Positioning
Emergencies
Fire Safety
Instruments
Miscellaneous OR Knowledge
100
Name three things we do to prevent positional injuries aside from applying safety straps.
Foam on heels, pillow under knees, arms extended less than 90 degrees, gauze/foam in-between IV clamps or Foley tubing, head in straight alignment, gel pad over peg board, legs are equal in lithotomy position, axillary roll when lateral, apply barriers to pre-existing wounds, keep bony prominences padded or free of pressure.
100
What is the code to the cold fluid refrigerator?
911911 Enter
100
What is the minimum dry time for Chloraprep?
3 minutes.
100
Gelpi
100
Name the four parts of Universal Protocol not including check-in.
Huddle (Sign-In)
Pre-Incision (Timeout)
Fire Score
Debrief (Sign-Out)
200
What positioning device must be applied for every single case?
Safety strap/belt.
200
What must be done after transfusing emergency blood units?
Fill out the emergency blood transfusion record and all paperwork provided in the bag and return to Bloodbank.
200
Where are the gas shut-off valves located?
Outside of each OR in the cores.
200
Why do we not wipe instruments with saline? What do we use instead?
The salt in saline can lead to pitting of the metals. We use sterile water instead.
200
Who has the authority to request a count at any point during a procedure?
Everyone.
300
Where do you specifically place an axillary roll?
Slightly distal from the axilla, leaving the axillary nerve free of pressure.
300
How do you overhead an emergency such as a code blue?
Dial or Vocera extension 5555.
300
Name three heat sources that can cause a fire.
Bovie, lighted scope, light cord, laser, any power sources like drills or saws, laparoscopic coagulating instruments, electrical outlets.
300
Name the order of where your items are counted from first to last when closing an incision.
Patient/sterile field, mayo stand, back table, off the field.
300
What must be on the sterile field before an ignition source is activated? Why?
Saline or water.
It wastes precious time to get to the warmer, open it, retrieve a bottle, open the top cap, open the bottom cap, and pour while the fire is spreading.
400
How must the legs in lithotomy position be maintained to prevent injury? *Do not simulate please.*
Equal height, bend, angle, and abduction from the hips. Place pad in-between leg and device if it is putting pressure on it. *TRUE STORY*
400
What are the first two signs of malignant hyperthermia?
Increased end-tidal CO2 levels and tachycardia.
Increased temperature can be an early or late sign.
400
What type of fire extinguisher do we use in the OR?
CO2 extinguisher.
400
What must you do with the Sonicision before tossing it at the end of a case?
Remove the battery, wipe it down, and place it on the charger. Remove the generator and return to SPD.
400
What PPE must be worn during all forms of contact with a specimen?
Gloves
500
What body parts have high occurrences for a pressure injuries during surgery? Give supine and prone.
Supine- Occiput, shoulder blades, sacrum/buttocks, heels, elbows.
Prone: Face, breasts, iliac crests, knees, toes, jewels.
500
Where are the supplies for the cell-saver and rapid transfusor kept?
Cell-saver- Bottom shelf of the irrisept cart in Core A.
Rapid transfusor- Bottom shelf of the fluid cabinet in the room behind 7.
500
What are the three parts of the fire triangle?
Fuel
Ignition Source
Oxidizer
500
Double Jeopardy!
What are three things you must do to a ratcheted laparoscopic instrument without a disposable tip after it has been used?
Open the flush valve, release the ratchet so the tip is open, and spray with an enzymatic solution.
500
When is it acceptable to One-Tray an instrument?
When needed for immediate use during a case. NOT to start a case.