Jewelry of any kind is a potential source of pathogens. The recommended standard is to __________?
What is to remove all jewelry?
100
The way you move your table in to surgical area.
What is hands on top?
100
There is no sterile indicator in a package, but it is the last instrument of that kind. As a scrub nurse you would?
What is do not take it?
100
This Wound Classification is used when there is bile leaking from the gallbladder into the patient's peritoneal cavity.
What is Contaminated (Class III)?
100
If water is found in a basin when the sterile wrapper is opened, the basin is considered ______________.
What is Contaminated?
200
When using a water facilitated hand scrub, hands should be held ____________?
What is above the elbows and away from the surgical attire at all times (ORNAC 2013).
200
The amount of space that should be left between sterile and non-sterile surface is __________?
What is 12 inches or more?
200
Instruments and trays are visually inspected for___________ &____________ prior to dispensing onto the sterile field?
What is moisture and integrity?
200
What is the order a scrub nurse should take when counting sponges?
What is count the field first, mayo second, and off field last?
200
Sterile gowns are considered sterile at _________________.
What is “the front, from chest to the level of the sterile field?” The neck line, shoulders, and axillary regions are considered contaminated because these regions are areas of high friction and may not provide effective microbial barriers. The surgical gown back is also considered unsterile as it cannot be monitored constantly. (AORN 2014).
300
Prior to scrubbing what should the scrub nurse do?
What is don a mask and protective eyewear?
300
When sterile supplies have been opened, the setup is vulnerable to contamination. The longer a setup remains exposed, the greater the risk of contamination. It is recommended that supplies not be left open before a case _______________.
What is "Unless it is constantly monitored for contamination?"
300
If there is a break in sterile technique, when should corrective action take place?
What is “as soon as it is safe for the patient”? If the patient is at risk the corrective action will have to wait until it is determined safe. Corrective action should include; removing the entire set and whatever has come into contact with the contaminated item, and removing the gloves of the surgical personnel who has touched the item (AORN 2014).
300
Patients who have allergies to foods such as: bananas, avocado, chestnut, apricot, kiwi and tomato, may also have a coexisting allergy to _________.
What is Latex?
300
When removing your gown and gloves, which comes off first?
What is gown?
400
Your surgeon comes in the room and his hands are dripping wet. You give him a towel to pat himself dry and a few water droplets sprinkle on to the sterile back table. What do you do?
What is ask the circulating nurse to get you a drape to cover the end where he dripped so you can maintain the integrity of your sterile field?
400
Surgical Conscience is doing the right thing when _________________________________.
What is No One Is Looking?
400
As a scrub nurse you notice a hair in your instrument pan. You know that it has gone through the sterilizer and high-disinfection. What should you do?
What is “get rid of the instrument pan and change you gloves?” If organic material or other debris is found on an instrument that has been through sterilization or high-level disinfection, there is no way to ensure that the sterilant or high-level disinfectant made contact with all surfaces of the item and with other items in the set. Sterility or high-level disinfection may not have been achieved; therefore, the sterility of the entire set is in question.
400
Because of the presence of an oxygen-enriched environment, surgical procedures around this area carry an increased risk for fire.
What is procedures of the head and neck?
400
Method of gloving surgical team members that is preferred.
What is closed assisted?
500
The majority of normal flora is found _______&_______ the ________ on the hand.
What is “under and around the fingernails”? Special attention should be given to nails, subungual areas, and between fingers and between thumb and index finger. Cleaning under each fingernail shall be done before performing the first scrub of the day (ORNAC 2013).
500
Scrubs need to do this when counting sponges.
What is open all gauze and pull ties on lap pads?
500
_______ is an important skill because of the need for scrub persons to share information to aid the team and to establish good working relationships between team members.
What is teamwork?
500
Traffic in and out of the OR theatre should be kept to a ______.
What is minimum? Bacterial shedding increases with activity. Air currents can pick up contaminated particles shed from patients, personnel, and drapes and distribute them to sterile areas (AORN 2014).
500
Helps provide an effective sterile barrier and prevent microbial transfer from team member’s hands to the patient, and to protect the surgical team member. Also helps to reduce risk of perforation to the inner glove.