Periop 101 AORN Quiz Questions with Complete Solutions

Periop 101 AORN Quiz Questions with Complete Solutions Periop RN is responsible for - ANS: maintaining sterile field & monitoring activity in the room speak up if a break in sterile field occurs QSEN 6 competencies - ANS: 1. Patient centered care 2. quality improvement 3. safety 4. teamwork and collaboration 5. evidence-based practice informatics Asepsis - ANS: absence of infectious organisms Sterile - ANS: an item that is free of living organisms Sterile technique - ANS: the use of specific actions and activities to prevent contamination and maintain sterility Sterile field - ANS: The sterile instrument tables and sterile draping over the patient and furniture creates this area The sterile gown is considered sterile from the _____ to the _______ in front and to ___ inches above the ________ on the sleeves. - ANS: chest, sterile field level, 2 inches, elbow Before opening items on the sterile field, check: - ANS: package integrity (no holes ) expiration date use by date (if applicable) chemical indicators of sterilization processes Opening a rigid container - ANS: 1. inspect container for dents/damage that may affect seal 2. Identify external indicators and when present, verify they are intact and that the correct color change has occurred 3. Remove external indicator entirely (leaving pieces may fall into and contaminate the container) 4. Lift lid up, away from the container, toward you as you back away from container 5. Inspect internal indicators before removing the instrument basket and placing it on the field Opening a small wrapped item - ANS: 1. open top flaw away from you 2. open side flap and contain it in your hand 3. open the second side flap 4. open the final flap toward yourself Contents of a peel pack are considered contaminated if - ANS: peel pack rips flap falls back onto item contents slide over the unsterile edges including the seal Most important action an individual can practice preventing HAI's and transmission of pathogens - ANS: hand hygiene Scrub team should change gloves when - ANS: 1. every 90-150 min 2. when a visible or suspected perforation occurs 3. after touching a helmet hood or visor 4. after contact with methyl methacrylate (bone cement) 5. after touching microscope optics or fluoroscopy equipment How to Cover a Sterile Field: - ANS: • The first drape is placed with a cuff at the halfway point. • The second drape is placed from the opposite side and completely covers the cuff of the first drape. Isolation technique - ANS: used to prevent the transfer of organisms and cells from one site to another. Best practice for bowel surgery and cases involving malignancy strikethrough - ANS: when moisture soaks through drapes, gowns, and packages and renders the item contaminated perioperative assessment - ANS: pt's baseline medical condition, hx of current diseases or conditions, anticipated changes to baseline status as a result of the surgical process Surgical safety checklist - ANS: BEFORE ANAESTHESIA - Pt identity, site, procedure, consent - Site marked - Anaesthesia safety check - Pulse oximeter - Does pt have allergy, difficult airway/aspiration risk, risk of >500ml blood loss BEFORE SKIN INCISION - All team members introduced themselves - Surgeon, anaesthetist and nurse confirm pt, site and procedure - Anticipate critical events = surgeon, anaesthesia, nursing team - Ab prophylaxis within last 60 minutes - Essential imaging displayed BEFORE PT LEAVES OT - Nurse verbally confirms name of procedure, instrument/sponge/needle counts are correct, how the specimen is labelled, any equipment problems - Surgeon, anaesthetist and nurse review concerns for recovery and management of pt Surgical Safety Checklist - ANS: 1. Identify patient 2. Procedure and procedure site 3. Obtain consent 4. site marked by person performing proceudre 5. H&P 6. Preanesthesia assessment 7. Diagnostic test results 8. Blood products 9. Special equipment, devices, implants needed for surgery 10. Beta blocker medications were taken 11. VTE prophylaxis ordered Normothermia measures implemented Risk factors for hypothermia - ANS: low body weight peds/geriatric patients thyroid disorders peripheral vascular disease diabetic neuropathy open-cavity surgeries Procedure related risk factors for VTE - ANS: Surgery > 90 min positioning: hyperextension of knee, excessive hip flexion, reverse Trendelenburg Tourniquet, transplant use emergency surgery concurrent procedures open procedures