CSP
Identify the tracking system used by WSRH
Steris' SPM
All counted items will remain within the OR during the procedure as well as all linen and waste containers until all counts are completed, reconciled and the patient has been ________________.
What is transferred out of the room
Staff should immediately _______ all medications, solutions, compounds or liquids transferred from the original container
What is label
A biochemical chain reaction response “triggered” by commonly used general anesthetics within the skeletal muscles of susceptible individuals
What is Malignant Hyperthermia
Count is 9, not the expected 10. What happens next?
Sponges removed from field, bagged, labeled and isolated from other sponges. If patient hasn't arrived in OR they should be removed from the room.
Name two perioperative commonly used chemicals that have a 3-minute contact time
What are Chloraprep and Sklar disinfectant
T/F: if a medication/solution is prepared and given to the patient immediately, it does not need to be labeled
True
True or False:
AORN recommends a sharps program be in place that should consider the use of alternative cutting devices, alternative surgical incision site closure devices, scalpels, syringes, hypodermic needles, IV catheters, blunt tip suture needles adn blade removal devices that have injury prevention features when clinically feasible
True
In a fire emergency, the role of which surgical team member is to:
Remove drapes and burning material
Douse fire with water from table
Protect patient
What is the surgical technologist
Sharps Safety: The surgeon drops a needle on the floor, once it is found, what happens next?
Inform circulator
count
The spore used in biological indicators
What is Geobacillus stearothermophilus
A count may be initiated by which member of the perioperative team involved in the counting process?
What is ANY member
When positioning a patient, arm abduction should be limited to _______ degrees
What is 90 degrees
When treating LAST (local anesthetic systemic toxicity) the team should consider administering a ____% ________ _________ early, repeating the bolus if the patient remains unstable.
What is a 20% Lipid Emulsion
According to AORN, prophylactic dressings should be applied to bony prominences subjected to pressure, friction and shear. Name a high-risk bony prominence
What is...
Heels or sacrum
The form of low-temperature sterilization used in SPD at WSRH
What is Vaporized Hydrogen Perioxide Plasma
It is the role of the _________ to confirm that all items on the sterile field are intact and speak up immediately when an inconsistency exists
Who is the scrub person (we can accept surgical tech but remember it may not always be an ST at the table)
Positioning: True or False: It is acceptable to use a rolled towel or an IV bag as an axillary roll
FALSE
When defibrillating a 10-year-old patient (no signs of puberty), you should use this size defibrillator pads
When performing a(n) __________, the specimen will be passed off the table to the circulating nurse, wrapped in a blue pad, placed in a biohazard bag, labeled and taken in a cooler to the WSRH lab.
What is an amputation
As a group, please demonstrate passing the specimen off and talk through the procedure for labeling and transport to Lab.
Name the process that will kill everything, including spores
What is sterilization
If a package contains an incorrect number of radiopaque sponges (not 10), should be removed from the field, bagged, labeled, isolated from other sponges and ___________ if the patient has not arrived in the OR yet.
What is REMOVED FROM THE ROOM
To access the AORN eguidelines at Wellspan, I need to go to...
1. AORN.org
2. the "Library Services" link on the Inet
3. Surgical Services Sharepoint Site
4. WSRH Sharepoint Site
5. Find an old copy of the physical book, that's good enough for my purposes. (Your manager likely does have a recent copy of the guidelines for your use)
What is "2", the Library Services Link on the Inet.
From here, you search for "AORN eguidelines 2026", click the link and you're automatically in when you are at a Wellspan location.
After a shock is delivered, the team should ________.
What is immediately restart CPR
Demonstrate opening an instrument tray and removing it to the OR back table.
Upon checking indicators, one is seen to not be completely changed. What should you do next?
When in doubt...throw it out
Save indicator
Involve CSP