Safety features Flashcards
Why is the solution SAGM added to RBC?
{Sodium
Adenine
Glucose
Manitol}
It extends the shelf life of RBC up to 42 days of increased functional viability
What size are the connectors for a breathing circuit?
15mm and 22mm
Why is a breathing circuit corrugated?
Less prone to kinking and increased flexibility
How can you raise concerns of ideas during the crisis?
Your input may be crucial
Probe – make observation or ask clarifying question
Alert – suggest problem and offer possible alternative
Challenge – address person using their name, directly question plan or decision
Emergency – get their attention – say you must listen. Give direct order to avoid immediate harm to patient
What should your checks be during any crisis?
Oxygen delivery FiO2, FGF, bellows or bag moving
Airway – ETT or LMA patent
Breathing – Sats ETCO2 waveform, tidal volumes and rate
Circulation – Rate, rhythm, ischaemia, BP, Peripheries
Depth – MAC or TIVA value, BIS or entropy
Surgery – ask how is the operation going? Review blood loss
What are the preliminary checks before starting a level 2 machine check?
Wash hands
Check bulk gas warning lights and medical gas alarm panel
Turn machine + monitor on
Check machine is plugged into a UPS
Check service dates on machine and patient monitor
Check scavenging is on, and ball float is in the green zone
Depress condenser drain
Check machine moves freely
Attack circuit and gas sampling line
Check sampling line and d-fend are clean and free of defects
Confirm gas analyser registers 21% +/- 3% oxygen
Check low oxygen alarm is set to 21%
Check Aladdin cassettes are full and ports are closed and locked in vaporiser bay and correct agent is identified on the ASD
Check AMBU bag
What does UPS stand for?
Uninterruptible power supply
What level should you replace the emergency reserve oxygen cylinder on the back of the anaesthetic machine?
<5000 kPa
Residual Current Device
An electrical device that monitors current leakage and shuts off if excess, unexpected current is detected
Line insulation Monitor
An electrical device that monitors a decrease in electrical resistance and alerts to any change
True or False: a small current may be sufficient to induce ventricular fibrillation
True
True or false: body protection is sufficient protection from micro shock
False
True or false: micro shock requires a conducting pathway to the heart
True
True or false: macro shock cannot cause ventricular fibrillation
False
True or false: Cardiac protection is sufficient protection from both micro shock and macro shock
True
An operating theatre should be equipped with electrical ________ protection
Cardiac
What is the size of the cylinder on our anaesthetic machines?
Size A
What is the pin index for medical air
1, 5
What is the pin index for oxygen?
2, 5
What is the pin index for nitrous oxide?
3, 5
What is the pin index for cardon dioxide
1, 6
What is the pin index for Entonox?
7
What cylinder has blue and white shoulders?
Entonox
What cylinder has black and white shoulders?
Medical Air
What cylinder has white body and white shoulders?
Oxygen
What cylinder has blue body and blue shoulders?
Nitrous oxide
What is the name for the combination of nitrous oxide and oxygen?
Entonox
What is the Bodox seal made of?
Neoprene
True or false – serial number is engraved on the medical gas cylinder BODY
True
True or false – owner identification is not engraved on the medical gas cylinder BODY
False
True or false – tare weight is engraved on the medical gas cylinder BODY
True
True or false – test pressure is on the medical gas cylinder SHOULDER LABEL
False
True or false – dangerous goods classification is listed on the medical gas cylinder SHOULDER LABEL
True
True or false – the gas content is not listed on the medical gas cylinder SHOULDER LABEL
False
True or false – manufacturers perform a visual endoscopic examination of cylinders
True
True or false – Manufacturers do not perform impact test on cylinders
False
True or false -tensile strength and/or bending tests are performed by the manufacturer
True
What are cylinders traditionally made of?
Molybenum Steel
After how many years of use must a cylinder be tested?
5
True or false – cylinder’s ability to not be flattened will be tested
True
What is the micron size range for a blood filter?
170-200
Who is the universal blood donor?
O Negative
Who is the universal blood recipient?
AB positive
What does SAGM stand for?
Saline, adenine, glucose and mannitol
Who is the universal plasma recipient?
O
In normal use, how many units of blood should be given through a blood filter?
4
true or false – in a massive transfusion, it is acceptable to give more units than 4 through a filter
True
Can rhesus positive blood be given to rhesus negative patients?
No
What blood products should not be given in the same line as RBC’s
Platelets
A haemolytic transfusion reaction causes destruction of what?
Haemoglobin
What is the energy dose for paediatric defibrillation? J/kg
4 J/Kg
What is the energy dose for adult defibrillation?
200J
What does DRSABCD stand for?
Check for DANGER
Check for a RESPONSE
SEND for help
Check the AIRWAY
Check for BREATHING
Start CPR
DEFIBRILLATION
What does VIE stand for?
Vacuum Insulated Evaporator
What are 3 safety features of a Bulk Gas?
Colour coded Pipelines
Non-interchangeable screw thread hose
Colour coded wall connectors
Gas pressure and contents visible on the front of the machine
Second stage regulators: control pipeline pressure surges
What are the 4 tests done on a reserve cylinder?
Internal endoscopic exam
Impact, Bend, and flattening test
Pressure test at 22000kPa
Tensile test: Strips cut and stretched
What are 5 labels on the reserve cylinder?
Name, Chemical and symbol
Substance identification number
Batch number
Hazards warning and safety instructions
Max contents (Litres)
Pressure
Cylinder size code
Storage and Handling
Filing date, shelf life and expiration date