AORN
As close to surgery as possible; constant monitoring; sterile draping of back table
What are the AORN recommendations concerning time frame for opening a sterile field.
Hand hygiene, hand washing and surgical hand scrubs
What are the most effective ways to prevent and control infections?
This is the process used to charge for items not in the Lawson system
What is one-time supply?
Laser goggles/masks, warning signs, water/NACL, wet towels and smoke evacuator
What are safety precautions when using a laser in the OR?
The explanation of risks, benefits, and alternatives for high-risk procedures, sedation, and participation in research projects, as defined by the medical staff and New York State law
What is informed consent?
The farthest wrapper flap, each side flap, and then the nearest flap
What is the order one should open sterile wrapped items?
Helps prevent the formation of bioburden and reduces the risk of corrosion
You do this to attach your electronic signature to sign your documentation
What is verify?
Using a bovie holder, connecting light cord to lenses, allowing alcohol prep to dry for 3 minutes
What are ways to prevent surgical fires?
A patient score of 9 or higher for transfer to floor, or 8 for transfer to CCU unless waived by Anesthesiologist.
What is a PAR/Aldrete Score?
Before the procedure to establish a baseline (initial), closing of a cavity (first), at wound closure or at the end of the procedure (final)
What are the times when a full instrument and soft count are required?
Bioburden, clamped instruments, moisture
What are ways that trays can be contaminated?
This should be entered in the Procedure Description field in the Intra-OP Log
What is the procedure performed as stated by the Surgeon?
An electrolyte medium that can cause hyponatremia and fluid overload when used in procedures
What is Glycine?
AIDET
What is Acknowledge, Introduce, Duration, Explanation, and Thank You?
Position of scrub personnel when the entire procedure will be performed at that level
What is AORN's recommended practice for scrub personnel sitting during a procedure?
Implementing Isolation Precautions
What is Patients with known ongoing infection (C-Diff, ESBL, C. Auris, etc.)?
Prior to administering blood, a visual ID and verification of the blood and patient should occur by two licensed individuals following this process
What is confirming blood with EPIC, the patient's arm band, and blood products ID?
Unexpected rise in patient's ETCO2 level, decrease in O2 saturation, sinus tachycardia, muscle rigidity
What are the early signs of Malignant Hyperthermia?
PACU: one nurse to one patient
Begin this environmental cleaning task with higher surfaces and finish with the lowest levels before the first case of the day
What is damp dusting?
This is often considered the largest risk factor for intraoperative infections
What is the length of the surgery?
** Enter and look up number under implant/explant tab
What is the correct way to chart human tissue?
Head and neck procedures, thoracotomy and where there is a potential for reopening procedure
When are the times the scrub nurse should remain sterile and keep the back table sterile?
Treatment for local anesthesia toxicity
What is intralipids?