You need to call this Code in the event of any chemical spill that cannot be cleaned up by the employee involved because the response required is beyond the training and PPE available to them
What is Code Orange?
Case carts with dirty endoscopes need to have this placed on top of the case cart when taken to Decontamination.
What is a red or purple priority cone?
Eye protection must be worn during the operation of this type of laser
What are all lasers?
Triggering agents for Malignant Hyperthermia
What are inhaled anesthetic agents and succinylcholine?
Instrument trays should not exceed ____ pounds
What is 25?
Any spill that can be contained and cleaned up by the employee involved using the training and Personal Protective Equipment (PPE) available to them
What is a Minor or Incidental Spill
The maximum amount of time between precleaning and manual cleaning allowed before additional cleaning is required
What is 1 hour?
These are kept in a designated area and removed when the laser is not utilized. They are accessed only by those authorized and credentialed to operate the laser
What are laser keys?
Malignant Hyperthermia (MH) is an uncontrolled release of intracellular ______ from the skeletal muscle
What is calcium?
The shelf life of a manufactured packaged sterile item is this
What is event related?
This document's purpose is to inform workers on how to handle chemicals safely and react to emergencies.
What is the SDS (Safety Data Sheet) or the former term of MSDS (Material Safety Data Sheet)
When wiping the Olympus endoscope after a procedure, you wipe from the _____ to _____ end.
What is proximal to distal (clean to dirty) end?
This must be done to ensure proper beam alignment and firing of the laser at the start of each case, each time a handpiece is changed, and/or if the laser is moved from its stationary position
What is a test fire?
The only medication that stops the release of intracellular calcium (Ca) from skeletal muscle sarcoplasmic reticulum and reverses malignant hyperthermia
What is Dantrolene (Ryanodex)?
These can be used during the processing and packaging of sharp instruments, especially if the instrument is peel pouched.
What are tip protectors?
This chemical is used for implant fixation in various Orthopedic and trauma surgery procedures but can cause hypotensive events or cardiac events in hypovolemic patients
What is Bone Cement or Methyl Methacrylate
This is the amount of Maximum Storage Time an unused endoscope has before it must be reprocessed.
What is 7 days?
These two things need to be placed on any door allowing access to the room where a laser procedure is being performed.
What are goggles and a laser warning sign (ANSI Z136.1-2014 DANGER or WARNING sign).
The location of the MH cart
What is Anesthesia Supply/Work Room?
This should be placed in an area within a sterilized package that presents the greatest challenge for air removal and sterilant contact. (Clue: more than one of these may be placed in a rigid container)
What is a chemical indicator?
This is the percentage of formalin used in the OR for specimens.
What is 10%
In addition to the patient identifiers, the type of procedure, date and time of procedure, the _____of the endoscope must be recorded.
What is the endoscope's serial number or unique identifier?
In the event of a laser accident or injury, notify your immediate supervisor, Employee Health and complete this
What is a Safety Event Report (SER or Midas)?
This organization tracks incidents of MH and will provide advice during a malignant hyperthermia incident
What is MHAUS?
Disposable wrapping should be checked for this before placing the sterile item on the sterile field.
What are holes, stains, and/or defects?