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which term describes the condition of a surgical technologists skin following skin prep?
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what is the proper way to open a small, sterilely wrapped item for delivery to the sterile field?
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CH 12
principles and practice of surgical technology 120
| Question | Answer |
|---|---|
| which term describes the condition of a surgical technologists skin following skin prep? | surgically clean |
| what is the proper way to open a small, sterilely wrapped item for delivery to the sterile field? | first flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self secured before tossing item into fie |
| which gloving method should be performed by the surgical technologist after donning a sterile gown and before setting up the back table | closed gloving |
| what is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub | subungual |
| up to what area of the arms does a surgical technologist scrub? | 2 inch above the elbows |
| when preparing a patient for surgery, which of the following should be removed to facilitate oxygen blood level assessment? | nail polish |
| during the process of setting up the sterile field, efficiency and economy of motion recommend that the surgical technologist | move items only once if possible |
| which method of gloving is appropriate of a urinary catheter as part of the skin prep? | open gloving |
| what is the appropriate method for delivering a sterile item to the back table from a peel package | open package laterally and completely; gently toss item without touching glued edge or going over back table |
| what should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing? | open gown wrapper on unsterile mayo stand, and open and toss gloves onto gown |
| which of the following are NOT considered countable items for potential of retained foreign objects | dressing |
| best practice system that all of the following items remain sterile until the patient leaves the room EXCEPT the: | surgical drapes |
| what does the circulating nurse verify before the surgical technologist places the basket of instruments on the back table? | the filters on the bottom of the container are intact and the container is dry |
| if a pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table, what should be done | hand off the pack to the circulator who will bag, label as incorrect, and isolate off field until case completion |
| which component of personal protective equipment PPE, has shown the ability to decrease disease transmission from the needle punctures? | double gloving |
| with what amount and which fluid is a 16 Fr., two-way Foley catheter with 5 cc balloon filled? | 10 ml of sterile water |
| what is the term for the normal resident microbial populations found on human skin? | flora |
| before opening any supplies for delivery to the sterile field, what must be verified? | package integrity being intact and not violated |
| the 3 lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and: | continuous irrigation |
| what is the term for the opening in a surgical drape that is placed over the operative site? | fenestration |
| urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement | suprapubic |
| which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears? | aperture drapes |
| The ability to anticipate the needs of the surgeon is one of the most important skills for a surgical technologist to develop. | true |
| When turning the sterile gown, what is handed to the circulator that completes the gowning process? | gown tab card |
| Which of the following would NOT be an appropriate method of performing a surgical scrub/skin preparation? | medical hand wash |
| What is the name of the common disposable surgical gown style? | wraparound |
| What should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing? | Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown. |
| which towel is placed first when squaring off the operative site? | same side as person applying towels |
| which statement regarding instrument count is correct? a.they are required by state law for every surgical procedure , B they should be counted while all still on back table , C. they are uncessary if only one tray is opened for use . | B. They should be counted while all still on back table |
| suction tubing and ESU cords are attached to the sterile drapes with perforation towel clips to prevent the cords from falling off of the drape. | False |
| sterile drapes furniture is to be no closer than ____ inches from a nonsterile surface | 12 |
| What is the purpose of a radiofrequency tracking system in the operating room? | Reduce possibility of retained foreign objects |
| when draping the patient for surgery , once a towel or drape has been placed. | it can not be repositioned, misplaced drapes may covered with another drape if necessary |
| Counts can be performed by two CSTs? | F -circulator and a Surgical tech |
| if an area of the drape is suspected of being contaminate the area may be ? | covered with another impervious drape , or discarded and repreped |
| Discuss what should be stated in time out? | PT. Identity , procedure being performed, operative side and site , surgical site marking visible , correct position , all supplies and any other policy of facility. Confirming everything is correct |
| The surgeon is starting to close an inguinal hernia repair surgery , describe the counting process from the start of closing the patient to the final skin count | Count soft and instrument for initial count, count softs at subcutaneous and skin unless going open.1. when closing wound circulator and st complete 2 count , 2. final is completed when closure of the subcutaneous and skin . |
| ____ is are responsible for ensuring that no item is left in a patient | All team members |
| Discuss what should be done when receiving a specimen from the surgeon | 1.how to send it, 2. when to send it , 3. what do you want to call it? |
| The proper sequence for performing intraoperative and closing count is operative site , mayo stand , back table , kick bucket or off field. | TRUE |
| A method used for gathering supplies for a case is refferred to as a/an ______ system. | Case cart system |
| An assistant may be needed to properly perform which type of surgical skin prep? | circumferential extremity |
| To secure the Mayo stand from moving during draping, what should be done? | step on one leg of the mayo stand |
| Which member of the surgical team gives permission for the patient to be positioned or transferred|? | anesthesia provider |
| The main purpose of the surgical skin prep is to: | reduce the microbial count on the skin to an irreducible minimum |
| Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher? | SIMS |
| Three methods of surgical scrub | anatomical timed , counted strokes , brushless/waterless |
| Where is the safety belt or strap placed on a patient in supine position on the OR table? | 2in proximal to the knees |
| legs of a pt being placed in lithotomy position should be raised & lowered slowly &simultaneously by 2unsterile people | TRUE |
| What is the temporary position for a female patient for placement of urinary catheter prior to abdominal hysterectomy? | frog legged |
| Radiation, convection, conduction, and evaporation are examples of | mechanisms of intraoperative heat loss |
| What would be the likely result of positioning the pt’s arms on armboards at a greater than 90° angle from the torso? | hyperextension nerve damage |
| Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which basic position? | supine |
| The sitting position is a modification of which position? | fowler |
| Which type of sterile gown uses battery-powered ventilation for the wearer? | disposable fluid resistant |
| Which table attachment is required to safely maintain a patient in the reverse Trendelenburg position? | padded footboard |
| Which of the following is/are NOT included in operative vital sign measurements? a.pulse. b. blood pressure , c. height and weight , d all of the above considered vital signs measurements | D all of the above |
| During the surgical skin prep, areas that are considered contaminated should: | be scrubbed seperately or last |
| describes the configuration of a Mayo stand cover? | cylindrical |
| how to pour liquids into a container on the sterile field is correct? | hold bottle 12 in above and with only the lip of the bottle over the basin |
| What is the term used when a surgical team member who is on standby must return to the facility to do a case? | call in |
| Which position would facilitate exposure of the operative area during a laparoscopic cholecystectomy? | reverse Trendelenburg with slight tilt to the left |
| For which position would the head of the OR table be moved to the foot before the patient is placed on the table? | lithotomy |
| The patient undergoing laparotomy should be prepped: | from the incision site outward toward the periphery in a circular motion |
| Which of the following is NOT an example of blunt dissection of tissue?a.surgeon and assistant pull open peritoneum bilaterally b.gloved finger against tissue , c. dissection sponge , D. Endo shears are used through Laparoscopic trocar to seperates tiss. | Endo Shears are used through laparoscopic trocar to separate tissue. |
| describe the process for draping a lower extremity | -Half sheet under the prepped leg and over the unprepped leg -Sticky u-drape around the nonsterile tourniquet -Stockinette placed over the unprepped foot and wrapped with Coban -The foot is placed through the Extremity drape and pulled up to the U-drap |
Created by:
g1212