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Isolation
Employee Health
Environment
Bloodborne Pathogens
Miscellaneous
100
This type of precautions is necessary for all patients.
What is Standard Precautions. Standard Precautions are designed to protect healthcare workers and patients from blood and body fluids through the use of personal protective equipment, regardless if the individual is known to be infectious or not.
100
All employees should be up to date on all of these
What are immunizations. Employees are expected to stay up to date with all immunizations.
100
Scrub attire, proper footwear or shoe covers, and head covering is required in this area.
What is the semi restricted zone. The surgery center is divided into three different zones: the unrestricted zone in which street clothes may be worn (Preop/Recovery, waiting rooms, offices, locker rooms); the semi-restricted zone in which scrub attire and head covering must be worn (OR corridors, sterile supply rooms, unopened OR rooms); and the restricted zone in which scrub attire, head coverings and mask need to be worn (opened ORs, scrub sinks when someone is scrubbing).
100
The Bloodborne Pathogen Exposure Control Plan can be found here.
What is Policy Hub. The Exposure Control Plan is provided to eliminate or minimize occupational exposure to bloodborne pathogens.
100
This should be performed after removing gloves (or any other PPE).
What is hand hygiene. Hand hygiene should also be performed before and after patient contact, before any type of aseptic or sterile procedure, before and after entering a patient room even with no patient contact, after handling anything dirty, and after contact with any blood or body fluid.
200
The most important infection prevention measure
What is Hand Hygiene. Hand hygiene is deemed the most important infection prevention measure available to prevent the spread of organisms between patients and healthcare workers.
200
An annual test is performed to screen staff for this type of communicable disease.
What is tuberculosis.  An annual TB skin test is required to determine TB exposure. Anyone exposed to TB will receive appropriate testing and followup.
200
These are the parmeters for humidity in the operating room
What is 30 - 60 percent. These are the AORN guidelines for environmental control. Other guidelines include temperature not to exceed 73 degrees and a minimum of 20 air exchanges.
200
These are to be used whenever there is a potential for occupational exposure to blood or other potentially infectious disease.
What is Personal Protective Equipment (PPE) (Gloves, gowns, eye protection, masks, etc). PPEs are an OSHA requirement and are to be provided to healthcare workers at no cost. Staff are expected to wear the appropriate PPE when there is a potential risk of contact with blood or other potentially infectious material.
200
This may be required to come back to work after an infectious disease.
What is a return to work slip. Many infectious diseases may require a return to work slip from a primary physician in order for an employee to return to work. Some examples include: enteric infections (hepatitis A and salmonella), and Tuberculosis.
300
Measures include covering mouth/nose when coughing or sneezing.
What is Respiratory Hygiene/Cough etiquette. This is to be used to help prevent the transmission of respiratory infections within the surgery center, including influenza.
300
Staff members with a possible infectious disease should do these two things:
What are stay home from work and report it to their supervisor. All illnesses should be reported to your supervisor. Although the details of your illness do not need to be disclosed, you may be asked if you feel your illness is infectious to determine the appropriate guidelines for return to work.
300
Jewelry such as rings, watches and bracelets are removed prior to perfoming this activity.
What is surgical hand scrub. Surgical hand scrub may be done with scrub solution and water or with a waterless, alcohol based solution.
300
The three most concerning pathogenic microorganisms that are presnt in human blood and can cause disease in humans
What are Hepatitis B, Hepatitis C and HIV. The risk of becoming infected with Hepatitis C is 6 times more likely than HIV.
300
These are to be reported to the local Public Health Department.
What are Category 1 and 2 communicable diseases. These include but are not limited to: Hepatitis, measles, pertussis, rabies, rubella, TB, STDs, meningitis, tetanus, etc.
400
This type of precautions is necesary for TB, herpes zoster, and measles; and may require the use of a N95 respirator.
What is Airborne Precautions. Airborne precautions are to be used in conjunction with Standard Precautions to reduce the transmission of airborne diseases. Patients will be asked to wear a mask and wil be isolated as soon as possible.
400
These two immunizations are provided free of charge to all staff members.
What are Hepatitis B and the Influenza vaccine. Beginning in 2014, CMS required all ASC to report on the number of healthcare workers receiving the annual influenza vaccine. The influenza vaccine is not known to infect the receipient with influenza.
400
It requires continuous visual observation to ensure a breech has not occurred.
What is the sterile field or open room. Once sterile supplies are opened in the OR, the sterile field should never be left unattended. Continuous visual observation is the only guarantee that the sterility of the field has not be compromised. AORN recommednations do allow for the covering of a sterile field with sterile drapes.
400
Blood or other potentially infectious material that is to be contained in a red impervious bag or container.
What is regulated infectious waste. Regulated waste is considered liquid or semi-liquid blood or other potentially infectious material that could be released if compressed, poured, or flaked.
400
This is not allowed in the restricted or semi-restricted area.
What is food or drinks. Food and drinks are not allowed in the OR area. It should also not be kept near a sink or patient care areas.
500
These patients are to be scheduled at the end of the day and placed in contact precautions
What are patients with an active MDRO. Contact precautions include the use of gloves and gown when caring for the patient. Remove all unnecessary equipment from the patient room and the room is to be terminally cleaned after patient discharge.
500
When a staff member is exposed to anothers blood and/or body fluids, this is to be done immediately.
What is cleanse the area thoroughly with soap and water. The incident should then be immediately reported to the supervisor to ensure the proper paperwork and testing can be completed.
500
These two prophylactic antibiotics that may be given up to 2 hours prior to the surgical incision.
What are vancomycin and cipro (fluoroquinolones). There are other two hour antibiotics; however, they are not typically used within the surgery center. All other antibiotics must be initiated within one hour of incision start.
500
The Bloodborne Pathogen Exposure Control Plan is developed in accordance with this organization's standard
What is OSHA. OSHA (Occupational Safety and Health Administration) is the federal agency, developed in the 70s, responsible for providing a safe environment for employees. The do not have any focus on patients.
500
This should not be older than 4 days.
What is nail polish. Artificail nails or those with gels or shellacs are prohibited from the operating rooms. Nail polish is acceptable if it is less than 4 days old and not chipped or cracked.