periop. safety:pt. focus
medications
wound closure
periop. safety:intro.
sterilization & disinfection
100
Verification of correct patient’s identity by name on the ID band, date of birth, or MRN should be performed preoperatively. Confirmation is made by use of these are considered the ______.
What are patient identifiers
100
A system designed to reduce errors in prescription orders and that allow electronic recording of medication administration.
What is Computerized-provider order entry (CPOE) system?
100
What type of needle has a smooth point with no cutting edges and pushes tissue aside when passing through. It may be used for peritoneum, pleura or muscle.
What is taper point needle
100
Distraction (e.g., background noise, conversations, radios), Fatigue and/or sleep loss, Drugs (including alcohol, and caffeine), Juggling multiple activities, Stress, Boredom, Frustration, Anxiety, Anger, Physical stamina due to occupational musculoskeletal injuries (e.g., back, shoulder) are factors that contribute to this.
What is medical errors
100
Can immediate-use steam sterilization be used as a convenience for the surgeon?
What is NO. This should only be used when there is insufficient time to process by the preferred wrapped or container method.
200
Keeping correct counts and performing methodical wound explorations are strategies to preventing ______.
What are retained surgical items
200
A patient showing signs of initial tachycardia/hypertension, metallic taste, confusion, tinnitus and later bradycardia/hypotension is most likely experiencing _____
What is systemic toxicity of local anesthetic
200
name one synthetic absorbable suture
What is Poliglecaprone – Brand name is Monocryl o Poliglyconate – Brand name is Maxon o Polyglactin – Brand name is Vicryl o Polyglycolic Acid – Brand name is Dexon o Polydioxanone – Brand Name is PDS AND PDS II
200
These errors occur when our attention is diverted and we fail to monitor the actions we are taking.
What is skill based behavior errors?
200
1. Question: What is the first step in the sterilization process?
what is cleaning?
300
Exposure to these products can cause 3 different types of adverse reactions including: irritant contact dermatitis, immediate type 1 hypersensitivity reaction, or delayed type IV hypersensitivity reaction
What is latex
300
Opiods, benzodiazepines and propofol are all examples of what type of sedation agents in which allow the surgical patient to maintain a patent airway and respond to verbal/physical stimuli?
What is moderate sedation agents
300
What are the two types of NATURAL suture that are absorbable
What is surgical gut and collagen?
300
The steps taken to avoid surgery on the wrong site of the patient.
What is - Patient participation, identifying the patient, marking the site, time out.
300
4. What is the indicator that a sterilization cycle has been successful with regards to biological monitoring?
What is no growth
400
Before a patient is _____ from the OR bed to the gurney, wheels should be locked in place to prevent injury
What is transferred
400
Medications that are removed from their original package and placed in a secondary container without a label should be placed here.
What is the garbage
400
These are four materials that can be used for skin closure.
What is suture, staple, skin clips, skin adhesives?
400
When a nurse misinterprets a situation or incorrectly applies a rule.
What is knowledge based performance errors?
400
Name the state of mental alertness to errors, and the ability to speak out about breaks in technique, combined with the ability to set aside personal preferences and prejudices in order to provide optimum patient care.
What is surgical conscience
500
This organization developed the 2016 Hospital National Patient Safety Goals to prevent mistakes in surgery
What is the joint commision
500
These are the seven components of patient rights regarding medication administration
What is the right 1. Patient, 2. Medication, 3. Dose, 4. Time, 5. Route, 6. Indication and 7. Documentation?
500
How long after application does it take skin adhesives to attain the strength of healed tissue?
What is 7 days?
500
Pressure Ulcer stages III and IV, Falls and trauma, Surgical site infections (SSI), Retained foreign object (RFO), Wrong site surgery and Deep Vein Thrombosis (DVT) have this in common.
What is facility acquired conditions that are not reimbursed.