Surgical safety checklists, positioning, sterile technique, counts, specimens, anesthesia types and malignant hyperthermia.
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- What are the three phases of the WHO Surgical Safety Checklist?
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Sign In, Time Out, and Sign Out
- When during a procedure does the Sign In phase of the safety checklist occur?
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Before induction of anesthesia
- When during a procedure does the Time Out phase occur?
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Before skin incision
- When during a procedure does the Sign Out phase occur?
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Before the patient leaves the operating room
- Who is responsible for marking the surgical site before an operation?
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The licensed practitioner who will perform the procedure
- What three items must be verbally confirmed by the whole team during Time Out?
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Correct patient, correct procedure, and correct surgical site
- Which surgical position places the patient flat on the back and is used for most abdominal and cardiac procedures?
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Supine
- Which nerve is at greatest risk of injury in the lithotomy position?
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The common peroneal nerve, at the fibular head
- Which surgical position is typically used for gynecologic and rectal procedures?
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Lithotomy
- Which surgical position is used for most spinal surgeries?
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Prone
- What serious eye-related complication is a key risk of prolonged prone positioning?
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Postoperative vision loss (ischemic optic neuropathy)
- Which surgical position is used for hip replacement and thoracic procedures?
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Lateral decubitus (lateral position)
- What is the Trendelenburg position?
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Supine with the head tilted downward and the feet elevated
- What is the maximum recommended degree of arm abduction on an arm board to prevent brachial plexus injury?
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90 degrees
- Is the back of a surgical gown considered sterile or non-sterile?
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Non-sterile