Infection Prevention
What is the wet time for Oxivir?
1 minute
Besides the patient's name, what are the patient identifiers that can be used during the patient verification process?
Date of Birth
MRN
When should MPADSS be assessed and documented?
On admission, discharge, and PRN in Phase II
What resource has emergency response plans?
Emergency (Red) Binder
Emergency Management Webpage
How do you call "Anesthesia STAT"?
Dial #00, Zone 2
What are the component's of WHO's "My 5 Moments of Hand Hygiene"?
1. Before patient contact
2. Before aseptic task
3. After bodily fluids exposure
4. After patient contact
5. After contact with patient surroundings
When is an internal H&P required?
If the H&P has been completed within the last 30 days, but more than 24 hours prior to the procedure.
When should Modified Aldrete be documented?
On admission, discharge, and PRN in Phase I
Post procedural sedation
PRN in any phase
Where are the code carts and MH cart located in OSC?
Code carts - across from each nurse's station, PACU, & OR equipment alcove
MH cart - OR equipment alcove
Where would OSC evacuate if a horizontal evacuation was ordered?
Employee entrance
True/False: Based on the SSI Prevention SOP, all patients with body hair can be clipped regardless of having an order placed.
False
What is required prior to completing a permission for procedure form with a patient?
H&P or interval H&P documented
Provider pre-sedation screening/ASA
RBA discussion documented (may be in H&P)
What is it called when the MAR and pyxis do not have consistent documentation of medications administered/wasted?
Medication discrepancy
Where is the nearest fire pull & fire extinguisher for OSC?
Extinguisher: Pre/Post Nurse's Station
Extinguisher & Pull: Employee entrance/time clock
What are 2 non-medicinal interventions for a MH crisis?
100% oxygen
Change anesthesia circuits
Call MHAUS Hotline
Ice packs to head, axillae, and groin
Cool irrigation
Cool IVF
What patients should receive targeted skin prep using CHG wipes?
Any patient with an external incision below the chin, if they do not have site markings.
What is included in the pre-procedure verification process (SBAR with OR)?
Patient ID (2 identifiers)
Documentation (H&P & Anesthesia Eval when applicable)
Complete & accurate permission for procedure (correct procedure, site, laterality, signed, and dated)
Site marking completed (if applicable)
What documentation is required when using a clinical standing order?
clinical support note with smartphrase confirming the patients meet criteria and guidelines listed
What are at least 2 signs/symptoms of MH?
Increased ETCO2
Muscle rigidity
Hyperthermia
Cardiac dysrhythmias/Tachycardia
Hyperkalemia
Myoglobinuria (dark urine)
What medication is used to treat a MH crisis?
Dantrolene or Ryanodex
What is the process for cleaning and disinfecting a glucometer?
1st wipe to clean the meter
2nd wipe to disinfect - 3 horizontal swipes, 3 vertical swipes
What are the 3 elements of universal protocol?
Pre-procedure verification
Site marking
Time-out
What is required by the preceptor when a capstone student charts in Epic?
Co-sign what they documented
(Capstone students should only be documenting what goes into flowsheets - following OpTime documentation guide)
What are 2 signs/symptoms of Local Anesthetic System Toxicity (LAST)?
Tinnitus
Altered mental status
Seizures
Hypotension
Bradycardia
Ventricular arrhythmias
Cardiovascular collapse
If Local Anesthetic System Toxicity (LAST) suspected, what cart is needed and what needs to be obtained from the cart?
Block Cart & Lipid Rescue Kit