Deck 12: Care of the Perioperative Environment

Question 1

If sterile supplies for a case were opened at 1:00 PM with the room under surveillance,and the case did not begin until 3:30 PM,the sterile items would be contaminated because of the 2-hour delay of the case.

Answer 1

False
Sterility is mainly event related,not time dependent.The sterile table must be under surveillance at all times.

Question 2

Knife blades should be removed using a heavy hemostat.

Answer 2

True
Knife blades should be removed with a heavy hemostat,never with your fingers.A needle holder should not be used because it can misalign the jaws.

Question 3

Which is a reason for preoperative staff to recycle surgical supplies in the OR?

A)To satisfy the environmental friendly staff members within the perioperative setting
B)To save the patient money
C)To reduce pollution
D)To decrease the workload of the preoperative nursing staff

Answer 3

C
Preoperative staff recycles surgical supplies in the OR to reduce air pollution,the amount of waste in landfills,and decrease the amount of virgin resources that are consumed.The decision to recycle is part of the environmental responsibility that the OR team can take on.

Question 4

An accepted way to transport large used or contaminated items to the decontamination area after a case is finished is to

A)wrap them in dry towels and carefully carry them to the decontamination area.
B)find an unused prep table and slowly roll them to the appropriate area.
C)place them on an open case cart with a plastic drape, place items or instruments inside the case cart, and roll to the appropriate area.
D)rinse the used items in the scrub sink then carry them in plastic bags to the decontamination area.

Question 5

Before the first procedure of the day,what does the scrub person or circulator need to damp-dust in the OR before bringing supplies in for the first case of the day?

A)OR overhead lights and furniture
B)OR scrub sinks
C)Sterilizer interior wall surface
D)Air filter grill cover

Question 6

Name a type of transmissible disease that results in prions being found in neurologic tissue that can exist on surfaces in the OR.

A)Whooping cough
B)Tuberculosis
C)Influenza
D)Creutzfeldt-Jakob

Question 7

When is "terminal cleaning" done during the course of a day in the OR?

A)At the beginning of the day
B)In between each case
C)At the end of daily use
D)Every 4 hours

Question 8

Standardization is in the best interest of the patient and the personnel performing cleanup.

Question 9

What areas of the sterile field are considered contaminated?

A)Just the areas with blood on them
B)The area nearest to the incision
C)The surrounding sterile field and all areas that are in contact with blood or bodily fluids
D)The center of the surgical incision

Question 10

Which organization has established standards and recommended practices for cleaning and maintaining cleanliness in the perioperative environment?

A)NAACP
B)AORN
C)WHO
D)TJC

Question 11

The scrub person may remove the mask or eyewear after stepping far enough away from the patient and sterile field at the end of a case.

Question 12

Remove gloves first before taking off the gown,so as not to contaminate the front of the gown with dirty gloves.

Question 13

What item should a member of the sterile team discard and put in the trash before leaving the surgical room?

A)Hair cover
B)Eye protection
C)Scrubs
D)Shoe covers

Question 14

Which activity is incorrect for the scrub person to perform?

A)Discarding contaminated waste
B)Disposing of sharps safely
C)Pulling drapes off patient
D)Removing tissue and blood from instruments

Question 15

How are solutions or fluids disposed of after a procedure?

A)Dump down the sink.
B)Dump it on the floor and mop it up.
C)Send it in a bucket in the case cart.
D)Solidify the canister with powder, use the closed suction system.

Question 16

The primary cause of accidental cuts and punctures is from the disposal of surgical sharps at the end of a case.When cleaning up instruments after a surgical procedure,place unloaded knife handles and other sharp items separate from other instruments so that processing personnel may identify them easily.

Question 17

Patients with known respiratory-borne diseases are treated the same as all other patients.

Question 18

How should trash be handled at the end of a procedure?

A)All trash in the same bag
B)In the recycle bin
C)Separated into biohazard, noninfectious trash, and recyclable trash
D)Red biohazard bags

Question 19

The scrub person and table remain sterile if there is a question of patient stability until the patient is out of the room.

Question 20

Every patient is considered a potential contaminant.

Question 21

As long as the instrument and prep tables are within the confines of the OR,it does not particularly matter where they are placed.

Question 22

After a procedure,instruments may be placed in the sterilizer immediately after a case in order to save time in between cases and to decrease turnover time.

Question 23

If a patient is rolled into the OR and the case is canceled for some reason before the procedure has begun,the tables and supplies can be reused for another case or patient.

Question 24

Turnover time is the time it takes to complete the surgery schedule.