How to open operating room

Question 1

1

Answer 1

PPE
Mask, Bouffant, eye wear, booties

Question 2

2

Answer 2

Damp dust If first case of the day

Question 3

3

Answer 3

Case cart w/supplies and envelopes

Question 4

4

Answer 4

Arrange room

Move everything from back of wall, including back table, ring stand, mayo stand arrange, drape back table, open envelopes, open ring stand, place glove and gown on mayo, open glove and gown

Question 5

5

Answer 5

Scrub (KEEP HANDS UP AND DONT CONTAMINATE)

Open scrub brush and pick fork nails
Wet, scrub brush
Add chlorhexidine and add water
Put chlorhexidine up to 2 inches above the elbow
Underwater, clean nails with pick
Clean fingers 4 planes x10
Front and back of hand X10
Start arms 4 planes times 10
Turn on and control water
Start rinsing off, start at the fingertips and end at 2 inches above elbow
DONT CONTAMINATE
Keep arms up and in front

Question 6

6

Answer 6

Back into OR
Dry hands with towel without contaminating mayo stand
Don gown and gloves (thumb to thumb)
Each time by backing away from table
Circulator closed gown
Throw mayo stand trash
Hold onto card in front of gown give the circulator bottom let circulator, spin and grab and tie gown
Get mayo stand cover, dress and tuck in towel
Make mayo stand roll, and a neutral zone towel
Organize table and place towel, make roll and a neutral zone

Question 7

7

Answer 7

Open soft supplies from ring stand and organize

Question 8

8

Answer 8

Instruments

Grab tray
Have circulator check filters
If OK, place on back table
Hand off count sheet to circulator
Remove popcorn bags
Organize stringer
Organize scissors, knife, handles, and forceps
Play stringer on towel roll
Organize so you can count efficiently

Question 9

9

Answer 9

Counts on white board verify with circulator
Laps
Ray-tech
Sharps (blades)
Hypos
Needles
Bovi tips
Scratch pad
Surgical boots
Kitners
Pen
Ruler
Reel
Vessel loops
Clip houses

Question 10

10

Answer 10

Count instruments

Stringer
Knife handles
Scissors
Forceps
Pan

Question 11

11

Answer 11

Medication’s

Sodium chloride
Sterile water
Lidocaine (xylocaine)
Make label with name and expiration date
Bupivacaine
(Marcaine)

Question 12

12

Answer 12

Send circulator to get patient
Finish organizing back table as circulator is getting patient and prepping
Load all blades
Loading suture, suture boots, kitners, sponge sticks, vessel loops and reels
One sharp on mayo stand (all others on neutral zone on back table)
Two kitner on a Kelly, two sponge sticks, three scissors (curved, mayo, straight mayo, and a Metz), two tonsils, two Kelly’s two Addison’s and two babcocks.
Local on Mayo stand capped

Question 13

13

Answer 13

Surgeon

Gown and glove (binding towards surgeon)
Put hands under gown and then have surgeon put on
Pull hands from cuffs
Help with gloves always right hand first keeping thumbs and fingers away with light stretch

Question 14

14

Answer 14

Patient

Stickies to surgeon (me me me you)
Drape with finding towards surgeon
Light covers
Making pocket if needed with non-penetrating tail clamps
CORDS
Bovie and protective sleeve surgeon preference
Hand off to circulator (more real estate is better)
Suction with Yankauer
Hand off to circulator (more real estate is better)
Bring mayostand, back table and ring stand to patient

Question 15

15

Answer 15

Start surgery and passing instruments