RSI
Conduct a count before the procedure to establish a baseline before the patient enters the OR.
What is the initial count?
Performed before sterile gown and gloves are donned and is performed to reduce the skin's resident and transient micro-organisms
What is surgical hand antisepsis or surgical hand scrub?
Must be done within 30 days of the procedure
What is an History and Physical (H&P)?
Using a bovie holder; Connecting light cord to lenses; Allowing alcohol prep to dry for 3 minutes
What are ways to prevent surgical Fires ?
It's characterized by a hypermetabolic state and rigidity of the skeletal muscles and is triggered in patients by several common inhaled general anesthetic agents,and the muscle relaxant succinylcholine.
What is Malignant Hyperthermia (MH)?
Count for all procedures involving an open body cavity (ex, thorax, abdomen)
What is instrument counting?
Are used to create a sterile field.
What is sterile drapes?
It must be in the patient's primary language and fully signed, timed and dated.
What is surgical consent?
Created to prevent wrong patient, wrong procedure, and wrong site surgeries
What is Universal Protocol?
protection against potentially infectious material (gowns, gloves, eye protection, masks, fluid-resistance footwear
What is personal protective equipment (PPE)?
counting must be performed and visualized by
What is the circulator and surgical tech?
Considered sterile in front from the chest to the level of the sterile field and at the sleeves from 2 inches above the elbow to the cuff.
What is sterile gowns?
Use as a major intervention for patients undergoing cardiac surgeries under cardiopulmonary bypass, in obstetric hemorrhage, critical care, trauma, or with acquired defects leading to massive bleeding.
What is blood transfusion?
Performed before each invasive procedure.
What is a timeout?
Is the accumulation of bioburden, which is composed of bacteria and other biological elements.
What is bioflim?
All sponges discarded from the sterile field should be placed in
What is sponge counting sytem?
Only _____ items should come in contact with the sterile field.
What is sterile items?
Should be leak-proof and large enough to allow the preservatives to contact all surfaces of what's inside
What is a specimen container?
Balance, Eyes, Face, Arm, Speech, Time
What is BE FAST? or What is signs of stroke?
Review of pre-op meds, home meds, Alternative/herbal supplements, medical marijuana, and alcohol use
What is medication reconciliation?
If a count is incorrect during a case, the surgeon should perform
What is methodical wound exploration?
Changed every 90 to 150 minutes, when visible or suspected peforation occurs.
What is gloves?
AORN also says that perioperative nurses and healthcare organizations should work to create an environment that encourages team members to openly discuss errors, system issues, and process improvements without fear of reprisal.
What is a culture of Safety?
The 3 locations to avoid when placing a grounding pad
What are bony prominences, tattoos, and metal?
Give 2.5 mg/kg rapidly through a large-bore IV with 60-ml of preservative free sterile water.
What is Dantrolene?