patient care safety (46Q)

Question 1

UNIVERSAL PROTOCOL

Answer 1

DEVELOPED FOR JOINT COMMISSION TO PREVENT WRONG SITE/PERSON/PROCEDURE

Question 2

CHEMICAL SAFETY:
WHAT DOCUMENT DOES OSHA REQUIRES?
WHAT INFORMATION MUST CONTAIN?

Answer 2

OSHA REQUIRES SAFETY DATA SHEETS (SDS) AVAILABLE TO ALL EMPLOYEES
SDS MUST CONTAIN:
- PHYSICAL PROPERTIES
- INSTRUCTION FOR USE AND PROPER HANDLING/STORAGE
- REQUIRED PPE
- RECOMMENDATION FOR ACCIDENTAL SPILLS
- PROPER DISPOSAL

Question 3

WHERE SHOULD EYE WASH LOCATED?

Answer 3

NO FURTHER THAN 10 SECONDS AWAY FROM THE AREA WHERE CHEMICALS ARE LOCATED/STORED

Question 4

1 ELEMENTS OF THE FIRE TRIANGLE

2 CRITICAL SURGICAL SITE?

Answer 4

FUEL SOURCES: ALCOHOL- BASED PREP SOLUTIONS, DRAPES, ET-TUBE

IGNITION: ESU, FIBEROPTIC LIGHT CORDS, LASERS; ALL TYPES OF IGNITION
SOURCES

OXIDIZIERS: O2, ANESTHESIA GASES (SEVOFLURANE, DESFLURANE, NITROUS OXIDE)

2- ABOVE THE LEVEL OF XIPHOID (ONVOLVE AN ENVIRONMENT RICH OF GASES (O2))

Question 5

INTERVENTIONS FOR SURGICAL FIRE REDUCTION

Answer 5

• FOLLOW MANUFACTURER IFU
• ENSURE TO HAVE WATER/SALINE ON THE BACK TABLE
• KNOW THE LOCATION OF THE MEDICAL GAS CONTROL AND HOW TO SHUT THEM OFF
• FIRE EXTINGUISHER, ELECTRICAL PANELS, PULL ALARMS, ARE NOT OBSTRUCTED
• 18” FROM THE CELING FOR ITEMS IN SHELF TO PREVENT OBSTRUCTION OF FIRE SPRINKLES

Question 6

WHAT’S SMOKE PLUME?

Answer 6

BY PRODUCTS OF ENERGY GENERATING DEVICE USE.
MAY CAUSE EYE IRRITATION & UPPER RESPIRATORY TRACT

Question 7

WHAT ARE THE SMOKE PLUME CONTAMINANTS?

Answer 7

SMOKE PLUME CONTAMINANTS INCLUDE:
- BENZENE, FORMALIN, LIVING CELLS, VIRUSES, TOXIC GASES AND VAPORS

Question 8

HOW TO REDUCE CONTAMINANTS?

Answer 8

USE EVACUATION SYSTEMS W/ CAPTURE DEVICES
- ULTRA LOW PARTICULATE AIR (ULPA)
- HIGH EFFICIENCY PARTICULATE AIR (HEPA)
- IF A CENTRAL SUCTION SYSTEM IS USE: USE AN IN-LINE FILTER BTW THE SUCTION CANISTER AND WALL CONNECTION

Question 9

RADIATION SAFETY PRINCIPLES

Answer 9

TIME, DISTANCE, SHIELDING
ALARA

Question 10

RADIATION SAFETY STRATEGIES: PT CONSIDERATIONS

Answer 10

USE LEAD SHIELD FOR BODY PARTS NOT INCLUDED IN THE FIELD
SHIELD PATIENT GONADS/OVARIES WHEN RADIATION IS NEAR TO THE LEGS/HIPS
SHIELD FETUS ARE FOR PREGNANT PT UNDERGOING PROCEDURE WITH RADIATION

Question 11

BMI VALUES

Answer 11

CLASS I OBESITY BMI 30>35
CLASS II OBESITY BMI 35>40
CLASS III OBESITY 40>KG/m2

Question 11

HOW TO PROTECT PATIENT AIRWAYS WHILE USING LASER IN THE OROPHARYNGEAL AIRWAY?

Answer 11

LASER RESISTANT ET-TUBE W/ BALLON INFLATED WITH SALINE
USE METHYLENE BLUE W/ SALINE TO DETECT CUFF PUNCTURE
THROAT MAY BE PACKED WITH MOISTENED SPONGES

Question 11

OCUPATIONAL EXPOSURE CONSIDERATIONS (RADIATION)

Answer 11

REDUCE EXPOSURE TO PT/S.TEAM BY REDUCING FLUOROSCOPIC TIME BEAM IS ACTIVE
KEEP PT/PERSONAL CLOSE TO THE IMAGE INTENSIFIER SIDE (TOP PART) TO REDUCE EXPOSURE
USE ASSISTIVE DEVICE RATHER THAN PERSONAL TO HOLD THE PATIENT
USE ALL SHIELDING OPTIONS (APRONS, THYROID SHIELD, LEAD EYEWEAR)

ENSURE THAT RADIATION SAFETY OFFICER PROVIDES DIRECT OVERSIGHT OF HANDLING SOURCES OF RADIATION MATERIALS, AND RADIATION SPILLS

Question 11

LASER NOMINAL HAZARD ZONE

Answer 11

SPACE WHERE THE LEVEL OF DIRECT, REFLECTED, OR SCATTERED RADIATION USED DURING NORMAL LASER OPERATION EXCEEDS THE APLICABLE MAXIMUM PERMISSIBLE EXPOSURE

Question 11

LASER SAFETY:
PERSONNEL EDUCATION

Answer 11

ONLY PROPER TRAINED/QUALIFIED INDIVIDUAL SHOULD OPERATE LASER AND WHEN LASER IS IN USE SHOULD NO HAVE ANY OTHER RESPONSIBILITY
PT/PERSONNEL SHOULD BE PROTECTED FOR UNINTENTIONAL LASER EXPOSURE BY USING ANODIZED INSTRUMENTS, PROTECTION EXPOSED SKIN/TISSUE W/ MOIST SPONGE AND PROPER HANDLING OF LASER FIBERS
APPROVED EYEWEAR SPECIFIC TO EACH LASER SHOULD WE WORN BY THE TEAM IN THE NOMINAL HAZARD ZONE
PLUME FROM LASER SHOULD BE REMOVED USED A SOMKE EVACUATION SYSTEM
MOIST EYE PADS OR USED SAFETY GOOGLES IN PATIENTS

Question 11

RISK OF FIRE WHILE USING LASER

Answer 11

ALLOW PREP SOLUTIONS TO DRY COMPLETELY
DRAPES/SPONGES NEAR LASER IN USE MEST BE MOIST
WATER IN THE BACK TABLE TO EXTINGUISH A FIRE

Question 12

LATERAL TRANSFERRED TO THE OR BED

Answer 12

MORE THAN 157LBS USING A MECHANICAL LIFTING DEVICE BY 3 CAREGIVERS AND ASA

Question 12

POSITIONING IN PREGNANCY

Answer 12

DURING OBSTETRIC SURGICAL PROCEDURES PLACE A ROLL/BUMP UNDER THE PREGNANT PATIENT RIGHT SIDE OR TILTING THE TABLE TO THE LEFT SIDE
FOR PATIENT BEYOND 18 WEEKS AND HAVING NO OBSTETRIC SURGERY THE LEFT TILT SHOUD BE USED

Question 13

FACTORS THAT INFLUENCE POSITIONING RELATED TO SURGICAL PROCEDURE

Answer 13

ANTICIPATED LENGTH OF THE PROCEDURE
COLD ENVIRONMENT/ EXPOSURE OF A LARGE AREA OF BODY SURFACE DURING THE PROCEDURE THAT LEAD TO HYPOTHERMIA
SHEARING
FRICTION

Question 13

SHEARING

Answer 13

SLIDING OF SKIN/SUBCUT TISSUE OVER STATIONARY MUSCLE (MAY OCCUR IN TREND POSITION)

Question 13

FRICTION

Answer 13

THE ACT OF RUBBING ONE TISSUE OVER ANOTHER TISSUE/SURFACE
OCCUR WHEN A PT IS DRAGGED FROM ONE SURFACE TO ANOTHER WITHOUT USING A FRICTION REDUCTION TRANSFER DEVICE

Question 13

SUPINE POSITION: PRESSURE POINTS

Answer 13

OCCIPUT, SCAPULAE OLECRANON, SACRUM, COCCYX, CALCANEUS

Question 14

SUPINE POSITION: NURSING INTERVENTIONS

Answer 14

PAD UNDER ARMS AND ELBOWS TO PREVENT ULNAR NERVE PRESSURE
ARMS TUCKED, ENSURE THAT THE HANDS ARE NOT TOUCHING ANY METAL
MAINTAIN THE HEAD IN MIDLINE POSITION TO PREVENT STRETCHING OF THE PT’S NECK

Question 15

TRENDELENBURG POSITION: POTENTIAL COMPLICATION

Answer 15

SUPINE PRESSURE CONSIDERATIONS
INCREASE INTRAOCULAR/INTRACRANIAL PRESSURE
INCREASED BLOOD PRESSURE/CARDIAC OUTPUT
RISK FOR SHEARING (TISSUE)

Question 16

REVERSE TRENDELENBURG: POTENTIAL COMPLICATIONS

Answer 16

SUPINE PRESSURE CONSIDERATIONS VENOUS CIRCULATION MAYBE COMPROMISED IN LONG PROCEDURES HEAD/NECK PROCEDURES MAY REQUIRE A ROLL TOWEL/PILLOW TO PRODUCE HYPEREXTENSION OF THE NECK

Question 17

REVERSE TRENDELENBURG: NURSE INTERVENTIONS

Answer 17

USE A PADDED FOOTBOARD TO HELP SECURE THE PATIENT POSITION

Question 18

LITHOTOMY: POTENTIAL COMPLICATIONS

Answer 18

CHANGES IN CARDIAC EXERTION WHEN POSITIONING THE LEGS RISK FOR HYPERABDUCTION OF THE HIPS RISK FOR DECREASE RESPIRATORY FUNCTION AND TIDAL VOLUME (IN HIGH/EXAGGERATED) BECAUSE OF INCREASING INTRA-ABDOMINAL PRESSURE POTENTIAL FOR COMPARTMENT SYNDROME (IN HIGH/EXAGGERATED)

Question 19

LITHOTOMY: NURSING INTERVENTIONS

Answer 19

ENSURE PROPER ALIGNMENT OF THE LOWER EXTREMITIES RAISED/LOWER LEGS SIMULTANEOUSLY DONT ALLOW FLEXION OF THE KNEES >90 DEGREES

Question 20

SEMI FOWLER/ BEACH CHAIR: POTENTIAL COMPLICATIONS

Answer 20

NEUROVASCULAR BUNDLE STRAIN SLIPPING DOWN FROM OR BED PRESSURE POINTS SIMILAR TO SUPINE POSITIONING AIR EMBOLISM

Question 21

SEMI FOWLER/ BEACH CHAIR: NURSING INTERVENTIONS

Answer 21

MAINTAIN THE HEAD IN PROPER ALIGNMENTS MAINTAIN THE NON-OPERATIVE SIDE ARM IN ANATOMIC POSITIONING WITHOUT STRAIN OF THE NEUROVASCULAR BUNDLE PLACE A PILLOW UNDER THE KNEES TO EASE LUMBAR STRAIN AND RELIEVE HEEL PRESSURE

Question 22

PRONE: POTENTIAL COMPLICATIONS

Answer 22

PRESSURE POINTS: CHEEKS, EYES, EARS, FEMALE BREAST, MALE GENITALIA, KNEES, TOES BLINDNESS MAY OCCUR WITH PROLONGED PRESSURE ON THE EYES RESPIRATORY VOLUME IS COMPROMISED BECAUSE OF LIMITED ANTEROLATERAL MOVEMENT AND POTENTIAL LIMITATION OF DIAPHRAGMATIC MOVEMENTS

Question 23

TYPES OF ANESTHESIA

Answer 23

-MINIMAL OR LIGHT SEDATION (ANXIOLYSIS) -MODERATE SEDATION OR ANALGESIA - DEEP SEDATION OR ANALGESIA -FULL ANESTHETIC

Question 24

COMMONLY USED ANESTHETICS MEDICATIONS

Answer 24

NITROUS OXIDE DESFLURANE SEVOFLURANE PROPOFOL FENTANYL DIAZEPAM MIDAZOLAM

Question 25

NITROUS OXIDE USES & NURSING IMPLICATIONS

Answer 25

USES: - WHEN RAPID INDUCTION/RECOVERY ARE DESIRED - FOR SHORT PROCEDURES THE MUSCLE RELAXATION ISNT IMPORTANT NURSING IMPLICATIONS: - HIGH LEVELS OF N. OXIDE CAN ACCELERATE THE BURNING COMBUSTIBLE MATERIALS IN THE OR

Question 26

DESFLURANE/SEVOFLURANE USES & NURSING IMPLICATIONS

Answer 26

USES DESFLURANE: NOT FOR INDUCTION IN CHILDREN; CAN BE USED FOR MAINTENANCE IN ADULTS/CHILDREN SEVOFLURANE: FOR INDUCTION AND MAINTENANCE IN ADULTS/CHILDREN BOTH: WHEN RAPID ELIMINATION IS DESIRED NURSING IMPLICATIONS: BOTH--> HALOGENATED ANESTHETIC AGENT ARE TRIGGERS FOR MH

Question 27

PROPOFOL USES & NURSING IMPLICATIONS

Answer 27

USES - WHEN RAPID INDUCTIONS DESIRES - WHEN SHORT PROCEDURES ARE PERFORMED ALONE - FOR PROLONGING ANESTHESIA IN COMBINATION WITH INHALATION AGENTS/OPIODS NURSING IMPLICATIONS - NO REVERSAL AGENT - NOT USED FOR PROCEDURAL SEDATION BY RN IN MOST STATES

Question 28

FENTANYL (NARCOTIC, SYNTETIC OPIOIDS) USES & NURSING IMPLICATIONS

Answer 28

USES - FOR HIGH DOSE NARCOTIC ANESTHESIA IN COMBINATION WITH OXYGEN NURSING IMPLICATIONS REVERSAL AGENT NALOXONE

Question 29

DIAZEPAM (BENZODIAZEPINE) USES & NURSING IMPLICATIONS

Answer 29

USES - FOR PREMEDICATION, AWAKE INTUBATION, INDUCTION NURSING IMPLICATIONS REVERSAL AGENT FLUMAZENIL (ROMAZICON)

Question 30

MIDAZOLAM (BENZO) USES & NURSING IMPLICATIONS

Answer 30

USES - FOR PREMEDICATION, MODERATE SEDATION, FOR INDUCTION IN CHILDREN NURSING IMPLICATIONS REVERSAL AGENT FLUMAZENIL (ROMAZICON)

Question 31

BLOOD PRODUCTS

Answer 31

CONFIRM CONSENT FOR THE USE OF BLOOD PRODUCTS BLOOD TRANSFER AND STORAGE FROM THE BLOOD BANK ARE TEMPERATURE BASED, NOT TIME BASED - MAINTAIN UNITS OF BLOOD IN THE STORAGE DEVICE FROM BLOOD BANK UNTIL IS READY TO BE TRANSFUSED - AFTER TH UNIT IS REMOVED FROM THE STORAGE IT MUST COMPLETELY TRANSFUSED WITHIN 4 HOURS

Question 32

MEDICATION MANAGEMENT

Answer 32

ALL MEDICATIONS (SYRINGES, CUPS, BASINS) MUST BE LABELED INCLUDING N.S/WATER BEFORE THE PROCEDURE USE SINGLE DOSE TO AVOID CROSS CONTAMINATIONS MEDICATION IN THE PREFERENCE CARDS ARE CONSIDERERD PREPINTED/STANDING ORDERS DETERMINE BY FACILITY

Question 33

MEDICATION IN THE PREFERENCE CARDS:

Answer 33

PRE-PRINTED ORDERS MUST BE VERIFIED WITH SURGEON/PHARMACIST ANNUALLY OR WHEN ANY CHANGES ARE MADE IF PREFERENCE CARDS ARE THE ONLY DOCUMENTATION FOR MEDICATION, IT SHOULD BE PLACE IN THE PATIENTS'S CHART AS PHYSICIAN MEDICAL ORDER

Question 34

MEDICATION IN THE BACK TABLE LABEL REQUIREMENTS:

Answer 34

ALL MEDICATIONS IN THE BACK TABLE MUST BE LABELED: - MEDICATION NAME - CONCENTRATION/STRENGTH - DILUTION/DILUENT - AMOUNT - DATE/TIME TRANSFERRING TO THE BACK TABLE - DISCARD ANY UNMARKED/UNLABELED MEDICATION ON THE BACK TABLE

Question 35

ASEPTIC MEDICATION DELIVERY METHODS: - SOLUTIONS

Answer 35

delivery method - remove the cap and delivered the ENTIRE CONTENTS without splashing the sterile field - DELIVER IV SOLUTION VIA A BAG DECANTER key points: - DO NOT SPLASH OR CREATE AEROSOL because it may cause anaphylasis in susceptible people - DO NOT RECAP UNUSE SOLUTION FOR LATER USE because the lip of the container is considered contaminated

Question 36

ASEPTIC MEDICATION DELIVERY METHODS: - MEDICATION IN VIALS

Answer 36

delivery method - withdraw medication using a NEEDLE AND SYRINGE - dispensing medication directly from the syringe AFTER REMOVING THE NEEDLE key points - THE NEEDLE ENTERING THE VIAL IS CONSIDERED CONTAMINATED - POPPING OFF THE CAP AND REMOVING THIS STOPPER CONTAMINATES THE LIP OF THE VIAL AND INTRODUCE GLASS PARTICLES TO THE SOLUTIONS

Question 37

ASEPTIC MEDICATION DELIVERY METHOD: - GLASSS AMPULE

Answer 37

delivery method - USE A FILTER NEEDLE TO REMOVE MEDICATION - REMOVE THE FILTER NEEDLE BEFORE DISPENSING THE MEDICATION INTO STERILE MEDICINE CUP key points - FILTER NEEDLE ARE DESIGN TO SMALL GLASS FRAGMENTS - DISPENSING THE MEDICATION WITHT HE NEEDLE MAY PRODUCE AN AEROSOL because it may cause anaphylasis in susceptible people

Question 38

ASEPTIC MEDICATION DELIVERY METHOD - OINTMENT AND CREAMS

Answer 38

delivery method: - use SINGLE USE MEDICATION when possible - if multidose tube are used, DISCARD 1/2 INCH OF OINTMENT BEFORE DISPENSING IN THE STERILE FIELD key points - the sterility of multidose tubes is questionable

Question 39

ADMINISTRATION OF ANALGESICS FENTANYL

Answer 39

IV FENTANYL IS THE FIRST LINE MEDICATION OF CHOICE FOR SEDATION, MONITORED ANESTHESIA CARE, GENERAL ANESTHESIA, BECAUSE OF ITS FAST ONSET OF PAIN RELIEF.

Question 40

THE MOST COMMON LOCAL ANESTHETICS ARE AMINOAMIDE

Answer 40

LIDOCAINE (1%, 2%) BUPIVICANE (0.25%, 0.50%) -THEY MAY CONTAIN EPINEPHRINE WHICH IS USED TO EXTEDN THE ANESTHETIZING EFFECT BY VASOCONSTRICTION NEARBY VENUES - METABOLIZED BY THE LIVER, HAVE A LONGER DURATION AND MAY ACCUMULATE AFTER REPEATED DOSES IN PATIENT WITH HEPATIC INSUFFICIENCY.

Question 41

METHODS TO REDUCE ANXIETY IN PATIENT'S BEHALF - PROVIDE FOR PATIENT PRIVACY

Answer 41

INTRODUCE THE PATIENT TO THE TEAM MEMBERS UPON ARRIVAL IN THE OR - KEEP THE PATIENT COVERED UNLESS ACCESS IS NEEDED (IV INSERTION, BP CUFF, O2 PROBE, EKG LEADS) - RESTRICTING ACCESS TO THE OR TO ONLY PERSONAL ACTIVELY CARING FOR THE PATIENT

Question 42

METHODS TO REDUCE ANXIETY IN PATIENT'S BEHALF - OFFER COMFORT AND REASSURANCE

Answer 42

PROVIDE WARM BLANKETS STAY AT THE PATIENT'S BEDSIDE FROM INDUCTION TO FINAL POSITIONING DISTRACT THE PATIENT WITH CONVERSATION THAT FOCUSES IN THE PATIENT EXPLAIN THE PROCESS THAT HE/SHE MAY EXPECT AS SHE COMES OUT OF ANESTHESIA

Question 43

METHODS TO REDUCE ANXIETY IN PATIENT'S BEHALF - ENCOURAGE THE USE OF COMPLEMENTARY ANS ESSENTIALS OILS

Answer 43

- MUSIC THERAPY - REIKI THERAPY - HYPNOSIS - GUIDED IMAGERY - AROMATHERAPY AND ESSENTIAL OILS

Question 44

ANXIETY MIDAZOLAM (VERSED) - USE - ONSET - EFFECT IN PATIENTS

Answer 44

- VERSED IS USED ROUTINELY AS A PREOP ANXIOLYTIC - USE FOR INDUCTION OF GENERAL ANESTHESIA, PREOPERATIVE SEDATION, AND MODERATE SEDATION - AND TO SUPPLEMENT NITROUS OXIDE AND OXYGEN FOR SHORT SURGICAL PROCEDURES - ONSET OF ACTIO 1-3 MINUTES IV - THE AMNESIC EFFECT CONTRIBUTES TO AN OVERALL INCREASE IN SATISFACTION WITH THE OPERATOVE PROCEDURES BECAUSE THE PATIENT CANNOT RECALL PERCEIVED UNPLEASANT ACTIVITIES ASSOCIATED WITH THE PROCEDURE

Question 45

MIDAZOLAM: PEDIATRIC CONSIDERATIONS

Answer 45

- MAY BE GIVEN ORALLY IN A SYRUP FORMULATION - dosing in children must be given in a control area equipped with pediatric emergency respiratory, cardiac support, anesthesia provider because the child MAY DEVELOP RESPIRATORY DEPRESSION AND ARREST

Question 46

GOWNING AND GLOVING CORRECTLY WHAT IS STERILE TECHNIQUE? CLOSED GLOVING? CLOSED ASSISTED GLOVING?

Answer 46

STERILE technique us used when donning sterile gloves/gown - glows/gown should be donned from a surface away from the instrument table - CLOSED GLOVING should be performed by the scrub person, keeping hands inside the sleeve of the gown until gloves have covered the gown cuff - CLOSED ASSISTED GLOVING is the PREFERED METHOD when gloving team members during INITIAL GOWNING and gloving

Question 47

STERILE PARAMETERS OF THE SURGICAL GOWN - FRONT OF THE GOWN - SLEEVES OF THE GOWN

Answer 47

- FRONT OF THE GOWN, FROM THE CHEST TO THE LEVEL OF THE STERIE FIELD - SLEVES OF THE GOWN, FROM 2 INCHES ABOVE THE ELBOW TO THE CUFF CIRCUMFERENTIALLY

Question 48

UNSTERILE AREAS

Answer 48

- BACK OF THE GOWN - NECKLINE - SHOULDER - AXILLA - SLEEVE CUFF AFTER THE HAND HAD PASSED THROUGH THE CUFF ARE CONSIDERED CONTAMINATED

Question 49

PREPARING THE STERILE FIELD when to prepared it? how to monitored it? interventions for surgical procedures that involved abdominal/perineal areas?

Answer 49

- SHOULD BE PREPARED AS CLOSE TO THE TIME OF THE PROCEDURE IN THE LOCATION WHERE THE PROCEDURE WILL BE PERFORMED - monitored the field constantly after sterile field has been establish - do not tape or secure door in any way as means to monitor the field -two separate set ups are necessary to reduce the chance of transferring microorganism from the perineal are to the abdominal area. - instruments/equipment that have contact the inside of the bowel should not be used after the lumen of the bowel has been closed - clean instruments should be used for closure - contaminated instrument should be covered/removed to prevent the surgical team to touch them

Question 50

DRAPING THE STERILE FIELD

Answer 50

- ANY UNSTERILE EQUIPMENT/FURNITURE IN OR ADJACENT TO THE STERILE FIELD SHOULD BE COVERED WITH A STERILE DRAPE - DRAPES ARE PLACE FROM THE SURGICAL SITE OUR PERIPHERALLY - ONCE THE STERILE DRAPE HAS BEEN PLACED ON THE PATIENT, IT SHOULDN'T MOVE OR ADJUSTED - ITEMS FALLING BELOW THE LEVEL OF THE STERILE FIELD ARE CONSIDERED CONTAMINATED

Question 51

SPECIMEN MANAGEMENT: WAYS TO SEND SPECIMENS? FORENSIC SPECIMENS?

Answer 51

- SPECIMEN CAN BE SENT TO PATHOLOGY IN MULTIPLE WAYS (FROZEN, FRESH, PERMANENT, CULTURE) - THEY MUST BE COLLECTED/HANDLE IN A MANNER THAT PROTECTS AND PRESERVES THE INTEGRITY OF THE SPECIMEN WHEN ARE TRANSFERRED OFF THE STERILE FIELD - FORENSIC SPECIMENS MAY REQUIRED UNIQUE HANDLING TO PRESERVE THE CHAIN OF CUSTODY SO THEY ARE NOT ALTERED IN ANY WAY BEFORE ANALYSIS - PLACE THE FORENSIC SPECIMEN IN A DRY PLASTIC CONTAINER, NOT ALLOWING THEM TO COME IN CONTACT WITH METALLIC BASINS IF THEY CONTAIN METAL, AND HANDLING THEM AS LITTLE AS POSSIBLE TO PRESERVE THE CHAIN OF CUSTODY

Question 52

HOW TO LABELED EACH SPECIMEN

Answer 52

PATIENT'S NAME, IDENTIFICATION NUMBER, DOB THE ORIGIN OF THE SPECIMEN AND LATERALITY THE DATE/TIME THE SPECIMEN WAS OBTAIN AND PLACE IN PRESERVATIVE SURGEON NAME PRESERVATIVE AND BIOHAZARD INFORMATION