, marking of the operative site and a time out
What is The Joint Commission's Universal Protocol
If marking the operative site is indicated, this marking should occur
What is prior to the patient entering the operating room
A medical student is wearing a necklace that is not confined within the scrub attire. The perioperative RN should instruct the medical student to: a. do nothing; necklaces can be worn in the O.R. b. remove the necklace c. tape the necklace to his necks so it doesn't flip onto the scrub attire
What is b. remove the necklace?
True or False. The circulator may assist the scrub person by reaching inside the gown & pulling the inside seam to bring the gown over the scrub person's shoulders.
What is true?
The first step in the sterilization process
What is Decontamination
Patients who have allergies to foods such as: bananas, avocado, chestnut, apricot, kiwi and tomato, may also have a coexisting allergy to
What is Latex
The PNDS is a standardized nursing vocabulary that describes perioperative nursing. What is the meaning of this acronym?
What is the Perioperative Nursing Data Set
What is the most important consideration in the design of the hat or hood? a. the material should be able to withstand home laundering b. the skull cap design covers all of the hair & scalp c. it minimizes dispersal of microbes
What is c. it minimizes the dispersal of microbes?
After the surgical hand scrub, the scrub personnel should keep the hand & fingers pointed ____ so that water drips off away from the attire
What is upwards?
When performing Immediate Use Steam Sterilization the temperature for the cycle should be
What is 270 degrees
A risk reduction strategy used for a patient with a known latex allergy or sensitivity
What is Schedule the case as the first procedure of the day
An unexpected occurrence involving death or risk of serious physical or psychological injury
What is a sentinel event
A RN notices that Dr. A is wearing a cotton fleece vest over his surgical attire. What is the best reason why the RN should ask him to remove it? a. many patients are allergic to cotton fleece b. cotton fleece is flammable & can collect & shed lint c. warm up jackets are available
What is b. cotton fleece if flammable & can collect & shed lint?
At the end of the procedure, which should be removed first to prevent cross-contamination: gown or gloves
What is the gown?
This item shows that one or more critical parameters for sterilization have been met
What is a Chemical Indicator
The best method that a perioperative nurse can utilize to prevent the spread of infection is
What is Washing hands before and after patient contact
The OR has been set up for a total abdominal hysterectomy. The surgeon is delayed and the personnel in the room take a break. According to the AORN Recommended practices, the open sterile field should be
What is Under Constant Surveillance
Non-scrubbed personnel in the restricted area should cover their arms during which of the following activities? a. hanging a unit of blood b. inserting an IV c. performing a pre-operative skin prep d. all of the above
What is d. all of the above?