ORX Tournament of Champions

The popular quiz bowl that has become a staple of ORX returned for the third straight year with a spirited, seesaw battle between Team Pre-Op, Team OR and Team PACU. With pride and Outpatient Surgery Magazine T-shirts on the line, Team OR pulled out to an early lead and held on for a close win, edging out Team PACU by 2 percentage points.

The final results:
? ? ? ?Team OR: 39%
? ? ? ?Team PACU: 37%
? ? ? ?Team Pre-Op: 24%

How would you have stacked up against this year's competition? Take a shot at answering a few sample questions and look for the answers at the end of the quiz.

— Mark McGraw

1. To calculate your net revenue per case for a month:
a. divide the total amount of revenue by the number of cases performed
b. divide the total EBITDA by the number of cases performed
c. divide the total amount of revenue minus expenses by the number of cases performed
d. divide the total billed amount by the number of cases performed

2. Ambulatory surgical procedures are limited to the following except:
a. total of 4 hours operating time
b. total of 4 hours directly supervised recovery
c. local, regional or general anesthesia of 4 hours or less
d. cases that require invasion into body cavities

3. In May 2011, the FDA ordered several medical device makers to initiate post-market studies of a class of surgical implant because of concerns about adverse effects. What was the device?
a. 1-piece silicone IOLs
b. metal-on-metal hip implants
c. saline breast implants
d. mesh for uterine sling procedures

4. Under the Patient Protection and Affordable Care Act, insurers must waive deductibles, co-pays and coinsurance for colonoscopies.
a. true
b. false

5. "Wet" loads in autoclaves can occur when:
a. instruments are packed too densely in trays
b. the sterilizer door was left open between cycles
c. trays were stacked in the sterilizer
d. instruments were wet when wrapped
e. all of the above

6. Which method of low-temperature sterilization has the shortest cycle time?
a. gas plasma
b. ethylene oxide gas
c. ozone
d. none of the above

7. Medicare reimburses separately for pre-op peripheral nerve blocks under the following circumstances:
a. both ultrasound and a stimulator are used
b. blocks are performed in a dedicated block room
c. blocks are administered in association with
d continuous catheter attached to a pain pump
e. none of the above

8. Which of these items is appropriate for red bag waste?
a. suture needles
b. medication vials
c. emptied suction canisters
d. sponges saturated with blood or bodily fluids
e. all of the above

9. According to a recent FDA warning, which of these common medications may cause dangerous arrhythmias in patients with pre-existing heart conditions?
a. fentanyl
b. bupivicane
c. dexamethasone
d. ondansetron
e. none of the above

10. Which of these medications would be most appropriate to administer to a nauseous patient in PACU?
a. ondansetron (Zofran)
b. promethazine (Phenergan)
c. granisetron (Kytril)
d. scopolamine patch (Transderm Scop)
e. all of the above

11. According to AORN, spray bottles should not be used in surface disinfection.
a. true
b. false

12. Which of these is not a risk factor for unplanned hypothermia?
a. old age
b. male gender
c. systolic blood pressure less than 140mmHg
d. high BMI
e. none of the above
f. both b and d