Perioperative Environment

Question 1

What the 3 categories or the surgical safety checklist?

Answer 1

Briefing
Time out
Debriefing

Question 2

What are some examples of things covers in the briefing stage?

Answer 2

Confirm pt - 2 identifiers
Allergy
?pre op abx
Consent 
Pt warming 
Special precautions

Question 3

What is covered during time out and when is it done?

Answer 3

Before incision

All team members

Confirm pt, procedure, site, positioning, fire risk assessment

Question 4

What’s done in debriefing period?

Answer 4

Counts
Specimens labeled 
Intraday operative events 
Ex. Any errors? 
Hand off

Question 5

What is the joint commission focus?

Answer 5

Quality and safety

Standardization of methods

Question 6

What is a sentinel event?

Answer 6

Unexpected occurrences involving death or risk of serious injuries

Ex. RSI’s

Question 7

How t improve safety issues in Perioperative environment?

Answer 7

Team work/communication
Checklists/documentations
Briefing/time out/debriefing
Hand offs

Question 8

Key things when marking surgical site?

Answer 8

Needs to be marked by surgeon performing sx
Involve patient when possible
Must remain visible after skin prep/draping

Question 9

How to prevent RSI’s?

Answer 9

Establish baseline count 
Count when new items are added 
Count before relief of scrub or circulator change 
Count when cavity closure begins 
Count at end of procedure

Question 10

What did the safe medical device act of 1990 mandate?

Answer 10

Must report all incidents resulting from defective medical devices or user errors that cause harm

Question 11

What do manufacturers instructions do?

Answer 11

How to assemble device
How to use
Cleaning
Storage

Question 12

Steps to safely use equipment?

Answer 12

Follow manufacturer’s instructions 
Inspect before use
Confirm equipment/accessories available 
Remove damage/broken equipment from use 
Preventing STF’s

Question 13

Compressed medical gas cylinders safety?

Answer 13

Ex. O2, nitrogen, CO2, argon

Use appropriate regulators
Turn off before disconnecting
Check levels in tank
Appropriate handling and storage

Question 14

Latex allergy?

Answer 14

Identify in pre op assessment 
Communication asap 
Allergy band 
Remove all latex products from OR
Allow air air exchanges to remove proteins

Question 15

Safety for chemical spills?

Answer 15

Ex. Formalin, cytotoxics, cleaners

SDS 
Spill kits 
Eye wash stations 
Safety pouring 
PPE

Question 16

What are waste anesthetic gases?

Answer 16

Small amounts of gases that leak from breathing circuit into the OR

• always assess tubes, masks for leaks and poor connections

Question 17

Hazardous waste bags?

Answer 17

Red - regulated medical waste

Yellow - hazardous waste

Question 18

What to do if there’s a power outage?

Answer 18

Back up generators
- red plus
Portable O2
Flash lights

Question 19

How to prevent falls in OR?

Answer 19

Clean up spills 
Cover cords 
Reduce clutter 
Adequate lighting 
Warning signs ex. Wet floors 
Proper footwear 
Breaks on bed

Question 20

Failing to follow manufacturers results in what?

Answer 20

May result in patient injury
Invalidate warranty
Accreditation organization citations