Count Me In & Timeoutsss
When there is a count discrepancy, this must be done before the incision is closed
What is X-Ray?
These are worn on earlobes and can/have fallen into sterile trays and humans in surgery
What are earrings?
These 4 processes are considered what very important steps in the scrub role: squirt, sort, string, spray
What is the 4 S process?
This is stored at the front desk (red binder) and referred to if a disaster occurs
What is the disaster binder?
(Could also say: I don't know but I can find the answer... then call Charge RN)
These 2 humans must read the a count confirming x-ray and verbalize no retained surgical items before wound closure is completed
Who are the attending surgeon and radiologist?
These are not allowed in surgical suites due to a study in Texas that demonstrated that bacteria caused patient deaths?
What are artificial nails, dip, shellac, or gel?
John's Hopkins had "conditional finding" due to immediate threat to health and safety, resulting in potential loss of CMS funding for this finding
What is torn/ripped furniture and positioning devices?
(Call PSS immediately if noticed for removal/replacement)
This process clears lumens
What is squirt?
These words make up the RACE acronym
What is Rescue, Alarm, Contain, Extinguish?
(Could also say: I don't know but I can find the answer... then call Charge RN)
These members of the team must remain still, focused, and engaged in the surgical timeout at all times
Who is everyone?
This needs to be worn while you are prepping
What is a jacket?
This is the mandatory hallway clearance width for patient care areas
What is 8 feet?
This item needs to be removed from the tray prior to starting the 4S process?
What is the white liner?
If a hazardous spill occurs, one would reference this resource (and where is it) to determine how to clean up/protect self
What is the MSDS on Inovanet?
(Could also say: I don't know but I can find the answer... then call Charge RN)
This must be completed prior to incision to prevent RSIs (even on 2 part procedures)
What is an initial count?
This must be worn in patient care areas or anytime there is risk of being splashed by body fluids
What are googles/eye protection?
This item cannot be wrapped, folded, or stored in ORs when not in use to protect the integrity/function of item
What is lead?
What is "policystat"?
This is the dwell time for bleach and oxivir
What is 3 minutes and 1 minute?
(Could also say: I don't know but I can find the answer... then call Charge RN)
Refusing to count at time of permanent relief or when asked by a colleague is considered this.
What is policy violation?
This is the level of mask worn in restricted operating room areas, proven to protect both patients and surgical teams
What are Level 3?
If found unsecured/unattended, this item would be considered a serious safety concern and high level conditional finding
What are medications?
(if found unsecured, what should you do with it?)
If noted for non-compliance with 4S by the TJC, we would receive this type of citation; in addition to putting our patients at risk for infection.
All equipment must be storage, serviced, cleaned, maintained in compliance with its ....
What are the IFUs (Instructions For Use)?
(Could also say: I don't know but I can find the answer... then call Charge RN)