Ch 13 - The Operating Room Flashcards

1
Q

What are the 5 principles of conduct in an OR

A
  • Sharing goals
  • Having clear roles
  • Mutual trust
  • Effective communication
  • Agreeing with measurable processes and outcomes
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2
Q

What is included in a surgical briefing and debriefing?

A
  • Sign-In - Confirm patient, consent, procedues and site
  • Briefing - Safety checks, steps of procedure, specific measures (ABx)
  • Sign-Out - Name of procedure, swab count, sharps count, confirm samples to be submitted
  • Debriefing - Review the procedure, any near-misses, if any different steps should have been taken, disclose the patient plan
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3
Q

What benefits are provided by a surgical checklist?

A
  • Decrease intra-op surgeon delay >80%
  • Improve patient surgical outcomes
  • Decrease intra-op adverse effects
  • Decrease post-op mortality
  • Overall reduction in hospital mortality
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4
Q

What is the recommended way for sterile team members to change position?

A

Back-to-back or face-to-face with adequate space between them

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5
Q

What is the recommended ventilation within an OR?

A
  • Horizontal, laminar air flow
  • Minimum of 15 air exchanges per hour with a minimun 20% outdoor air
  • 30-60% humidity
  • Temperature 20-23C

Laminar airflow has been associated with a 61% decrease in room bacteria and 92% decrease at the wound site compared to conventional ventilation

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6
Q

Define surgical asepsis

A

Complete absense of contamination by pathogenic organisms

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7
Q

Define antiseptic and disinfectant

A
  • Antiseptic - prevents or reduces the growth or action of pathogenic organisms on living tissue (Alcohols, Iodine)
  • Disinfectant - Agents, usually chemical, that destroy most pathogenic organisms but not spores on inanimate objects. (Quaternarium ammonium compounts, phenols, chlorine and compounds)
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8
Q

What are the properties of an ideal drape?

A
  • Blood and fluid resistant
  • Lint free
  • Anti-static
  • Able to maintain an isothermic environment
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9
Q

What is the recommended gold-standard hand prep?

A

Well-formulated waterless hydroalcohol solutions

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10
Q

List the benefits of disposable gowns

A
  • Less permeable to bacteria
  • More economical
  • Decrease surgical infection rate

Bacteria have been found to easily penetrate reusuable woven gowns within 30min

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11
Q

What are the three options for gloving?

A
  • Closed
  • Open
  • Assisted

Assited gloving it the most sterile way. Closed and open gloving have been shown to cause contamination of the gown, particularly of the cuff, in 100% of cases compared to 0% with assisted

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