Surgical Smoke
Surgical Site Infections
Cleaning The OR
Surgical Concepts
Disinfection and Sterilization
100
Two types of matter that are found in surgical smoke.
What is chemicals, blood and tissue particles, viruses and bacteria.
100
The wound classification that is given to wounds that are not infected, but the respiratory, genital or urinary tract have been entered under control conditions without unusual contamination.
What is wound class two.
100
An infection that a patient gets during their hospital stay.
What is hospital acquired infection (HAI).
100
The two primary types of energy used for hemostasis in surgery.
What is electrosurgery and ultrasonic energy.
100
Heat sensitive items can be sterilized using this process.
What is Sterrad (Hydrogen peroxide) or ETO (ethyline oxide).
200
The number of recommended number of air exchanges in an operating room suite each hour.
What is 15.
200

A national project that was developed to reduce post-operative morbidity and mortality by 25% by 2010.

What is Surgical Care Improvement Program (SCIP).

200
When turning the room over, what should occur first: removing the trash or cleaning the OR furnishings.
What is removing the trash.
200
The surgical union of 2 normally separate structures to form a continuous channel. May connect 2 blood vessels or two sections of healthy intestine.
What is an anastomosis.
200
The area that is designated for the collection, retention and cleaning of contaminated and/or soiled instruments.
What is decontamination area.
300
The federal agency that enforces laws and regulations ensuring US employees work in a safe, healthy environment.
What is Occupational safety and health administration (OSHA).
300
To help decrease SSI, this practice should be used by all scrub personnel. If not used and there is a break in aseptic technique, the wound classification should be changed from class I or II to class III.
What is double gloving.
300
The type of OR cleaning that is done at the end of the day.
What is terminal cleaning.
300
This device is a safer form of delivering electrosurgical energy in a patient that has a pacemaker.
What is bipolar, ultrasonic or ligasure.
300
The process that kills all microbial organisms, with the exception of high numbers of bacterial spores and prions.
What is high-level disinfection.
400
Another name (not smoke) for the cellular debris created as a result of the mechanical devision or heat-generated pyrolysis of human tissue.
What is plume.
400

A program developed by Medicare to pay hospitals based on their quality of care. Hospitals can either get an incentive or have a payment reduction based on performance.

What is Hospital Value Based Purchasing Program.

400
When the OR floors should be consided contaminated.
What is at all times.
400
When this surgical device is used, there are three primary goals that are being accomplished: hemostasis, occlusion and optimal compression.
What are surgical staplers.
400
Thick masses of cells and extracellular materials that are tightly attached to surfaces and cannot be easily removed.
What is biofilm.
500
Work practice that treats all human blood and coertain body fluids as if known to be infectious for HIV, HBV, and other bloodborne pathogens.
What is standard precautions.
500
The ASA classification that signifies an increased risk for SSIs.
What is >3
500

Intermittent cleaning starts with working from top to bottom, and from the outside perimeter of the room to the center.

What is a principle of zone cleaning

500
An ultrasonic surgical device can seal vessels up to this many millimeters in diameter.
What is 7 mm.
500
This classification system is used to determine how medical items should be reprocessed. It includes the following classifications: critical, semicritical or noncritical based on the risk to patient safety.
What is the Spaulding Classification System.