Anesthesia
SPD
Circulator
Scrub
Everyone
100
Where does the Glidoscope live?
In Core B.
100
What is the purpose of Pre-Klenz?
Prevents biological exudates from sticking and caking onto surgical instruments.
100
How do you insert the camera cord into the Stryker tower machine?
Line up the arrow on the machine to the arrow on the cord, push straight in without an angle, do not twist, make sure the cord is completely inserted and there is no gap.
100
What part of your reusable camera cord is not sterile?
Inside of the screw cap. The cap should not be unscrewed until it is thrown off of the field to be plugged in by the circulator.
100
Where are the three code carts in the OR?
In core A, core B, and outside of OR 8/9.
200
What is the purpose of cricoid pressure?
It helps occlude the esophagus, preventing regurgitation and aspiration of stomach contents during intubation.
200
How do we send our instruments back to SPD after a case?
Open all ratchets and chambers, take apart anything that you had to put together, put unused instruments in the basket and cover with a blue towel, put used instruments on top of the blue towel, spray with Pre-klenz thoroughly.
200
What special consideration is there when the Stryker picture printer alarms for low paper or ink?
The paper and color reams must both be changed at the same time, even if one is basically full.
200
What must you be mindful of when putting your mayo-stand over the patient?
The mayo-stand is not leaning against or resting on the patient.
200
How do we speak to each other?
Always with kindness and respect. Treat others how you expect to be treated.
300
What are the different types of anesthesia?
Local, general, monitored anesthesia care (MAC), and spinal.
300
Name 3 things you would do if the indicators in your tray did not change colours?
Do not use the instruments in that tray, change your gloves and gown if the instruments touched them, notify SPD, and write a pass report.
300
Where are the keys for the poison box located?
Bottom drawer of the Omnicell in OR 1.
300
How are surgical patties counted?
Separate them out and count the actual patties, not just the strings.
300
What is the purpose of a closure tray?
To prevent as much cross-contamination as possible and to cut down on the risk of surgical site infections.
400
Name this rhythm.
Ventricular Fibrillation (V-fib).
400
What are some of the most common instruments or accessories that get thrown away by us? Name 3.
Sonicision sheaths and batteries, cysto-tubing luer-locks, hemostats, bugbees, reusable towels, robotic obturators, laparoscopic grasper handle inserts.
400
How do you put a calculus in the specimens section for stone analysis?
Keep search box blank, click "ADD", check "TEST" and uncheck "SOURCE" and "TYPE", look for "Calculi (Stone) Analysis".
400
What should you immediately do when you notice a countable item has fallen onto the floor.
Announce to your circulator what has dropped and kick it away from the sterile area so they can retrieve it promptly.
400
How do we prevent skin injury when applying tape to a patient during the positioning phase?
Do not apply tape directly to the patient's skin. Put a blanket or other barrier over the patient and then apply tape.
500
DOUBLE JEOPARDY!!!
How would a pregnant patient be positioned differently during their supine surgery? And why?
Put a wedge or roll under the right hip so the patient is slightly tilted left.
This prevents compression of the vena cava, ultimately preventing supine hypotension.
500
What are the two most important things we can do to any type of surgical scope that is being taken to SPD to prevent instrument damage?
Slide the protective sheath over the scope and lock into place, and allow nothing to be resting on the scope itself.
500
Name 3 things we can do to prevent patient hypothermia in an extensive open belly case.
Upper and lower bair hugger, blankets, warm saline irrigation, room temperature turned up, IV fluid warmer.
500
What do you do to your case cart before putting dirty/used instruments inside?
Remove all clean/sterile items from the cart before placing dirty items in the same area, even if they are not on the same level of the cart.
500
Who must interpret an X-ray for a miscount?
The surgeon and the radiologist together.