Need help with an online test questions for an OR position

[giselle72]

Has anyone taken an online OR test, I have to take one for a position and its pretty broad?

Prophecy is the online test timed and can't skip answers, to move on.

Is a TIME OUT done before the pt. is prepped and draped or after ? I know certain facitilites has their own policies.

Is a Laparascopic Chole ASA 1 Or 2

Thanks to anyone who may have been in the same situation.

[ckh23, BSN, RN]

I think it depends where you are. Where I am now the timeout is done after the drapes are up and before incision. As for ASA there is no way to determine the ASA. The ASA is specific to each patient and not the procedure because it is based on co-morbidities and the severity of them. For example a lap chole on a 22 year old with no medical history would most likely be an ASA 1, but a morbidly obese 22 yo that smokes would be an ASA 3 for the same lap chole.

[Argo]

Timeouts are universal. ASA is also universal based on the anesthesia providers rating. I'm guessing you have never worried in an OR. Very basic OR questions.

[giselle72]

thanks for your reply I meant to ask Wound Classification for Laparascopic Chole

[canesdukegirl, BSN, RN]

At my facility, a pre-induction time out is performed, and then a pre-incision time out is performed once the drapes are up and the patient is prepped. If you run down the things that are announced during the pre-incision time out, one of the things listed is "Prep Dry?" That's an easy way to remember, because the reason you are asking if the prep is dry is because you don't want the bovie to start a nasty little fire on wet prep. And the bovie isn't used until the drapes are in place, right?

Wound classifications can be tricky. Lap chole is generally classified as a II-clean/contaminated. If there is gross bile spillage, then the wound goes to III-contaminated.

[Anniehow]

Our timeouts must be done as close to incision time as possible, after the patient is draped.

As far as wound classification we use: clean; clean-contaminated; contaminated; or dirty. A basic lap cole is a clean-contaminated wound, unless the gall bladder is ruptured during removal, then it is a contaminated wound. (It also depends on other factors like a major break in sterile technique etc.)

HTH

[Rose_Queen, BSN, MSN, RN]

You might find this PDF helpful in determining wound class.

Surg_Wound_Clas_Tree.pdf

[LandD_RN_chica]

We do three time outs. One before the patient goes to sleep. One immediately before incision with drapes up and one after the procedure. As far as Asa there is no way to determine this unless you know the patient and all their conditions Pre existing. Chronic. And acute. A healthy young person usually gets a 1 but 1s are rare. A very sick person with htn renal failure etc would be a 3 or 4. Asa are determined by the anesthesiologist and are based on each patients health.

[LandD_RN_chica]

Wound classification is broken down into 4 categories. There are algorithms available online to decipher which case would be what. Try googling it. Good luck.