Deck 12: Care of the Perioperative Environment

Question 1

The furniture in the OR should be cleaned at least once a week.

Answer 1

False
The furniture in the OR (bed,tables,chairs,rolling stools)needs to be cleaned daily,especially at the end of the day with the terminal cleaning.

Question 2

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 heavy items or instruments on the bottom shelf,with a plastic drape,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.

Answer 2

C
The use of the plastic drape confines the contaminated items and reduces the potential of contaminating other areas during transport.

Question 3

When cleaning up instruments after a surgical procedure,place unloaded knife handles and such instruments as scissors and those with sharp tips separate from other instruments so that processing personnel may identify them easily.

Answer 3

True
By placing sharp instruments and unloaded knife handles separately,the processing and cleaning personnel reduce the risk of being cut or punctured by the instrument if they are separate from the rest of the tray.

Question 4

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 5

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 6

As long as the OR doors are shut,it is acceptable to open supplies for a case then leave the room unattended to go to lunch.

Question 7

It is necessary to wash your hands after removing gloves.

Question 8

The scrub person remains sterile until the dressing is placed on the patient.

Question 9

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.

Question 10

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 11

What does "turnover time" include?

A) Cleanup time including a short break for the scrub person
B) Cleaning up after one procedure and setting up for the next
C) The amount of time needed to call up a report and transfer the patient to PACU
D) The time period when the patient is awakened from anesthesia and placed on the stretcher to go to PACU

Question 12

Every patient is considered a potential contaminant.

Question 13

Per AORN standards,a utility area should be cleaned once a week.

Question 14

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 15

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 16

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 17

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 18

Which item used on the sterile field is considered sharps?

A) Hemostats
B) Knife blades
C) Solution basin
D) Suture packet

Question 19

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

Question 20

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 21

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) Cruetzfeldt-Jakob

Question 22

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 facility money
C) To reduce pollution
D) To decrease the workload of the preoperative nursing staff

Question 23

What is instrumental in the destruction of microorganisms during the cleaning process of items such as furniture in the OR?

A) Mechanical friction or "elbow grease"
B) The time of day the cleaning is performed
C) The type of cleaning towel used to clean the item
D) The type of water used to rinse the item dueling the cleaning process

Question 24

Which is an example of trash that is infectious waste in the OR?

A) Dust cover of surgical instrument peel pack
B) Surgical gloves used in procedure
C) Surgical documentation paperwork
D) Biological indicator in unused sterile instrument tray