Instruments
The term "Flash" sterilization is no longer used - the correct term is I.U.S.S.
What do these initials stand for?
Immediate Use Steam Sterilization - unwrapped to be used immediately
The locations of fire extinguishers and fire alarms in the immediate perioperative area.
Fire extinguishers:
What is outside room 1, outside decontam, in front of the elevators and in sterile instrument room (by Raul's desk).
There is a fire alarm by the elevators. You can also call 9-393-6000 to call "Code Red"
Although we no longer place lead over a patient's abdomen/genitalia, we still need to use this on a patient in procedures where flouroscopy/x-rays are used.
What is a thyroid shield?
The location of the malignant hyperthermia cart and the code to get in the room.
Anesthesia work room. Code 120#
The process for stat specimen collections.
What is notify ANM for courier need, log specimen into laboratory log book, place specimen in red STAT Laboratory container and place in refrigerator? Place note on outside of refrigerator stating specimen is inside.
The process for transporting dirty instruments to the decontamination area.
What is all carts containing dirty instruments that cannot be contained in the red bin should be covered?
P.A.S.S
Pull, Aim, Squeeze, Sweep
This is used to report issues related to safety, professionalism, and errors to watch for trends and create solutions.
What is the ERRF? The location for filing an ERRF is on the Intranet.
What should be placed between gel positioning devices and the patient?
What is NOTHING?
The three people involved in the collection and labeling of specimens.
Who are the surgeon, scrub technician and circulator?
What is the maximum weight of instrument trays without compromising sterility and causing ergonomic strain?
According to AORN and AAMI, 25 lbs.
For fire prevention, these areas should never be prepped with alcohol based solutions.
Head and neck
Safe temperature parameters in the OR for Monday -Friday 0600-1800.
What is 68-75 degrees?
Three elements of a proper History & Physical
What is?
Informed consent phrase including that risks and benefits were discussed with the patient
Procedure including correct site and side if applicable
Physical including heart and lung assessment
Information needed on breast specimens.
What is?
Location and type of tissue, time out of body, time into formalin (additional info provided by surgeon: use of margin marker paint, weight, etc.)
18 inches
What is the minimum clearance from the ceiling to stored instruments/supplies?
R.A.C.E
What is?
Rescue- remove endangered people
Activate- nearest alarm, call Code Red
Confine- close doors and windows
Extinguish- if fire is small and you can safely do so
The safe humidity range in the OR for required hours of 0600-1800 Monday-Friday.
What is 20-60%?
The AORN has no guidelines to determine if an OR should be closed when temperatures/humidity are out of range. Consultations should be had with infection prevention and plant operations. Generally "it is not necessary to close an operating room".
Name three responsibilities of the circulator during the time out.
What is confirm correct consent, fire assessment score, positioning and safety devices, SCD and warming, pertinent labs and blood availability, confirmation of medications used in block? Of course any questions about the procedure should be discussed.
The location for formalin and chemotherapy spill kits.
Formalin:
What is the supply cabinets in the operating room?
Chemo:
What is the room where Neptunes are docked?
The fluid that surgical techs should use to clean instruments and lumens with during a procedure.
What is sterile water?
Saline is highly corrosive to instrumentation.
Three elements that must be present for a fire to occur
What is a fuel or combustible material, an ignition or heat source, oxygen? Minimize risk of fire by removing at least one element.
The location where temperatures are tracked and maintained.
Engineering
Number of days before a procedure that patient's should refrain from shaving
What is five?
Ideally, the maximum amount of time for breast tissue to be removed from the body and placed in formalin.
What is sixty minutes?
Fun fact: The California Medical Waste Act prohibits the return of removed tissue to a patient with the exception of Amputations: limbs, femoral heads, etc.