Clean or Not to Clean
OR procedure rooms should be terminally/end-of-day cleaned at least this often.
What is at least once in every 24 hours that the OR is in use?
The Corporate Compliance Officer for BAY.
Who is Heather McAllister?
Briefing "Fire Risk" assessment
What is -
Number assigned following Briefing's review of risk for injury from "fire triangle"
-oxygen (procedures above the clavicles),
-ignition sources (cautery, LASER, fiberoptic cable, microscope) and
-fuel (alcohol in skin prep, drapes, sponges, dry patient tissue and hair).
This program is used for online access to all McLaren policies.
What is
SharePoint ("S" OneMcLaren icon)
Give an example of what NOT to say to a surveyor.
"I don't have time for this."
"I don't know."
Generally anything rude or dismissive.
Describe the proper process for donning PPE.
1. Remove jewelry, artificial nails, etc.
2. Don head, hair and facial covers
3. Don shoe covers (if non-fluid resistant shoes)
4. Wash hands (30 seconds to elbows) or cleanse hands with hand sanitizer
The Joint Commission Universal Protocol
? What is:
1. Pre-procedure verification
2. Marking the procedure site
3. Performing a time-out
Utilizing alternative spaces for patient care or procedures due to a power outage, rescheduling cases if an operating room does not have working air pressure/flow, relocating patients/staff due to no clean water available.
What are
Utility interruptions
Online Search = SDS or MSDS + Chemical name.
What is
How to look up the first aid response to an exposure to a chemical?
OneSource
What is
Location of product and equipment instructions for use (IFU).
Verification of implants, blood products ordered and available, reports, consults, radiographic/x-ray images, special equipment and medical devices that "are" or "maybe" required for the procedure.
Items verified prior to the the patient leaving the pre-procedure area or entering the procedure room.
Missing information, supplies or discrepancies are addressed before starting the procedure.
P.A.S.S
R.A.C.E
What is -
P- Pull the pin A-Aim the nozzle at the base of the fire, S-Squeeze the handle, S-Sweep the nozzle from side to side
R-Remove patient of item A-Activate Alarm; call 2-2-2-2-2 C-Confine – close all doors/windows E-Extinguish or Evacuate
Two (2) staff perform a double check.
Counts
High-Alert Medications
Blood Products
Implants
P1. This is the most important step in infection prevention.
P2. This is the PPE we wear when we are in the vicinity of patients.
A1. What is handwashing?
A2. What are a mask and eye protection?
Types of Fire Extinguishers found in the OR procedure rooms versus outside the OR area.
In OR rooms = Carbon Dioxide (CO2)
Outside OR = Dry Chemical
Distractions that increase risk for error
High noise level
Talking during complex tasks (Omnicell use, counts)
Phone use
Out of sequence communication during Relief of Staff
Name the major difference between Endo GI rooms and OR procedure room air pressures.
What is positive vs. negative pressure.
This system is used to report all events that may or have contributed to an adverse event.
What is Safety 1st?
Damage to the skin and the underlying tissue caused by constant pressure or friction to skin particularly risky if over bony areas such as the heels, elbows, the back of the head and the tailbone (coccyx) may
start as red, blue, or purplish patches on the body. They don't blanch or turn white when touched.
Warning signs and symptoms that may suggest a pressure injury.
Note - Pressure wounds can be more severe than is visible to the naked eye.
The differences between an Failure Mode & Effects Analyasis (FMEA) and an RCA (Root Cause Analysis).
FMEA - Analysis of a high risk process before it becomes a problem of affects a patient. (Prospective)
RCA - Analysis of a previous event to determine the cause and implement changes to prevent a repeat incident. (Retrospective)