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1.Instruments – individual in the next room washing instruments in the scrub sink
2.Open door facing scrub sink
3.Cabinet containing equipment that is leaking with clean and sterile supplies
4.Cleaning – environmental services person removing a white bag of trash out of the room before end of case
5.Sign on draped instrument table that says “NEXT CASE” – set up for following case
6.Cleaning – white bag has blood coming out of the bottom of the bag, should be red bag for hazardous trash
7.Back instrument table has bloody instruments (retractors) and bloody drape
8.Back instrument table – basins, med cup have no labels on them
9.Attire – scrub person has hair and dangling earrings sticking out of cap
10.Surgeon is working in the incision with an electrode and there is a lot of smoke in the air, no smoke evacuator
11.The first assistant is fanning the smoke away from the incision
12.Attire – surgeon has his scrub gown open in the back with ties hanging down
13.Patient arm out on arm-board with identification band coming off his wrist
14.Patient leg coming off the operating table
15.Bloody counted lap sponge and instrument under the operating table
16.Electrosurgical cautery pedal sitting in a puddle with a frayed cord coming out of pedal
17.Anesthesia – syringe hanging out of the intravenous tubing
18.Anesthesia – using trash can as a sharps container
19.Anesthesia – alcohol dispenser or bottle on the anesthesia machine dripping alcohol
20.Attire – nesthesia provider has short sleeve scrub top on, not a warm-up jacket
21.Staff member has his mask down and is blowing his nose
22.Attire – Circulator wearing artificial nails and texting
23.Wrapped instrument set sitting on a shelf has a tear in the wrap
24.Boom box on a shelf has very loud music coming out of it
25.Ventilator vent with dust bunnies adhered to it and falling off the vent
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