CHG wipes should be used on all surgical sites except:
Head, face, eyes, nose, ears, and private areas
Where should the bed safety belt be placed?
Approximately 2 inches above the patient’s knees
Where is the sterile area of a person scrubbed into surgery?
The front from the chest to the level of the sterile field
This is used to target and remove uterine tissue, including fibroids and polyps
MyoSure Tissue Removal
Wet time for the Purple Wipes
2 minutes
For safety and efficacy, how long should ChloraPrep be allowed to completely dry?
Minimum of 3 minutes on hairless skin, up to 1 hour in hair
Which of the following is the optimal position for the patient's head and neck during surgery?
Neutral
What are the manufacturers recommendations for the amount of time to scrub each hand with CHG scrub?
3 minutes each, for a total of a 6 minute initial surgical scrub
Uses radiofrequency energy (RF) and saline to provide hemostatic sealing of soft tissue and bone without smoke or char. By controlling bleeding, it has been shown to significantly reduce the incidence of hematoma and reduce surgical time.
Aquamantys
Wet time for the Grey Wipes
Do sterile gloves and sterile towels need to be used for surgical site skin preparation?
Sterile gloves should be worn for performing preoperative patient skin antisepsis. Nonsterile gloves may be worn if the antiseptic applicator is of sufficient length to prevent contact of the gloved hand with the antiseptic solution and the patient’s skin. Sterile towels should be used to remove pooled solution from prepped area or for drying if indicated. Towels placed near the surgical preparation site to absorb drips and excess solution should preferably be sterile.
Safe practices for extending a patient's arms on arm boards include that the:
Arms and wrists should be maintained in neutral alignment
What is the process of opening wrapped sterile packages?
Open the farthest wrapper flap and secure the flap in the hand that is holding the item; Open each of the side flaps, one at a time, and secure the flaps in the hand that is holding the item; Open the nearest wrapper flap and present the item to the scrubbed team member; Before the sterile item is placed on the sterile field, visually inspect the entire wrapper for integrity and presence of moisture
Used for tumescent liposuction, designed for removal of fatty deposits with minimal trauma to the surrounding tissue. This minimizes pain, swelling, and soreness common after surgery. Vibrations break up your fat cells and make it easier for the surgeon and the cannula to permanently suck out the fat cells.
MicroAire Lipo Tower
Wet time for the Orange Wipes
4 minutes
Which patient skin antiseptic products are flammable?
Alcohol-based antiseptics are rated as flammable products. Conversely, chlorhexidine gluconate and povidone-iodine solutions without alcohol are not flammable but may be combustible.
What is the process of tucking a patient's arm with a drawsheeet?
The draw sheet is pulled up between the patient's body and arm, placed over the patient's arm, and tucked between the patient and the OR bed matress
Transfer medications and sterile solutions (eg, normal saline) by:
Transferring to the sterile field as close to the time of use as possible; transferring in a slow, controlled manner using a sterile transfer device (eg. sterile vial spike, filter straw, plastic catheter) unless the medication is packaged for sterile delivery; transferring into a receptacle that is placed near the sterile table's edge or is held by a scrubbed team member; verifying and labeling the medication after transfer
Used to detect cancer through radioactive isotopes that are injected into the lymph nodes; the probe is inserted and tracks the radioactive counts in the nodes; the higher the count, the highest level of cancer present and must be removed
Neoprobe
When should the OR be wiped down?
Every day, before surgery begins; Between patients; After the last operation of the day; and as needed
Which of the following is the optimal pattern for applying a surgical site antiseptic in most cases?
Begin at the surgical site and work outward
Patient's legs should be placed into stirrups slowly and simultaneously, with at least one person positioning each leg.. True or False
True, Slowly and simultaneously raising and lowering the patient’s legs allows the patient’s body to adjust to the sudden shift in circulatory volume.
Before introducing sterile items to the sterile field, inspect items for:
Sterility of the contents, as noted on the packaging; the expiration date, when applicable; package integrity; product integrity (e.g. discoloration or particulate formation in medications and solutions); verification that the external chemical indicators have changed to the correct color, indicating that the parameters for sterilization have been met
This uses a unique freezing method to temporarily block pain signals from nerves in the affected area; provides a form of pain relief for patients who undergo certain invasive cardiac or thoracic surgical procedures
AtriCure Cryo Nerve Block
When is PreKlenz used?
At the point of use prior to transport of instruments to sterilization