Or Orientation Checklist

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 4

Medical Student OR Orientation Checklist (please bring to OR orientation)

Facility (1)________________________(2)________________________(3)___________________

Objectives
 Describe rationale for proper OR surgical attire

 Review OR Etiquette

 Identify Principles of Aseptic Technique

 Explain basic OR safety considerations

Action Items Considerations

Environmental 1. Process for Pyxis if applicable


Scan obtaining scrubs.
2. Location of locker
room with assigned
locker.
Logistics of Rooms /Instrument Room/ Xray
3. Tour of the OR: Supplies
Phone ext:__________
Charge Nurse Admin
Asst

4. Tour of the PACU:


Phone ext___________ Supplies
Charge Nurse Admin
Asst

5. Tour of Pre-Op: Chart Location


Phone ext:__________
Charge Nurse Admin
Asst

6. Patient Whiteboard OR Daily Schedule

Surgical Attire 7. Surgical Scrubs -Clean/ Dirty scrubs (Only scrubs laundered by the
facility can be worn to OR)

-Undergarments /Jewelry

8. Hair Covering -Nailpolish/Perfumes


9. Mask
10. Eye Wear Hat/ Hood Within the OR / Outside the OR

1
Medical Student OR Orientation Checklist (please bring to OR orientation)
Facility (1)________________________(2)________________________(3)___________________

11. Shoe covering Mandatoy PPE/Optional PPE


12. Hospital ID

OR Etiquette 13. Introduce self to Always give a quick knock on door.


circulating RN in
room
14. Write name on
white board if
applicable
15. Offer to obtain gown
and glove Do not open gown and gloves. Hand them to the
16. Make certain that circulating RN
you have eaten prior
to scrubbing in the Backpacks, fannypacks etc are not allowed inside
OR OR
17. Either turn off your
pager or have it Lab coats, and jackets etc are not allowed in the OR
assigned to someone
prior to scrubbing in
the OR

Who’s Who in 18. Review the various Surgeon


the operating roles and
Room responsibilities of Anesthesiologist
the disciplines and
Circulating Nurse
roles
Scrub Person

OR Assistant

Radiology

Aseptic 19. Placement of


Technique/ Set Surgical mask
of rules that 20. Methods of Hand Hand rub/ Hand scrub
govern the OR Antisepsis
environment 21. Donning a sterile
gown Double Gloving with Blue Underglove
22. Open Gloving Glove Size:__________________
23. Closed Gloving

2
Medical Student OR Orientation Checklist (please bring to OR orientation)
Facility (1)________________________(2)________________________(3)___________________

24. Changing gown or


gloves during the
procedure Break in technique /Cross Contamination -Do not
25. Removal of Gown leave OR suite with gown or gloves on Wash
after procedure hands after glove removal
26. Removal of gloves
after procedure

27. Where is the sterile


field Below sterile level is considered unsterile
28. Mayo Stand
29. Surgical Conscience

Universal 30. Wrong Site Surgery Everyone is expected to participate and follow
Protocols 31. Time Out protocol carefully

Time 32. All students are


expected to be on
time to the OR

Stations:

3
Medical Student OR Orientation Checklist (please bring to OR orientation)
Facility (1)________________________(2)________________________(3)___________________

(signature) (if needed) (if needed)

Scrub Demo/Return complete Validator #1 Validator #2 Validator #3

yes no

Gown Demo/Return complete Validator #1 Validator #2 Validator #3

yes no

Double Glove (Blue) complete Validator #1 Validator #2 Validator #3


Demo/Return
yes no
Size:
Inner:_________________
Outer:_________________

Student Name: ___________________________________________________________________________________

Date: _____________________________________________________________________________________________

You might also like