Equipment & Positioning
When positioned supine, at what angle must arm boards be attached to the bed to prevent potential nerve injury.
Less than 90-degrees
Who is responsible for re-stocking the MH cart?
PACU staff
What parts of a surgical gown are sterile?
The chest to the level of the sterile field, sleeves from 2 inches above the elbow to the cuffs, but never the back.
The sequence of counting is....
1st: Incision Site
2: Mayo
3: Back Table
4: Off-sterile field
The following statement describes which “ZONE” for OR traffic?“ Personnel must wear scrub attire, and head/facial hair coverings, (HINT includes: clean storage areas, anesthesia supply room, center cores, corridors accessing the operating rooms, sterile processing room and the decontamination room)
Semi-Restricted Zone
When using the Mizuho Inflatable Mitt for shoulder arthroscopy procedures, what is the ideal range of mm HG for the mitt to be pumped up to.
40-60 mm HG (should not exceed 100 mm HG)
In an active shooter event, what areas are considered safest and how are they identified?
Red Lock Stickers at the top of door frames
Finish the following sentence: “The closest a non-sterile person should ever be from a sterile field is ___”
12 inches
You’re circulating and someone in your room suffers a needle stick. Who do you contact for the blood exposure packet?
The House Supervisor
After being told to go home for the day by leadership, how many minutes do you have to change & punch-out.
15 Minutes
What OR table(s) is the Arthrex beach chair positioner compatible with?
ANY Skytron bed.
Per Brad..Spin the bed so the beach chair is attaching to the FOOT of the bed to prevent pins from hitting emergency stop on the bed
If using slide beds- attach beach chair when bed is centered
In an MH crisis what are cooling measures you might implement
-Ice packs to axilla, groin, head, under body.
-Lavage open cavities with cool fluid
-CBI with cool fluid
-IV fluid at room temp or cooled
Name THREE things that would cause contamination on the field
Hair, Bio-burden, no filters/indicators, rips/tears, foreign objects, bone cement, insects
Regarding specimens: The time between specimen collection and delivery of the specimen to the lab should not exceed ....?
3 hours
What cases are considered coroner's cases?
All deaths in the OR or PACU
Finish the following sentence: The TQ must be deflated for ___ (number of) minutes per every 30 min of inflation time
5 minutes
What can be applied to hair that must remain near a surgical site to reduce the risk of fire?
Water based lubricant – Surgilube - KY
Without a vial decanter, how should you give drugs to the field in a sterile manner?
Draw up medication using a sterile Blunt-tip needle & syringe, take the needle off the syringe and dispense medication into sterile container on the field.
What are the components of a surgical “debrief” at the end of a case
-Verify patient name, Procedure completed, Wound classification, Verify number of specimens Specimen names, Visualization of specimen in appropriate vessel, label affixed to each container
What are TWO things that a nurse tech is not permitted to do without supervision?
counting, decanting meds to the field, picking up patients from Pre-Op, charting, verifying blood product
Who do you call/notify for re-stock if you utilize ANY component of the crash cart during normal business hours
Distribution (meds is pharmacy)
If an active shooter event is announced, what is the order of action(s) you should take?
Run, Hide, Fight
Evacuate/Run:
-Have an escape route and plan in mind. Leave belongings behind. Keep hands visible.
Hide Out:
-Hide in an area out of the shooter's view. Block entry and lock doors. Silence cell phones and pagers.
Take Action:
-As a last resort, if life is in imminent danger. Attempt to incapacitate the shooter with physical aggression and by throwing items.
(From Eric Holsopple Emergency Response Monthly Newsletter with key points)
What are time parameters for use of a Sterile Z Drape (min and max allowed use)
Once sterile field is established, any case delayed for 60 min up to 8 hours should be covered with a sterile Z drape. Sterile fields require continuous visual observation unless covered by a Sterile Z.
Name three situations in which an XRAY can be completed INSTEAD of an instrument count?
ALIFs, Organ Procurements, Extreme Emergencies
What is the “Healthcare Consent Hierarchy” and give an example of when it might be utilized?
Order of priority for who can consent if no POA or healthcare representative has been deemed. Would be used when someone is not able to consent for themselves.