CHEAT SHEET Sterility, Best practices, Safety

Basins must be processed

on its side

what is the most appropriate way to remove gown and gloves

gown to gown, glove to glove, skin to skin

what is needed for decontamination

gowns, gloves, shield

if a tech feels faint and needs to sit down, what should they do when feeling better?

rescrub

surgeons mask come untied, what is the best course of action

regrown and reglove

order of how items should be removed from first to last

gowns, gloves, eyewear, shoe covers

What PPE is removed last

mask and eyewear

which part of the mask do you touch when removing

front filter

instruments are run at 230 degrees at 15 PSI, what do you do?

do not use, these are not sterile

if you find an instrument laying in the break room still wrapped, what should you do

open and reprocess it

what can cause cautery burns

settings too high and grounding pad too close to the site

when are timeouts done?

before the case

in a room by yourself and drop something, what do you do?

wait for someone to come in and open a new one

who is the first to respond to a national disaster

local authorities

when removing drapes and there is redness around the incision, what could the cause be

sensitivity to the prep

you have a pack of needles with incorrect amount of needles, what do you do

notify nurse immediately

the patient is prepped on the wrong side, patient is injured, ect… what is this called

sentinel event

surgeon walks into the OR and does a timeout by memory and leaves, what do you do?

review the consent prior to surgery

you relieve a tech, there are meds on the field and they are not labeled, what should you do

throw it out and get new meds

what do you do if there is a fire in the OR

pack the patient and move

when doing a total hip, nurse notices you have contact dermatitis, what is the cause?

bone cement contact

when looking at a laser, what can it injure

cornea

surgeons preference card lists several prolenes for a triple A, what the best thing to do

wait to open and ask the surgeon which one they want

you’re retracting and notice dark blood and have difficulty retracting, what could be the cause?

malignant hypothermia

first count during a craniotomy is done

when closing the dura

when removing a grounding pad you notice dry, cracked, red skin, what is it?

mild burn

patient touches something metal during a surgery with monopolar, what can happen

burn

how is bone cement implant syndrome avoided in total hip

lavage irrigation

what should a surgical tech keep track of and report to anesthesia near the end of the case

irrigation used

disposable of sharps is in a

non penetrating container

when processing, tray can not weigh more than

25 pounds

what is the first thing to check the genesis container

the plastic locks and look at the indicators on them

a non woven pack needs a

towel btwn instruments and wrap when processing

borrowed instruments from another facility should be

reprocessed and re-sterilized