Operating Procedures
Per Universal Protocol, final time out is a critical safety pause performed when?
What is immediately before starting a procedure or prior to administering a sedative?
I need to use _______to test suction and air during endoscopy set up to prevent contamination of a highly disinfected endoscope.
What is sterile water?
What is medication reconciliation?
What is process of identifying and documenting the most accurate list of medications that a patient takes?
What is a procedure consent?
What is a legal document where a competent patient or guardian voluntarily agrees to undergo a medical procedure?
What does AAAHC require on allergy documentation?
What is allergen and manifestations?
Per Universal Protocol, what is the purpose of a time out?
What is "to prevent wrong patient, wrong procedure or site, if applicable, and wrong physician?"
To prevent a surgical burn during cautery, avoid placing a cautery pad near or above what?
What are metal implants and pacemakers?
When does medication reconciliation begin?
What is during admission in pre-op or during pre- assessment call, as applicable?
Who obtains the consent for procedure/surgery?
What is primarily the physician and/or nurse practitioner /physician assistant.
What are the 2 most common chart audit fallouts in our facility?
What is incomplete medication reconciliation and missing verbal orders.
Per Universal Protocol, who can initiate time out prior to procedure start?
What is physician, nurse, and/or technician?
A structured community of microorganisms that adheres to the surfaces and channels of the used/dry endoscope and are encased with a self-produced protective matrix.
What is biofilm?
If the patient does not know details of a medication, what do I need to document?
What is unknown or does not remember?
How long are consents valid?
What is indefinitely unless patient indicate withdrawal of consent?
Among physician documentation opportunities in our facility, what metric has the lowest compliance?
What is pathology authentication within 30 days post procedure?
During the final time out, the entire team needs to verify what?
What is correct patient, procedure, site (if applicable), physician, allergies, instruments, implants, as applicable?
Per Pentax Instructions for use, what is the maximum time allowed before manual cleaning must start?
What is before 60 minutes or 1 hour?
The purposes of medication reconciliation are:
What is:
1. Get the most accurate list of medication to prevent errors (omission, duplications, drug interactions)
2. Prevent adverse drug events
Prior to final time out, what do I need to check on consents before agreeing to proceed with procedure?
What is procedure and anesthesia consents are signed by patient, witnessed by a nurse, and signed by physician and anesthesia provider?
What do I do if a patient, nurse, and/or physician/anesthetist signature disappears from Provation Apex after procedure is completed?
What is document the event and file an incident report?
Per Universal Protocol, who are required to participate in an anesthesia pause?
Who is anesthesiologist/CRNA and nurse?
Per AORN, what situations are technicians and circulators must do a surgical count?
What is before procedure start, before closure of a cavity, before closure of wound, at skin closure, and at time of permanent relief.
What are the required components of a complete medication reconciliation prior to patient's discharge?
What is medication name, dose, frequency, last dose taken, and what/when to resume after procedure?
What are the requirements for an informed consent based on Florida statute?
What is the physician/anesthetist explaining the risks and the benefits, recovery time, pain management, and restrictions for the planned procedure and anesthesia?
After writing a verbal order, what is the complete statement under it to be compliant to standards?
What is " Verbal order given by _______ MD to ____RN. Read back and verified.