Counting
Counting must be performed and visualized by (# of people & positions)
2 People. One must be an RN
What are 4 ways that an instrument packs/trays can be contaminated
Bioburden, strike-through, moisture, holes
Time Out should be conducted _________ prior to incision/start of procedure
Immediately
Person responsible for wiping, flushing, and spraying instruments immediately upon completion of the case to prevent drying of blood and particles on the instrument's surface
Scrub Person
During an MH crisis, this staff member assists the surgeon in completing the procedure and/or securing incision site; assists with cool wound irrigation if needed.
Surgical technician
Radiopaque sponges must be completely __________ when counting is performed.
separated
The direction to face when two sterile persons pass each other
front-to-front, or back-to-back
All activities must be ______ during the time out. (JACHO watches for this)
Types of instruments that should be flushed at point of use with sterile water to prevent obstruction from organic debris
Cannulated aka channel instruments
Instruments with lumens/hollow
What does the acronym R.A.C. E. stand for?
Rescue
Alarm
Contain
Evacuate
It is recommended that counts be done in the following order
Sponges, Sharps, Misc, & Instruments from the sterile field, then mayo stand, then back table, and finally from off the field.
The humidity level of the OR must remain within these conditions.
30%-60% relative humidity
Your patient is having a bilateral mastectomy, and reconstruction with two different surgeons. You need how many time-outs
Two.
Or 1 if both teams are present for initial timeout.
Proper instrument transportation to decontam includes
In a closed container/case cart that is leak-proof, puncture resistant, labeled biohazard.
A _____ ______ specimen must be obtained immediately and sent to Blood Bank if there is no previous record.
Type and Screen
What is the process if a missing item is not recovered after searching the room?
Intraoperative imaging should provide full coverage of the surgical site and should include any views deemed necessary by the surgeon and radiologist.
Begins with the knowledge of the principles of aseptic technique, infection control, and safety, and is supported by constant awareness of self and surroundings to maintain sterile integrity. Involves ethical and moral decision-making and an obligation to speak up and act with courage on behalf of the patient.
Surgical Conscience
Date of National Time Out Day
2nd Wed of June
An accumulated mass of bioburden that adheres to the surface of an instrument, making it difficult to effectively clean and sterilize the instrument
Biofilm
If no T & S is obtained, the Blood Bank will prepare what for childbearing female patients in an emergent situation
uncrossmatched O negative Packed Red Blood Cells.
bottom to top
When implementing SSI reduction techniques, the OR team should do this at the time of wound closure.
Change gloves and if the gown is soiled, change the gown
this is the ongoing process of information gathering and confirmation with the goal of ensuring that all relevant documents, related information and equipment/supplies will be available, correctly identified and labeled, and accurately matched to the patient prior to the start of the procedure. It is done in preop.
Pre-Procedure Verification
Saline
Who can defibrillate using an AED?
According to our policy, BLS certified staff may provide defibrillation using the AED.