Anesthesia and OR Protocols Quiz

The area outside the OR suite where street clothes are worn.

The area within the OR suite where semi-restricted attire, like scrubs, is worn.

Clean, freshly laundered attire worn only within the semi-restricted and restricted areas of the OR.

A clean, fresh scrub suit should be worn after returning to the OR suite after leaving.

A clean, fresh scrub suit, head cover, and shoe covers worn only within the restricted operating room.

Minimal makeup, including mascara and lipstick, is permitted in the OR.

Necklaces, chains, and dangling earrings are prohibited in the OR.

Eyewear should be cleaned with a disinfectant solution before each surgical procedure and worn securely.

Never place one instrument on top of another; always lay them side by side on the instrument table.

The process of confirming the presence of all surgical instruments, sharps, and sponges at various stages of a surgery for accountability and safety.

Transporting uncovered, exposed instruments through corridors is prohibited; they should be kept within the confines of the operating room.

Always handle sharp instruments with caution and care to avoid accidental injury.

Instruments should be handled individually and never stacked, to avoid interlocking or crushing.

Ensure that the correct instrument is passed to the surgeon or assistant for each particular surgical task.

The scrub nurse should not venture beyond the limits of the operating room.

Secure sharps, blades, and delicate instruments with appropriate protective covers, tip guards, sponge rolls, or towel support handles.

A method used in surgical scrubbing that involves making a specific number of brush strokes on each part of the hand and forearm.

A surgical scrub technique that involves scrubbing for a specified amount of time, typically 5 minutes, following a specific sequence.

An antiseptic agent widely used in surgical scrubs, known for its effectiveness against a wide spectrum of bacteria, but can be irritating to the skin.

A surgical scrub agent known for its non-irritating properties and long-lasting antibacterial effect.

A surgical scrub agent known for its rapid action against bacteria but lacks long-lasting residual activity. It is not as effective as other agents like Chlorhexidine.

A surgical scrub agent that is highly effective when used routinely. It requires a period of buildup in the skin for optimal action. Only available by prescription.

An antiseptic agent used in surgical scrubs, known for its broad-spectrum antibacterial activity, non-irritating properties, and long-lasting residual effect.

The practice of keeping the hands and nails clean and free from contaminants to prevent the spread of microbes during surgery.

A drug that reduces pain perception without causing unconsciousness. It alters how the brain interprets pain signals.

The stage of anesthesia where the patient is unconscious but their vital signs are stable. Breathing is regular, pupils are constricted, reflexes are absent, muscles are relaxed, and auditory sensation is lost.

The return of sensation, reflexes, and consciousness after general anesthesia. The patient wakes up and regains normal bodily function.

A surgical procedure that involves inserting a tube into the windpipe to help the patient breathe during anesthesia.

A pre-anesthetic medication given to ease anxiety, reduce nausea, and provide pain relief before surgery.

Water with a low-sudsing, near-neutral detergent is used to clean surgical instruments after a procedure.

Use warm water with a non-corrosive, low-sudsing, free-rinsing detergent to clean surgical instruments.

Instruments should be separated per type to prevent metal deposition.

Disassemble instruments with multiple parts to expose all surfaces for cleaning.

Flush hollow instruments with cold distilled water through hollow instruments or channels to prevent drying of organic debris.

Use a soft-bristled brush to clean serrations and box locks, keeping instruments submerged to minimize aerosolising microorganisms.

Alkaline detergents (pH over 8.5) will stain instruments, while acidic detergents (pH below 6) will corrode or pit the instruments.

Plain, clean, demineralized distilled water is used for rinsing instruments after cleaning.

A surgical prep for limb surgery involves cleaning the entire circumference of the limb, extending distally depending on the surgery. For hand surgery, the prep would extend from the elbow.

A surgical prep for limb surgery may include trimming, cleaning, and scrubbing fingernails or toenails to avoid contamination during the procedure.

Surgeons mark the skin with a staining solution to guide incisions before the patient is prepped.

If the skin is marked after prepping, a sterile dye solution and applicator or a sterile marking pen must be used.

Pre-operative health teaching includes preparing patients for post-operative exercises, explaining equipment used during post-operative recovery, and addressing potential anxieties.

Assessing endocrine and metabolic conditions in a patient before surgery is crucial for identifying factors that could affect their response to the procedure, such as diabetes.

Pre-operative assessment includes evaluating medication history to identify drugs that could increase operative risk, affect coagulation time, or interact with anesthetics.

Pre-operative assessment should consider prosthetic devices or metal implants to ensure they are accounted for and handled safely during the surgical procedure.