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OR training program > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

__ tardies = 1 occurrence

A

3

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2
Q

1 absence / call in = __ occurrence

A

1

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3
Q

If I call out for 3 consecutive shifts because I am sick how many occurrences have I accumulated

A

1

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4
Q

If I call out 2 days in a row, work my next scheduled shift and then call out again for the following shift how many occurrences have I accumulated

A

2

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5
Q

If I call out for 3 consecutive shifts but for different reasons each day how many occurrences have I accumulated

A

3

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6
Q

T/F: If I am sent home from work by employee health it does not count as an occurrence

A

False

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7
Q

If I call out for 3 consecutive shift d/t inclement weather how many occurrences have I accumulated

A

3

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8
Q

All Ors should have ____ pressure rooms

A

positive

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9
Q

What is the minimum number of air exchanges per hour for inside the OR

A

20

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10
Q

acceptable temp range for inside OR

A

68-75 degrees F

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11
Q

acceptable humidity range for inside OR

A

20-60%

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12
Q

What are the 3 areas that relate to the traffic patterns in the OR (determine what is needed to maintain sterility)

A
  • restricted
  • semi restricted
  • unrestricted
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13
Q

What PPE is needed for the restricted area

A
  • hospital scrubs
  • hair cover
  • mask
  • shoe covers/OR shoes
  • eye pro at sterile field
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14
Q

What are examples of the restricted areas (2)

A

OR
Decontam area

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15
Q

What PPE is needed for the semi restricted areas

A
  • hospital scrubs
  • hair coverings
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16
Q

What are examples of semi restricted areas (7)

A
  • OR corridor
  • prep and pack
  • sterile storage
  • ortho workroom
  • percussion workroom
  • OR pharmacy
  • anesthesia workroom
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17
Q

PPE for unrestricted areas

A

none –> street clothes

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18
Q

Examples of unrestricted areas

A
  • control desk
  • locker room
  • holding room
  • PACU
  • Stat lab
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19
Q

3 key takeaways to prevent infection (think broad)

A
  • correct surgical attire
  • traffic patterns
  • air quality
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20
Q

3 requirements for SCDs

A
  • pt >60 yo
  • surgery will last > 60 min
  • any major surgery
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21
Q

What are the 3 components of the fire triangle

A
  • fule
  • ignition
  • O2 (other flammable gasses)
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22
Q

What are examples of fuel for fire (5)

A

anything that will burn
- linens drapes sponges
- hair coverings
- EtOH based prep
- human hair
- trach tubes

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23
Q

What are examples of ignition sources (3)

A

stuff that gets hot
- bovie tip
- light cord
- laser

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24
Q

What are examples of oxidizing agents (2)

A
  • O2
  • anesthetic gasses
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25
Q

T/F: the fire concern is addressed in the incision timeout

A

False : it is addressed in the prep timeout

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26
Q

Who determines if we will evacuate the OR during a fire?

A
  • anesthesiologist
  • incident commander
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27
Q

RACE

A
  • rescue
  • alarm
  • contain
  • evacuate
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28
Q

A patient signed a correct consent form while they were at their doctors office. How long is this consent good for?

A

90 days

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29
Q

A patient admitted to the hospital after a MVA, a correct surgical consent is obtained for this patient. How long is this consent good for

A

30 days

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30
Q

A patient signs a serial consent, at what point is this consent no longer valid.

A

Once the procedure name would have to be changed to be accurate.

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31
Q

If a patient is undergoing 2 separate procedures preformed by different surgeons how many consents are needed? Would this be different if both procedures were preformed by the same surgeon?

A
  • 2
  • yes : you would only need 1 if the same surgeon was preforming both procedures
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32
Q

Can you change anything on the consent form after it has been signed? what do you do if changes need to be made?

A
  • no
  • get a whole new one
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33
Q

T/F: the physician can witness the signature on the consent form if they witness the patient signing the document?

A

false

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34
Q

A patient goes to the assessment clinic before surgery, the provider there provides and H&P. How long is this H&P good for?

A

30 days

35
Q

When checking the chart for an H&P before surgery what are you looking for?

A

H&P w/I 30 days and 24 hour update –> if the patient is arriving from home this update cannot be done until the patient has checked in

36
Q

A sentinel event occurs when … (3 broad topics)

A
  • patient death
  • permanent harm
  • severe temp harm
37
Q

What are examples of sentinel events

A
  • wrong pt
  • wrong site
  • wrong side
  • wrong surgery
  • unintentional RSI
  • fire/flash/flare
38
Q

3 goals of aseptic technique

A
  • optimize wound healing
  • prevent infection
  • reduce recovery time
39
Q

8 principles of ascetic technique

A
  • everything used and in contact with wound must be sterile
  • a permeated barrier is contaminated
  • edged of wrapper are not sterile
  • established sterile part of gown : nips to navel + 2in above elbow
  • only table tops are sterile
  • restrict moment around sterile field
  • move sterile to sterile or unsterile to unsterile
  • when in doubt throw it out
40
Q

3 main components of surgical conscious

A
  • personal awareness of each member to the sterile field
  • strictly adhering to aseptic principles
  • willing to speak up if contaminate
41
Q

What is the best indicator of sterility

A

the biological indicator –> we don’t check this tho…

42
Q

4 high risk foods for latex allergy

A
  • banana
  • kiwi
  • chestnut
  • avo
43
Q

What are the 3 types of latex allergy

A
  • irritant contact dermatitis (mild - not an actual allergy)
  • cell mediated contact dermatitis
  • IgE mediated hypersensitivity
44
Q

cell mediated contact dermatitis = type ___

A

type 4

45
Q

IgE mediated hypersensitivity to latex = type ___

A

type 1

46
Q

If a person has a know latex allergy what should we do to prevent a reaction (4)

A
  • first case of the day : damp dust
  • remove all latex and check supplies
  • signs on door
  • ensure bed and arm board are covered
47
Q

When should you use RFID sponges

A

when you are working in a cavity or a cavity in a cavity –> don’t use if not in a cavity

48
Q

When should you wand for RFID sponges

A

before skin closure

49
Q

T/F: you use FRID sponges in a foot I&D- you don’t have to wand because you didn’t go into a cavity

A

FALSE - required for all cases that use RFID

50
Q

T/F: I don’t have to count because I can wand for the RFID sponges

A

FALSE

51
Q

Who can count?

A

RN&RN
RN&Scrub

52
Q

When do you count

A
  • initial
  • adding on to field
  • staff relief
  • prior to closing a cavity in cavity
  • prior to closing a cavity
  • prior to skin closure
  • at your discretion
53
Q

What order do you count the stuff (categories)

A
  • sponges
  • sharps
  • materials
  • instruments
54
Q

What order do you count in relation to where it is on the sterile field

A
  • up
  • mayo
  • back table
  • off field
55
Q

4 situations that require automatic X-ray

A
  • trauma where first count was omitted
  • 3/+ permanent staff relief
  • UNEXPECTED change in procedure - not in posting
  • previously packed sponges removed and incision is closed
56
Q

6 steps if your count is wrong

A
  • recount
  • announce to team
  • look for it
  • call charge
  • call x ray
  • tell anesthesia to keep patient asleep
57
Q

When can the surgeon decline xray if the count is wrong

A
  • the pt is so unstable : need to do it in ICU
  • the needle is so small it is not thought to cx harm
58
Q

8 ex of countable materials

A
  • bovie tip
  • vessel loops
  • shods/ booties
  • dr fog
  • clips cartridge
  • scratch pad
  • bulldog / KK clip
  • umbilical tape
59
Q

3 parts of universal procedure and what does it do?

A
  • pre procedure verification
  • procedure site marking
  • incision time out
    –> prevent SE
60
Q

When is the H&P, consent, and confirming any needed materials are on site done?

A

at or before sign in / pre procedure verification

61
Q

When is the site marking checked

A

pre procedure verification

62
Q

What are the 5 “timeouts”

A
  • pre procedure verification
  • chart label confirmation
  • prep verification
  • incision timeout
  • closing timeout
63
Q

When is the closing timeout completed

A

after closing counts are correct but before skin closure

64
Q

CDJ def and cx

A
  • human prion disease = neurodegenerative disorder
  • cx by incorrectly folded proteins
65
Q

What type of CJD is linked to cows

A

varient

66
Q

what type is CDJ is transmitted through medical or surgical interventions

A

iatrogenic

67
Q

how is CDJ dx

A

brain biopsy / autopsy

68
Q

What type of instrument are used with CJD pts?

A

disposable

69
Q

what do use to clean after a CJD case and what is the wet time

A

bleach 30 min - 1 hr

70
Q

3 levels of disinfection

A
  • critical : require sterilization
  • semi critical : high level disinfectant
  • non critical : low to moderate disinfection
71
Q

ex of critical item for disinfection

A

items that enter a sterile body cavity or blood vessel

72
Q

x of semi critical item for disinfection

A

non interact skin / mucus membranes (scopes)

73
Q

6 steps of instrument processing cycle

A
  • point of use clean
  • decontam
  • assembly
  • packaging
  • sterilization
  • storage
74
Q

What is point of use cleaning

A

cleaning that starts in the OR during and after procedure
- using STERILE WATER to rinse instruments
- spray foam for bioburden

75
Q

4 parameter measured for steam sterilization

A
  • temp
  • time
  • pressure
  • moisture
76
Q

most common way to sterilize

A

steam

77
Q

4 phases of steam sterilization

A
  • conditioning
  • sterilization
  • exhaust
  • dry time
78
Q

IUSS def

A

immediate use steam sterilization –> basically no dry time

79
Q

What is event sterility

A

you assume the item is sterile until the package is damaged

80
Q

when does terminal cleaning occur and what does it include

A

Q24H or after an isolation patient
EVERYTHING: wheels, lights and tracks, step stools, light switches, phones, push plates,

81
Q

order to clean OR (4)

A
  • overhead lights
  • peripheral furniture
  • bed
  • mop
82
Q

sanicloth dry time

A

3 min

83
Q

bleach cloth dry time

A

4 min

84
Q

isopropyl EtOH dry time

A

instant

OR training program (1 decks)

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