Surgical Prep/Fire Safety
Chloraprep cannot be used on hair. This prep is available alternatively when hair is included in the prep site.
Betadine
H&P's are good for 30 days. What must be included in your pre-op checklist that verifies the validity of the H&P?
Interval or attestation
Number of laps/ raytec's that need to be present in the kick bucket, in order to count them "out" in the designated counter bags.
5 /10
In the supine position, arms should be abducted no greater than this angle, to help prevent nerve injury
90 degrees
Where fresh specimens go after hours and on the weekends.
Main Lab Refrigerator
As per policy, this is the acceptable nail length that any health care worker providing direct patient care, should have
1/4 "
The term for the collection of Chloraprep fluid that didn't dry, present under the surgical drapes.
Pooling
These patients with this PSH/PMH, are excluded from pre-procedure pregnancy testing
Patients w/ hx:
-B/L Oophorectomy
-Prior hysterectomy
-<6 weeks PP
-Post menopause (more than 12 months)
Counts are performed in a routine sequence. The count should begin at the surgical site, to the immediate surrounding area and then proceed to these two final areas.
Mayo stand & Back table.
This positioning device helps prevent sliding in trendelenburg and reverse trendelenburg positions, while reducing the risk of brachial plexus injury and hospital-acquired pressure injuries
Pink Pad
This portion of the Time Out is utilized to communicate about specimens
Critical Pause- Specimens
What is the only surgical attire that should remain in place when leaving a restricted/semi-restricted area- when shoe covers and masks should be removed?
This is an incorrect action, that is commonly performed after activating a ChloraPrep applicator. This action can cause micoabrasions on the patient's skin.
Shaking the chloraprep stick
This person's signature asserts that they saw or heard a consent form being signed. This person can be any competent person eighteen year of age or older.
Witness
A count is needed when there is a change of circulator or scrub person. Any staff member who is reliving the scrub person or circulating RN is responsible for this type of count.
Handoff/Relief Count
To prevent blocking airflow and overheating, this is the maximum number of bair hugger blankets that should be stored beneath the bair hugger machine
4-5
Nursing staff & CSTs are allowed to split/divide specimens
FALSE!
These items must be concealed if worn under surgical attire
Earrings, Necklaces, Undershirts
Dynahex must be diluted with this, in order to be used as a vaginal prep
20-30mL Sterile Water
This type of consent occurs when patients lack capacity, have religious reasons why they cannot sign consent, or is unable/unwilling to sign the consent form. Two individuals must witness this type of consent (one of whom can be the person obtaining the informed consent).
Verbal Consent
The amount of time that passes after a final count that warrants an additional final count.
45 minutes
This positioning device should ALWAYS be placed under the knees, whenever heel pads/ heel support are used.
Pillow
This type of communication occurs when the sender gives a message, the receiver repeats it back, and the sender confirms it.
Closed-Loop Communication
When utilizing SCDs for 1 lower extremity you need to plug both calf-sleeves into the connectors
FALSE
The amount of time spent scrubbing the surgical site if it is a "dry site" vs. a "moist site"
30 seconds for dry. 2 minutes for wet.
This document can be used for inpatients only, in lieu of using an H&P- so long as it's signed and attested by the Surgeon/Proceduralist.
Progress Note
If an instrument is missing or broken, it must be accounted for in its entirety. This report must be completed via Synergy
Service Report
When using a lower-body warming blanket, the patient's feet should be covered by this section of the blanket rather than the active warming section.
The non-active portion of the warming blanket
This is where you can find a list of exempt specimens
Policy 420-241: OR Collection, Handling, and Transport of Specimens.
Resource Binders
The amount of time that has to pass, before EVS can terminally clean an Airborne Precaution room
45 min
The maximum prep area per 1 Chloraprep applicator
13.2" x 13.2"
When a patient or Health Care Proxy requests it, this order is suspended for the duration of the procedure and recovery period, then reinstated post-procedure unless otherwise directed.
DNR Order
This type of retained item does not require an x-ray but does require documentation of the reason, location, amount, and type retained.
Intentionally retained item
This common practice is prohibited because it interrupts the natural airflow within the warming blanket, even when the patient's arms are tucked.
When adding pathology specimens, specimens are added by source, resulting in 1 label per specimen. When adding this kind of specimen, it is labeled by test and can have multiple labels per one specimen.
Clinical Specimens (micro)
This is where we document the serial # for flexible scopes in the Intraprocedure Navigator
Equipment
Because it interferes with pad contact and prevents the ESU from performing at its maximum effectiveness, _______ _______ is the reason Bovie pads should not be placed over joint replacement sites or tattoos.
Scar Tissue
For IntraOp Appointments (Bronchoscopy, ERCP, Endo cases) this action is required to be able to chart on the patient in the desired unit
"Arrive the patient"
According to policy, used micro-cottonoids should only be handed off the sterile field after this number has been collected on a holder
10
These should never be placed underneath a Bair Hugger warming blanket, because they interrupt airflow and can lead to uneven head distribution and burns.
Blankets
This type of tissue must always be weighed in grams, and the weight documented on the OR record for insurance purposes
Breast Tissue (Breast reductions)