Super Duper Stuff
Easy-peasy...?
Safe-T is my middle name
That is...
LUV Joint Commission
100

Venous Thromboembolism risk management - "do NOT apply" sequential TEDS if ...

Patient has Lower extremity: 

fracture, skin graft, dermatitis, DVT known of suspected in last 6 months, post-vein ligation, compartment syndrome, open or infected wounds, limb deformity.

100

During _________ , activities are suspended to the extent possible so that team members can focus on active confirmation of the patient, site, and procedure.

Time-out / Briefing


DOUBLE / DOUBLE Jeopardy question:

DeBriefing includes...

100

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).

100

This program is used for online access to all McLaren policies.

What is 

SharePoint ("S" OneMcLaren icon)


100

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.

200

Describe the proper process for donning PPE.

1. Remove anything artificial on hands and forearms that would be in the way of lower arm to fingertip hand hygiene.  Nail lacquer should be free of chips and cracks.  

2. Don head hair and facial hair covers

3. Don shoe covers (if non-fluid resistant shoes)

4. Wash hands (30 seconds to elbows) or cleanse hands with hand sanitizer

200

Name the major difference between Endo GI rooms and OR procedure room air pressures.

What is positive (OR) vs. negative pressure (Endo).

200

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 

200

OneSource

What is 

Location of product and equipment instructions for use (IFU).

200

The Joint Commission Universal Protocol

? What is:

1. Pre-procedure verification

2. Marking the procedure site

3. Performing a time-out

300

Do not use towels, sheets, or blankets as...

Positioning devices

Studies show they increase pressure, contribute to friction injuries, and decrease the pressure-redistributing properties of the support surface.

Note - Changing the degree of lateral rotation, elevating the head of the bed, moving the limbs) may be sufficient to redistribute pressure and prevent injury

300

Verification of Hair Removal, H&P, Consent, PreAnes Assessment, Preop Nursing Assessment, medications, implants, blood products ordered and available, results/reports, consults, radiographic/x-ray images, special equipment and medical devices that "are" or "may be" required for the procedure to be done is done before...  

Before the the patient leaves the pre-procedure area

- Missing information, supplies or discrepancies are addressed.

300

P.A.S.S

R.A.C.E

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

300

Two (2) staff perform a double check.

Counts

High-Alert Medications

Blood Products

Implants

When buying insurance

300

Labeling medication and solutions, both off and on the sterile field, includes

Name, Strength

Diluent name and volume

Note - all medications on the sterile field are discarded at the end of the procedure.

400

Infection Risk Management includes - 

Control and minimize traffic and door opening 

Equipment setup before sterile opening

Warming patient 

Antibiotic dose and redose

Clean skin and hair control - patient and staff

No spitting in the wound

400

P1. This is the most important step in infection prevention.

P2. This is the minimum PPE we wear when with patients.

A1. What is handwashing?

A2. What are a mask and eye protection?

400

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

400

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

400

The Corporate Compliance Officer for BAY.

Who is 

Heather McAllister

500

Separate decontamination and High-level Disinfection (HLD) areas by this much space

At least 4 ft 

between the decontamination sink and the area where devices are prepared for sterilization or HLD.

500

Online Search = SDS or MSDS + Chemical name.

What is  

How to look up the first aid response to an exposure to a chemical?

500

This system is used to report all events that may or have contributed to an adverse event.

What is Safety 1st?

500

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. 

500

The difference between a Failure Mode & Effects Analysis (FMEA) and a 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)