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WorksheetsPatient Safety
Total questions: 26
Worksheet time: 14mins
Which of the following is a special consideration before the procedure for a burn patient?
amount of light in the room
temperature of room
laminar air flow rates
type of operating room bed
Using gel pads during a surgical procedure helps to prevent
pressure ulcers.
excess bleeding
gastric decompression.
the need for a lift sheet under the patient.
Which of the following events should occur between the surgical technologist and her end of shift relief? (Select the three (3) correct answers.)
Perform another time out procedure
Count sponges, sharps and instruments.
Remove any empty suture packets from sterile field.
Confirm the surgical procedure and progress of case.
Relay pertinent information regarding sutures, specimens, solutions and medications.
A surgical technologist is being permanently relieved from a case at the end of the day. Which of the following should the technologist communicate to her relief? (Select the three (3) correct answers.)
that a side-to-side abdominal skin prep was performed on the patient for an abdominoplasty
that initial and subsequent sharps and sponge counts are correct
anticipated specimens
amount of fluid replacement given by anesthesia during an exploratory laparotomy
confirmation of fluids and medications on back table
During a preoperative count the number of sponges in a package is incorrect. Which of the following actions should the surgical technologist and circulating nurse take?
Discard the package and open a new one.
Document the shortage and continue the count.
Inform the surgeon immediately.
Open a new package and continue the count.
The surgical technologist and the circulator are doing an initial count and are short one Raytec sponge. Which of the following should the technologist and circulator do?
Make a note after the first count and continue with the case.
Remove the sponges from the room and open a new pack.
Call the OR supervisor for a count waiver on the sponge pack.
Tell the surgeon about the count, document it in the chart, and proceed with the case.
Which of the following is the minimum number of times a surgical instrument count should be performed for an open appendectomy case?
two
three
four
five
When being relieved at the end of a shift the surgical technologist should perform the surgical count with the
incoming surgical technologist, circulator, and surgeon.
incoming surgical technologist and the circulator.
circulator and surgeon.
incoming surgical technologist
Which of the following is the proper placement for the safety belt in the supine position?
two inches distal to the knees
two inches proximal to the knees
around the abdomen
across the knees
Sequential compression devices are placed on the patient preoperatively to prevent which of the following during surgery?
hypertension
pulmonary embolism
pressure ulcers
aneurysm
If a patient is in prone position, which of the following areas need to be padded for pressure points? (Select the three (3) correct answers.)
neck
feet
knees
chest
thighs
The surgical technologist ensures foam padding is effectively applied to all bony prominences before the surgical procedure begins. The purpose of this action is to
prevent neurovascular damage.
promote minimal blood loss.
gain surgical access.
provide traction.
Where should the safety belt be positioned over a patient in the prone position?
posterior thighs and calves
anterior thighs and calves
anterior knees and upper thigh
posterior knees and upper thigh
During the transfer of the patient from the pre-operative bed to the surgical table, who is responsible for initiating patient transfer?
surgeon
surgical technologist
circulating nurse
anesthesiologist
When transferring an adult patient from the gurney to the operating room table, which of the following is the minimum number of personnel required for a safe transfer?
two
three
four
one
A conscious alert patient is transported on a stretcher to the O.R. for a minor procedure. Which of the following actions should the surgical team perform to safely transfer the patient to the O.R. table? (Select the three (3) correct answers.)
Free up IV lines and other tubing first, then transfer patient.
Verify that the operating table remains unlocked to allow for the surgeon’s bed location preference.
Align the head of the stretcher with the head of locked operating table, then lock the stretcher.
Ask the patient to slide slowly onto the operating table, taking the top sheet along.
Carefully place a roller or transfer board under the patient and pull from one side to another.
Which of the following are verified in the Time Out process? (Select the three (3) correct answers.)
patient’s identity
patient’s blood type
correct site
procedure to be performed
patient’s date of birth
The surgical timeout should be performed immediately before the
initial surgical count is completed.
initial skin incision takes place.
patient is induced under anesthesia.
patient has been prepped.
The final timeout before surgical start time must confirm which of the following?
The CRNA
Patient's weight
Surgical procedure
Time for delay
How should the surgeon identify the surgical site?
write “no”
write “yes”
with his initials
with an X
Which of the following do the surgical team members need to agree on during the time out? (Select the three (3) correct answers.)
procedure to be performed
patient’s religion in case blood products are needed
patient’s blood type in case blood products are needed
correct site is marked clearly
patient’s ID band is correct
The surgeon has requested the scalpel and the surgical time out has not been initiated. Which of the following is the surgical technologist’s best response?
Continue as requested.
Request the time out.
Complete the time out
Complete an incident report per hospital policy.
When performing a surgical time out, who is responsible for documenting the time out?
Physician Assistant
Certified Registered Nurse Assistant
Physician
Nurse
The surgical team is in the midst of the Time Out Protocol with the OR charge nurse present to audit their briefing. After stating the procedure, site of procedure, antibiotics administered, patient history, patient name and everyone in the room agreeing to the briefing, the charge nurse declared it a failed briefing. Which of the following elements of a Time Out did the surgical team exclude?
verification of the surgical consent form
verification that the proper implants are in the room
verification of blood type
verification of the floor the patient will return to
In an appendectomy where the patient is morbidly obese, which of the following self-retaining retractors is most appropriate to have on the sterile field?
Gelpi
Weitlaner
Balfour
O'Sullivan-O'Connor
A patient with C-spine precautions comes to surgery. Which of the following should be used to transfer this patient from a gurney to the operating room table?
Hoyer lift
gait belt
roller board
draw sheet
