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Orientation to the Operating Room Flashcards | StudBud
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Orientation to the Operating Room
Orientation to the Operating Room
42 terms
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StudBud Administration
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Perioperative Care of the Patient
Flashcards
42 cards
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Practice quiz
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Questions
42
Answers
1
What do we do with pathology specimens on off shifts, weekends, or holidays?
Answer 2 and 3
Call or web page the Pathology Resident on call
Call or web page the Pathology Runner
Place them in formalin in the specimen refrigerator
2
What type of
precaution
is used when handling a specimen
Standard
Airborne
Droplet
Contact
3
Non disposable items are double bagged, labeled, & quarantined until biopsy results obtained.
True
False
4
When an incorrect count is found, the only exception to a mandatory intraoperative x-ray are:
Patients under 8 kg
a and b
Ophthalmology Cases
Incorrect count for micro-needles (8-0 or smaller)
5
Which of the following case (s) require a preliminary count (additional)?
LVAD (left ventricular assist device)
Hollow organ (cavity within a cavity)
Closure of any cavity with mesh (synthetic or biologic)
Posterior spine
6
Who supplies the the yellow totes?
Environmental Services
Hospital Stores
PSAs
MPD/SPD
7
Specimen Requisition Contains
All answers listed
Special testing, specific instructions
Type of specimen, clinical history
Patient, name, MR#, and DOB
8
Specimen handling involves closed loop communication, who participates in this process?
All of the above
Circulator
Surgeon
Scrub
9
Who supplies the orange waste bags and CJD labels?
PSAs
Hospital Stores
Environmental Services
MPD/SPD
10
When there is an incorrect number of sponges in the bundle (i.e. 6 lap sponges instead of 5):
remove the extra sponge to make it the correct number
remove package and all sponges in package from room
extra sponges noted on count sheet
place extra sponges under an instrument tray for later
11
The CJD label should not cover the chemotherapy label on the yellow tote.
False
True
12
Incorrect count with missing item, a recount of this item must be done even if item is found
False
True
13
Which of the following is not a risk factor for RSI?
staffing changes
being male
abdominal and pelvic cases
high BMI
14
When quarantining instruments or equipment they should be labeled with:
Dated Quarantine Label
Dated CJD label
Dated biohazard label
None of above
15
What is Indivumed?
German reference lab for specially consented tumor specimens
Retirement company
New equipment in the OR
Chemotherapy agent
16
What cleaning solution is effective for immediately cleaning up CJD spills?
Bleach Wipes
CaviWipes
Bleach based disinfectant
Bleach solution (1/10 dilution) contact for 15 minutes
17
How to you handle a Lymphoma protocol specimen?
Call Pathology Runner Monday thru Friday 7a thru 10p
Place Lymphoma sticker on specimen container not lid
All of the above
Call or web page Pathology Resident on off shifts
18
What is not a risk factor for retained surgical items?
high BMI
being male
abdominal and pelvic surgeries
Changes in nursing staff during a case
19
What elements should appear on a specimen label
staff initials
Patient name, MR#, DOB
all of the above
Name, type, and laterality of specimen
20
Which specimens are never placed in Formalin?
Lymphoma
Microbiology
Cytology
Frozen section/Neuro frozen section
21
Renal stones should be sent to?
Pathology
Microbiology
Chemistry
Cytology
22
circulator and scrub audibly and visibly count in a systematic and continuous manner
True
False
23
Instruments that are difficult to clean should be disposed of in:
Red bags
Orange bags
Yellow totes
Sharps buckets
24
What label is placed on orange bags when disposed of by ESWs?
CJD label
Chemotherapy label
Creutzfeld-JaKob Disease waste for incineration only label
Biohazard label
25
What hours is the Pathology Runner Available
Monday thru Friday from 7am to 5pm
Monday thru Friday 24 hours per day
All Week from Monday thru Sunday 24 hours per day
Monday thru Friday from 7a to 10 pm
26
1. This tissue has “high CJD infectivity”.
Urine
Spinal cord
Cerebrospinal fluid
Lung
27
Maintaining an organized sterile field and standardized setup reduce the risk of RSI
True
False
28
Initial counts include sponges, sharps, misc. items & instruments on all procedures except eyes
false
true
29
Using power drills, instruments with small lumens, and image guided equipment is appropriate.
True
False
30
Documentation of counts includes all except:
Names and titles of staff counting and results of count
Only that the counts were performed
# of counts performed, names & titles of staff counting
Number and location of intentionally retained items
31
OR cleaning following a case involving a patient with suspected CJD involves ?
Instruments are sent to MPD for reprocessing
Hospital approved disinfectant, white, red, and green bags
Garbage, linen, and PPE disposed of in orange bags
Use of 10% bleach solution
32
Intraoperative X-rays must be completed for the following situations:
incorrect counts, risk for RSI, ant. thoracolumbar fusion
Pts. w/ low BMI, incorrect counts, ant. Thoracolumbar fusion
Incorrect counts, risk for RSI, Cervical Spine fusion
return to OR with open wounds, missing micro needles
33
Instruments with multiple pieces are counted as a single item (chest retractor, suction)
True
False
34
Special disease specimens (CJD, TB, Anthrax, hemorrhagic fevers, Chlamydia) are delivered how?
Pathology Runner Tubes specimen
Pathology Runner Hand Carries Specimen
Tube Specimen
Call or web page pathology resident on call
35
1. This tissue has “low CJD infectivity”.
Peripheral nerve
Gingiva
Pituitary tissue
Placenta
36
A correct closing count includes all of the following except:
Circulator announces first closing count
Anesthesia has no role in maintaining correct counts
Music is turned off
Surgeon performs wound sweep
37
Can I release tissue infected with CJD, Rabies, Small Pox, hemorrhagic fevers
Yes, with a signed release
Yes
No
38
This tissues has “no CJD infectivity”.
Saliva
Lymph nodes
posterior eye
olfactory epithelium
39
What tests go on paper requisition Blue Chemistry Form #185?
Answer 1 and 2
Renal Stones
CSF
Microbiology
40
Can specimens be released to patient or authorized representative?
Yes, per surgeon protocol
Answer 1 and 3
No
Yes, with a release completed prior to surgery
41
You can send one specimen to Pathology and Microbiology if you?
Place order for both in eRecord by clicking shared specimen
Tube specimen to pathology first click shared specimen
Tube specimen to microbiology first
Answer 1 and 3
42
One does not have to use the Bag-It system if you have used 10 or less of any sponge
True
False