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AORN
Infection Control
EPIC
PT Safety
Add-Ons
100
The AORN recommendations concerning time frame for opening a sterile field. (3)
What are: 1. Should be established as close as possible to the time of surgery and monitored continuously. 2. Taping the door shut is not acceptable. 3. No time frame has been established.
100
Most effective ways to prevent and control infections
What are: 1. Hand hygiene 2. Hand washing 3. Surgical hand scrubs
100
This is the process used to charge for items not in the Lawson system.
What is one-time supply?
100
Safety precautions that are the laser operator’s responsibilities (5)
What are: 1. Laser goggles/masks 2. warning signs 3. water/nacl 4. wet towels 5. smoke evacuator
100
CUSP definition
What is the Comprehensive United Based Safety Program?
200
The order one should open sterile wrapped items
What is the farthest wrapper flap; each side flap; and then nearest flap?
200
Steps needed for reprocessing (flash sterilization) in the OR for immediate use.
What are: 1. Ensure that there are no other sterile item that can be used 2. Instrument must be decontaminated in proper area. 3. Place in a closed container and run on P4 cycle.
200
You do this to attach your electronic signature to sign your documentation (log)
What is verify?
200
Ways to prevent surgical Fires (3)
What is: 1. Using a bovie holder 2. Connecting light cord to lenses 3. Allowing alcohol prep to dry for 3 minutes
200
Prior to scanning the blood and patient, a visual identification and verification of the blood and patient should occur by two licensed individiuals following this process
What is EPIC, the patient’s arm band, and blood product ID?
300
Tissue ID number,& expiration date, Tissue Bank, Recovery and Preparation Staff, Reconstitution solution,lot numbers & expiration date, Reconstitution start & stop time
What are AORN/JCHAO required charting data points for implanted allograft tissue?
300
Ways that trays can be contaminated (3)
What are: 1. bioburden 2. clamped instruments 3. moisture
300
This should be entered in the Procedure Description field in the Intra-OP Log
What is the procedure performed as stated by the Surgeon?
300
Your first action when your patient develops a rash following the start of his packed red blood cells transfusion
What is Stop the transfusion and notify the patient’s MD for orders and the Blood bank to describe signs and symptoms?
300
Call blood bank, complete authorization of emergency blood release, take to pharmacy stat.
What are first steps taken to obtain emergency blood for patient without crossmatched blood?
400
Times when an instrument and soft count are required (3)
What are: 1. Before the procedure to establish a baseline (initial) 2. At wound closure or at the end of the procedure when counted items are no longer in use (final) 3. At the time of permanent relief of either scrub or RN circulator.
400
Patients with an open wound and known on going infection i.e.: C-Diff, MRSA
What is when do you need to treat a patient with isolation precautions?
400
What these icons represent (See Screen Shot)
What is A. Patient is under isolation B. Patient has a latex allergy C. Anesthesia pre-assessment not completed D. H&P not updated E. Consents not complete F. Pre-op Labs/Radiology results needed
400
An electrolyte-free medium that can cause hyponatremia and fluid overload when used in procedures
What is Glycine?
400
One of the 2 areas the OR will focus on based on this year’s Gallup survey
What are giving praise and recognition or Having the materials I need to perform my work?
500
AORN’s recommended practice for OR personnel (scrubbed team members) sitting during a procedure.
What is only when the entire procedure will be performed at that level?
500
Times when the scrub nurse should remain sterile and keep back table sterile (3)
When is: 1.Head and Neck Procedures 2.Thoracotomy 3.Appears there is a potential for reopening procedure
500
How to order transfusion of available units of blood product
What is choose Prepare and Transfuse blood products (Red Blood Cells Product Crossmatch and Transfusion), and then deselect Prepare Red Blood Cells (Crossmatch)?
500
Able to witness a surgical permit.
Who are a Nurse, a family member, or a hospital employee?
500
Where a staff member can find information on any chemical used in the hospital, including clean up how to treat exposure.
What is Chemwatch on the Sibley Intranet (MSDS)