IS STERILITY A THING
TO BE SAFE OR SORRY
QUALITY NURSING PRACTICE
ORNAC STANDARDS
POSITIONING
200
This "Field" should be monitored constantly throughout the case
What is: Sterile Field? 
200
This 'Tag' is filled out when a piece of equipment malfunctions or breaks in the OR
What is: Green tag and repair tag?
200
What is: incomplete sterilizer log?
200
An aseptic environment is enhanced by positive pressure in the room moving air out into the corridor and taking particular matter with it.
What is: keeping all OR doors closed, except when obtaining supplied, moving patients and staff entrance?
200
The patient position most likely to compromise the respiratory system is:
A. Reverse Trendelenburg
B. Lateral decubitus
C. Trendelenburg
D. Sitting
What is: C. Trendelenburg? 
400
These are used to verify that one or more of the conditions necessary for sterilization have been achieved within each item
What is: chemical indicator?
400
This should be available on the sterile field to extinguish a fire should one occur
What is: sterile water?
400
When working with a patient on contact isolation precautions, what two items must be worn
What is: gown and gloves? 
400
Procedure name, patient information, surgeon signature, date
What is: completed consent?
400
When arms are out at the sides, they should be positioned at ____ degrees or less
What is: 90 degrees or less?
600
Scrub personnel should change their attire:
A. When contaminated or penetrated
B. After a case ends
C. Upon leaving or re-entering the OR environment
D. All of the above
What is: D. all of the above?
600
The 2 locations to avoid when placing a grounding pad
What is: bony prominences, and where metal implants are located?
600
What is: incorrectly stocked tray?
600
The time frame a medication must be labeled when placing onto a sterile field.
What is: immediately?
600
If the patient's arms are placed palm-side down during positioning, what structure is most commonly injured?
A. Obturator nerve
B. Ulnar nerve
C. Brachial plexus
D. Median nerve
What is: B. ulnar nerve? 
800
Metal , non porous, no lumens at 270°-272° for a 3min cycle
What is: sterilization parameters?
800
Aid in the safety of the staff by reducing tripping hazards in the OR
What is: cord protectors? 
800
Final verification
What is: taking responsibility for documentation in a patient's chart?
800
This should be maintained between 20 °C -23 °C.
What is: OR temperature? 
800
This nerve bundle runs through the shoulder and supplies nerves to the lower shoulder, arm and hand.
What is: Brachial Plexus? 
1000
Require biological and chemical indicators, sterilized on a 10 min cycle at 270 ° and must be kept quarantined on a sterile field until result is available
What is: implement immediate sterilization parameters?
1000
Taking responsibility for the removal of all of these items prior to sending trays to MDRD
What is: sharp safety?
1000
Submitting documentation to report events that may or may not affect patients
What is: an incident report?
1000
Humidity level in the OR
What is: normal range is 30%-60%? 
1000
Which of the following positions and positioning devices are associated with causing injury to the common peroneal nerves?
A. Lithotomy position and the use of stirrups
B. Supine position and the use of a shoulder brace
C. Trendelenburg position and the use of a footboard
D. Modified Fowler position and the use of a headrest
What is: A: lithotomy position and the use of stirrups?