OR Recommendation
OR Wound classification
Patient Care
Post-op Care
Facts
100

It should be 1/4 inch from palmar surface (policy) or 2mm fingernail tip length (AORN).

What is the recommended nail length?

100

It is a wound classification that includes Perforated viscera, dirty, infected, necrotic wound.

What is Class 4-Dirty/Infected?

100

Recommended by CDC: to do before & after patient contact, immediately after exposure to blood/body fluids, before aseptic technique, and after contact with bed/patient's equipment.

What is Hand Hygiene?

100

As part of antibiotic stewardship- it is the recommended time of d/c antibiotic prophylaxis.

What is 24 hours of surgical end time?

100

The recommended standard solution to reduce SSI is

CHG with 70% isopropyl alcohol

200

It is the recommended patient core temperature to prevent risks of SSI.

What is 98.6*F or 36*C?

200

Wound classification that includes clean, no inflammation/infection, non-penetrating trauma, and wound primarily closed.

What is Clean or Class 1?

200

This initiative decreases number of microorganisms on intact skin and reduces incidence of SSI.

What is CHG bathing?

200

Recommended time to d/c antibiotic prophylaxis for cardiac cases.

What is 48-72 hours of surgical end time?

200

This can occur 30 days post-procedure or up to 90 days or even a year with procedure implants.

What is surgical site infection (SSI)?

300

Scrubs, long sleeve jacket, clean shoes dedicated for OR use, head cover, beard cover, surgical mask, eye protection, ID badge.

What is surgical attire?

300

It is a wound classification that includes respiratory, alimentary, GU/GYN, no evidence of infection, no bile spillage, no major break in sterile technique.

What is Clean contaminated or Class 2?

300

It is the recommended time frame of CHG bathing before surgery.

What is within 12 hours?

300

The surgical site is checked daily for these signs of SSI.

What is redness, swelling, tenderness, or drainage?

300

The only skin antiseptic that destroys spores

Povidone-iodine

400

The recommended time frame of worn nail polish to avoid having cracks/chips that can harbor bacteria.

What is less than 72 hours or 3days?

400

It is a wound classification that includes fresh open wound, bile spillage, acute non-purulent inflammation, major break in sterile technique.

What is Contaminated or Class 3?

400

BONUS!!!

Bonus

400

This is included as patient education for surgical patients.

What is wound care?

400

How would you do a skin prep on graft and donor sites?

Graft and donor sites are prepared separately to prevent cross-contamination from one site to the other. The donor site is prepared first. Colorless antiseptic solutions allow the surgeon to evaluate the vascularity of the graft. Items used in preparation of the recipient site must not be permitted to contaminate the donor site.

500

Most common opportunities to improve hand hygiene in the OR.

What are foley insertion, skin prep, and after removing gloves?

500

The wound classification of an open femur fracture coming to the OR from Trauma bay.

What is Contaminated or Class 3?

500

The CDC recommendation on target glucose level for surgical patients with or without diabetes.

What is 200mg/dl? 

500

Simplest way for caregivers, patients, and family to reduce risks of SSI.

What is Hand Hygiene?

500

Carried in the nose, throat, axillae, toe webs and perineum of 30-50% of healthy people

Staphylococcus aureus

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