AAA Regulations
The organization must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery. Our policy states that H&P's are good for this many days?
What is 90 days
Radiation exposure is monitored by staff wearing this item. These should be worn any time a staff member is exposed to radiation and the location should be the same place every time (outside of apron, at chest level, at waist level, etc.)
What is a dosimetry badge.
This is a rare, inherited musculoskeletal syndrome caused by exposure to volatile anesthetic gases such as Desflurane/Sevoflurane or depolarizing muscle relaxants, such as Succinylcholine.
What is Malignant Hyperthermia
Do not ever lean against a laser fiber, clamp a fiber, or stress/bend a fiber beyond what is specified as acceptable in the manufacturer’s instructions for use. Taking precautions when using laser fibers include covering the end of the laser fiber with this when not in use.
What is a moist sponge or towel
Infection prevention is impacted by all members of the surgery center team. The most effective method, which only takes 20 seconds to complete, and prevents the spread of infection is this
What is hand hygiene.
Each center must have identified surgical exclusion criteria for patients having surgical procedures. These are 3 examples of surgical exclusion criteria
What is patient > 500 lbs., patient is currently pregnant, active chest pain (without resolution), quadriplegic (requiring a hoyer lift), history of true anaphylactic latex allergy, pediatric patient < 18yrs. old, hemophiliac, presence of shingles, COVID, scabies, TB, MRSA/VRE, C Diff, history of MH.
Specimen labeling: This method of communication involves the receiver repeating back the message or order to the sender to ensure accurate understanding. AORN recommends this method of communication when handing off specimens from the sterile field to verify patient and specimen information with the surgeon.
What is "read back"
This is a rare, but potentially devastating adverse event resulting from the uptake of local anesthetic in the central nervous system and cardiovascular system. Patient factors that increase the risk for this are: <16 yrs old, >60 yrs old, low muscle mass, frailty, females, cardiac disease, metabolic disease, liver disease, central nervous system disease and acidosis.
What is Local Anesthetic Systemic Toxicity
The fire triangle is made up of these 3 components
What is ignition source, fuel, and oxidizer
There are three zones of perianesthesia and the operating room: Unrestricted, Semi restricted and restricted. Surgical attire and this item, which prevents exposure of the wearer’s oral and nasal microorganisms to the sterile field and patient during the operative/invasive procedure, is required in the restricted area/operating room.
What is a surgical mask
It is important to review patient medical history in preop because Anesthesia has their own exclusion criteria. Examples of anesthesia exclusion criteria are:
Aortic/Thoracic Aneurysm over 4.5cm, BMI > 45, any pt requiring O2 for any reason in the last 30 days, dialysis patient, organ transplant patient, liver failure patient, MI > 6 mos ago, cardiac stents placed less than 6 months ago, CVA less than 9 months ago, TIA less than 3 months ago, active chest pain/unstable angina, EF < 40%
Hypothermia should be monitored in all phases of surgery (preop, intraop, and postop). AORN defines hypothermia as this core temperature
What is below 36.0C/96.8F
A patient in the lobby complains of chest pain and then passes out. You check for responsiveness, call for help, and have someone bring the crash cart. Check for a pulse for 10 seconds. You then start CPR at this rate of compressions and breaths.
What is 30 compressions and 2 breaths.
The PASS acronym reminds you how to use a fire extinguisher in the event of a fire. It stands for
What is Pull, Aim, Squeeze, Sweep
Chloraprep should be applied to a dry surgical site, such as the abdomen or back using gentle repeated back and forth strokes for 30 seconds. This solution contains 2% chlorhexidine gluconate and 70% isopropyl alcohol, is flammable, and must dry for a minimum of this amount of time before the patient is draped.
What is 3 minutes
Per the ASC and AORN guidelines, the temperature for an OR should be this temperature. Cooler temperatures may impact equipment functionality and a combination of cooler temperatures and altered thermoregulatory mechanisms during procedures can cause a decrease in core temperature leading to hypothermia.
What is 68-75 degrees Fahrenheit
According to new numbers from the Joint Commission, wrong site surgeries increased by 26% in 2023. Part of the Universal Protocol to prevent wrong site, wrong procedure, and wrong person surgery is to complete this item immediately before starting the procedure or making an incision. All members of the surgical team must be present and at a minimum, team members agree on correct patient identity, correct site, and procedure to be done
What is a Time Out
This medication is used to treat Malignant Hyperthermia and has an onset of 2-3 minutes.
What is Dantrolene Sodium (Dantrium/Ryanodex)
Each organization that utilizes lasers must appoint this position in their facility to oversee the laser program. This person can be a RN or RT that possesses education and training for each type of laser used in the facility
What is a Medical Laser Safety Officer
A Center for Disease Control and Prevention report found that lapses in infection control in ASC's were common. Standard precautions, such as PPE use, hand hygiene, environmental infection prevention (cleaning, disinfection, and sterilization), laundry handling, safe injection practices, and sharps safety can help with infection prevention. The Micro Kill germicidal alcohol wipes that are used to clean equipment must remain visibly wet for this time period to achieve complete disinfection of pathogens.
What is One Minute
Interpreter services must be available for our patients. Organizations can use dedicated staff interpreters, qualified bilingual staff, or contracted interpreters. RASC uses this company for interpreter services.
What is ________
It is important to ask patients if they have any piercings with metal jewelry, including subdermal, transdermal and microdermal implants, some of which may not be removeable. This type of injury is created at the location where the jewelry touches the skin from the heating of the metal as the electrical current moves through it.
What is thermal injury
When LAST occurs, stop administration of local anesthetic, call for help, maintain the airway, ventilate with 100% oxygen, assist with resuscitation, ensure IV access is obtained and grab this medication for treatment
Lipid Emulsion Therapy 20%.
Rescue, Alarm, Contain/Confine, Extinguish
When opening an instrument tray, it is important to verify that there is this item inside and it has changed color to reflect it has been exposed to a sterilant.
What is an indicator