AORN FINAL EXAM QUESTIONS AND
ANSWERS ALL CORRECT
Why do we need cricoid pressure? - Answer- prevent aspiration, visualize vocal cords,
placement of ET tubes
After spinal analgesia, do you watch for hypo or hypertension? - Answer- hypotension
for vasodilation
Define hypothermia and factors contributing to it - Answer- <36.0 thin gowns, cold room,
skin exposure, wet preps, cold IV fluids, lung procedure, anesthesia
Universal Protocol for Wrong Site Surgery from J Co - Answer- -Developed correct
surgery site tool kit to standardize procedures
-patient participation, identifying patient, marking the site, time out
-applies to endoscopy units, not just OR invasive procedures
HIPPA - Answer- federal protections for personal health information
Centers for Medicare and Medicaid administer it
WHO World Alliance on Patient Safety initiatives - Answer- Clean Care is Safe care-
hand hygiene focus
Safe Surgery Saves Lives-surgical safety checklist
Surgical Hand Preparation: discussion on length of pre op hand antisepsis,
encouragement use of brushless hand scrubs, review hand scrub preps
IOM and their report recommendations - Answer- states that changes within
organizations will have most direct impact on making health care delivery processes
safer
Directed at: health care professionals, FDA, health care organizations, medical device
manufacturers
Recommendations:
-strengthen focus of existing processes on patient safety issues
-implement meaningful patient programs and periodic checks on doctors, nurses
licenses
-work with certifying societies to make visible commitments to patient safety, develop
committees
-FDA focus on safe use of medications
What does a culture of safety include? - Answer- -sense of trust
-development and support of a proactive approach rather than blaming
, -dissemination and verification of receipt of info to all staff
-sincere commitment to affirming safety
Skills based Behavior Errors - Answer- attention is diverted and we fail to monitor
actions we are performing
Ex. hits wrong control button, correct button is near incorrect button
Ex. incorrectly programs new machine
Knowledge based behavior errors - Answer- misinterpret a situation or incorrectly
applies a rule
Ex. misinterpret lab results, fails to respond to device alarm, provide indicated antibiotic
prophylaxis
Transmission Based Precautions - Answer- Contact: MRSA, C Dif, direct (people) or
indirect (instruments)
Droplet: keep patients 3 feet away, put mask on for transport
Airborne: TB, rubeola, varicella, bypass pre-op, wear PPE, N95 mask, HEPA filtered
room, wait to clean for 28 minutes for room to filter 99%, last case of day, single patient
room, mask for transport, DO NOT need to contact risk management
Principle Elements of an Infection - Answer- Source or reservoir: people, door handle
Susceptible host: port of entry into human
Method of Transmission: direct, droplet, etc.
Standard Precautions - Answer- *one of the most effective ways to prevent disease
transmissions
Hand hygiene: nurse wash hands PRIOR to greeting patient in pre-op
PPE
Patient resuscitation
Environmental control/contamination
OSHA Blood Borne Pathogen Standards - Answer- PPE: protects mucous membranes
Garments: clothing protects skin
Masks: protects mouth
Eye protection: splashing
Surgical Caps and Coverings
Gloves: need two lays to avoid barrier failure or micro perforations
*don't use paper PPE
Prevention of SSI - Answer- Most from patient's own flora
*Sterile technique: all term members need to utilize this
*Surgical Attire: suit, mask, cap, etc
ANSWERS ALL CORRECT
Why do we need cricoid pressure? - Answer- prevent aspiration, visualize vocal cords,
placement of ET tubes
After spinal analgesia, do you watch for hypo or hypertension? - Answer- hypotension
for vasodilation
Define hypothermia and factors contributing to it - Answer- <36.0 thin gowns, cold room,
skin exposure, wet preps, cold IV fluids, lung procedure, anesthesia
Universal Protocol for Wrong Site Surgery from J Co - Answer- -Developed correct
surgery site tool kit to standardize procedures
-patient participation, identifying patient, marking the site, time out
-applies to endoscopy units, not just OR invasive procedures
HIPPA - Answer- federal protections for personal health information
Centers for Medicare and Medicaid administer it
WHO World Alliance on Patient Safety initiatives - Answer- Clean Care is Safe care-
hand hygiene focus
Safe Surgery Saves Lives-surgical safety checklist
Surgical Hand Preparation: discussion on length of pre op hand antisepsis,
encouragement use of brushless hand scrubs, review hand scrub preps
IOM and their report recommendations - Answer- states that changes within
organizations will have most direct impact on making health care delivery processes
safer
Directed at: health care professionals, FDA, health care organizations, medical device
manufacturers
Recommendations:
-strengthen focus of existing processes on patient safety issues
-implement meaningful patient programs and periodic checks on doctors, nurses
licenses
-work with certifying societies to make visible commitments to patient safety, develop
committees
-FDA focus on safe use of medications
What does a culture of safety include? - Answer- -sense of trust
-development and support of a proactive approach rather than blaming
, -dissemination and verification of receipt of info to all staff
-sincere commitment to affirming safety
Skills based Behavior Errors - Answer- attention is diverted and we fail to monitor
actions we are performing
Ex. hits wrong control button, correct button is near incorrect button
Ex. incorrectly programs new machine
Knowledge based behavior errors - Answer- misinterpret a situation or incorrectly
applies a rule
Ex. misinterpret lab results, fails to respond to device alarm, provide indicated antibiotic
prophylaxis
Transmission Based Precautions - Answer- Contact: MRSA, C Dif, direct (people) or
indirect (instruments)
Droplet: keep patients 3 feet away, put mask on for transport
Airborne: TB, rubeola, varicella, bypass pre-op, wear PPE, N95 mask, HEPA filtered
room, wait to clean for 28 minutes for room to filter 99%, last case of day, single patient
room, mask for transport, DO NOT need to contact risk management
Principle Elements of an Infection - Answer- Source or reservoir: people, door handle
Susceptible host: port of entry into human
Method of Transmission: direct, droplet, etc.
Standard Precautions - Answer- *one of the most effective ways to prevent disease
transmissions
Hand hygiene: nurse wash hands PRIOR to greeting patient in pre-op
PPE
Patient resuscitation
Environmental control/contamination
OSHA Blood Borne Pathogen Standards - Answer- PPE: protects mucous membranes
Garments: clothing protects skin
Masks: protects mouth
Eye protection: splashing
Surgical Caps and Coverings
Gloves: need two lays to avoid barrier failure or micro perforations
*don't use paper PPE
Prevention of SSI - Answer- Most from patient's own flora
*Sterile technique: all term members need to utilize this
*Surgical Attire: suit, mask, cap, etc
