Infection Control
Between what temperatures should the OR be kept at?
Between 68 and 75 degrees by AORN standards.
What are 3 triggering agents for MH?
Succinylcholine, Desflurane and sevoflurane.
What is RSI?
Rapid Sequence Induction/Intubation
What is the term for the gas used to inflate the abdomen during laparoscopic surgery?
What year was the first heart surgery performed?
1893 and it was to repair a defect in the pericardium.
When opening a sterile package onto a sterile field, how should you open it relative to your body?
Open it as far away from your body as possible and do not cross your limbs over the sterile field.
TRUE or FALSE?
Malignant Hyperthermia always occurs during a patient's first exposure to triggering agents.
FALSE!
An MH-susceptible individual may undergo anesthesia with triggering agents multiple times without incident.
How many different sizes of LMA's?
9 total!
For peds- 0, 1, 1.5, 2 and 2.5
For adults- 3, 4, 5 and 6
What procedure uses ultrasonic vibrations to remove a cataract?
Phacoemulsification
Why are surgical drapes blue?
They are designed to reduce eyestrain for the surgical team by providing a neutral color that contrasts with the red of human organs and blood.
What is the recommended number of air exchanges per hour for an operating room?
About 15-25 air changes per hour
What is the initial recommended dose of Dantrolene for a suspected MH event?
2.5mg/kg IV Push
What is the 2-4-6 rule for anesthesia?
A guideline for pre-operative fasting recommending time limits for various foods and liquids to prevent aspiration. 2 hours for clear liquids, 4 hours for breast milk, 6 hours for a light meal including formula and any other form of milk.
What is a "time-out" in the operating room?
A mandatory pause before an incision to verify patient, procedure, and site.
What is the lifespan of an operating table?
Typically, 10-15 years.
When performing a surgical hand scrub, how far up the arm must you scrub?
To at least 2 inches above the elbow.
Where are the fire alarm locations?
At every entrance/exit door to the surgical suite, At the entrance of the OR suite from the main hospital corridor(right wall by male locker room), At the second entrance double doors(right wall by female locker room), At the wall across from the OR coffee room, At the end of the main entry OR corridor exit by Endo room 2, At the entry/exit of Day surgery waiting room, At both door exits in the OR mechanical room
TRUE or FALSE?
Redheads may require more anesthesia.
TRUE!
Who is responsible for monitoring the sterility of the field?
All team members, but specifically the scrub person and circulator.
What do the British call an operating room?
Theatre
According to current AORN guidelines, how often should lead aprons and thyroid shields be cleaned?
Before and after each use.
What do RACE and PASS stand for?
Rescue, Alarm, Confine, Evacuate and Pull, Aim, Squeeze, Sweep.
Which local anesthetic was developed first?
Cocaine
What is the most common position-related nerve injury?
Brachial plexus injury.
Which surgeon had a 300% mortality rate?
Dr. Robert Liston
During a rapid leg amputation, he accidentally slashed the assistant's fingers and a spectator's coat leading to the deaths of all 3. (Patient, Assistant from infection and spectator from shock)