CSFA Fundamentals and Surgical Safety || All Answers are Flawless.
The number one patient safety issue identified in a survey of peri-operative nurses is preventing:
correct answers Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: correct answers OR
personnel not properly trained to reprocess instruments
To safely transfer and position patients in a manner that prevents shearing, personnel should use
a mechanical lifting device for a supine-to-supine transfer of a patient weighing more than:
correct answers 157 lbs
_______________ should be the primary decision makers for what equipment and supplies are
purchased and stocked in the difficult airway management cart. correct answers Anesthesia
personnel
Proper specimen management techniques prevent errors and include all of the following
EXCEPT: correct answers Receiving specimens from the surgical field then affixing patient label
to each
Preventing surgical fires is a top priority for all OR personnel and members of the surgical team
should perform all of the following duties EXCEPT: correct answers Perform a weekly fire risk
assessment
Peri-operative hypothermia is an important issue for all anesthetized patients because of all of the
following EXCEPT: correct answers Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following EXCEPT:
correct answers Utilizing a multidisciplinary team to resolve incorrect counts
, Select the appropriate order for administering blood and blood products. correct answers Verify
informed consent for blood, verify patient identification and blood type and unit numbers against
blood tag and requisition slip with second licensed person, sign slips
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss when
conducted correctly and used in appropriate circumstances. Select the response that correctly
reflects the best practice in weighing sponges. correct answers Keep a running total blood loss
calculated from available sponges during procedure
Laparoscopic procedures that emergently convert to open procedures place the patient at risk for
unintentional retained foreign objects (RFOs). What new and evolving risk reduction strategy
could prevent RFOs and frustrating, time-consuming miscount adventures at the end of these
procedures? correct answers Replacing or tagging sponges and laparotomy instruments with
radiofrequency identification (RFID) chips
A female patient with end-stage pancreatic cancer was admitted from hospice for a celiac plexus
block to treat intractable pain. She had a Whipple procedure 18 months earlier and enjoyed a
good quality of life until 3 weeks ago. She wanted to be able to complete "getting her things in
order" and saying good-bye to her friends and family while enjoying her last days pain-free. The
patient insisted that her Do Not Resuscitate (DNR) status NOT be rescinded. She was conscious
and competent and knew what was best for herself. The patient was taking full advantage of what
provision for her care? correct answers PSDA and advance directives
A patient was presented with the prepared informed consent form during the discussion with her
surgeon concerning her scheduled vaginal-assisted laparoscopic hysterectomy. She demonstrated
and verbalized that she understood all of the tenets of the procedure, risks, expected outcome,
complications, and procedural process. Before she signed the consent form, she informed the
surgeon that she did not want any medical students or surgical residents performing any parts of
the procedure other than assisting and did not want any photographs of her body taken. The
surgeon agreed, and she crossed out those portions of the form and initialed them before she
signed. The patient was exercising her: correct answers right to informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured abdominal
aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had
meticulously maintained accountability for all sponges and instruments discarded from the sterile
The number one patient safety issue identified in a survey of peri-operative nurses is preventing:
correct answers Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: correct answers OR
personnel not properly trained to reprocess instruments
To safely transfer and position patients in a manner that prevents shearing, personnel should use
a mechanical lifting device for a supine-to-supine transfer of a patient weighing more than:
correct answers 157 lbs
_______________ should be the primary decision makers for what equipment and supplies are
purchased and stocked in the difficult airway management cart. correct answers Anesthesia
personnel
Proper specimen management techniques prevent errors and include all of the following
EXCEPT: correct answers Receiving specimens from the surgical field then affixing patient label
to each
Preventing surgical fires is a top priority for all OR personnel and members of the surgical team
should perform all of the following duties EXCEPT: correct answers Perform a weekly fire risk
assessment
Peri-operative hypothermia is an important issue for all anesthetized patients because of all of the
following EXCEPT: correct answers Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following EXCEPT:
correct answers Utilizing a multidisciplinary team to resolve incorrect counts
, Select the appropriate order for administering blood and blood products. correct answers Verify
informed consent for blood, verify patient identification and blood type and unit numbers against
blood tag and requisition slip with second licensed person, sign slips
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss when
conducted correctly and used in appropriate circumstances. Select the response that correctly
reflects the best practice in weighing sponges. correct answers Keep a running total blood loss
calculated from available sponges during procedure
Laparoscopic procedures that emergently convert to open procedures place the patient at risk for
unintentional retained foreign objects (RFOs). What new and evolving risk reduction strategy
could prevent RFOs and frustrating, time-consuming miscount adventures at the end of these
procedures? correct answers Replacing or tagging sponges and laparotomy instruments with
radiofrequency identification (RFID) chips
A female patient with end-stage pancreatic cancer was admitted from hospice for a celiac plexus
block to treat intractable pain. She had a Whipple procedure 18 months earlier and enjoyed a
good quality of life until 3 weeks ago. She wanted to be able to complete "getting her things in
order" and saying good-bye to her friends and family while enjoying her last days pain-free. The
patient insisted that her Do Not Resuscitate (DNR) status NOT be rescinded. She was conscious
and competent and knew what was best for herself. The patient was taking full advantage of what
provision for her care? correct answers PSDA and advance directives
A patient was presented with the prepared informed consent form during the discussion with her
surgeon concerning her scheduled vaginal-assisted laparoscopic hysterectomy. She demonstrated
and verbalized that she understood all of the tenets of the procedure, risks, expected outcome,
complications, and procedural process. Before she signed the consent form, she informed the
surgeon that she did not want any medical students or surgical residents performing any parts of
the procedure other than assisting and did not want any photographs of her body taken. The
surgeon agreed, and she crossed out those portions of the form and initialed them before she
signed. The patient was exercising her: correct answers right to informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured abdominal
aortic aneurysm, the circulating nurse was unable to account for 2 lap sponges. He had
meticulously maintained accountability for all sponges and instruments discarded from the sterile
