Question 1

What are the 3 Phases of
Surgical Case Management?

Accepted Answer

-Preoperative
-Intraoperative
-Postoperative

Question 2

Preoperative case management:
Prepare the ___.
Pull necessary _____________(s).
Prepare and maintain the __________ field.
_______, gown, and _______.
Count.
Drape.
Don ___.

Accepted Answer

- OR
- Supplies
- PPE
- Sterile
- Scrub,gown,and glove

Question 3

Intraoperative case management:
Maintain the ________ field.
________________ team members needs.
Pass __________(s) and ___________(s) as needed.
Prepare and handle med_____(s).
Speciman ______.
Dressings.

Accepted Answer

- Maintain the STERILE field.
- ANTICIPATE
- Instruments and supplies
- Medications
- Specimen CARE

Question 4

Postoperative case management:
Maintain _______ field until patient is transported.
Transport used instruments and equipment to
_______________ area.
Prepare OR for next patient.
Dispose of ______(s).

Accepted Answer

- STERILE FIELD
- Decontamination area
- Sharps

Question 5

 Maintain the sterile field
 Anticipate team members needs
 Pass instruments and supplies as needed
 Prepare and handle medications
 Specimen care
 Dressings

Accepted Answer

Intraoperative case management

Question 6

 Prepare the OR
 Pull necessary supplies
 Don PPE
 Prepare and maintain the sterile field
 Scrub, gown, and glove
 Count
 Drape

Accepted Answer

Preoperative case management

Question 7

 Maintain sterile
field until patient is
transported
 Transport used
instruments and
equipment to
decontamination
area
 Prepare OR for
next patient
 Dispose of sharps

Accepted Answer

Postoperative case management

Question 8

A POSitive CARE approach.
What do the letters in CARE stand for?

Accepted Answer

C - Caring attitude
A - Application
R - Role
E - Enviormental Concern

Question 9

APOS?

Accepted Answer

A - Anatomy
P - Pathology
O - Operative (procedure)
S - Specific (variations)

Question 10

 Identifying goal or problem
 Gathering and evaluating information
 Use A POSitive CARE Approach
 Generating one or more responses
 Implementing the best response
 Assessing the results

Accepted Answer

The five steps to critical thinking.

Question 11

What is the first step in the five steps to critical thinking?

Accepted Answer

1. Identifying the goal or problem

Question 12

What is the second step in the five steps to critical thinking?

Accepted Answer

2. Gathering and evauluating information.
( Use A POSitive CARE approach).

Question 13

What is the third step in the five steps to critical thinking?

Accepted Answer

3. Generating one or more responses

Question 14

What is the fourth step in the five steps to critical thinking?

Accepted Answer

4. Implementing the best response

Question 15

What is the final step in the five steps to critical thinking?

Accepted Answer

5. Assesing the results

Question 16

Where can you gather information about the surgeon and what he wants?

Accepted Answer

Surgeons prefrence card

Question 17

NAME THREE PHYSIOLOGICAL NEEDS:

Accepted Answer

-breathing
-food
-water

Question 18

Name three physicological needs :

Accepted Answer

-safety 
-belonging
-love

Question 19

Reminder
 Never judge a patient
 Condition
 Behaviors that led to condition
 Personal appearance
 Surgical choices
 Always view patients with compassion

This is called :

Accepted Answer

Respect

Question 20

 Laboratory results
 Radiology reports
 Previous pathology reports
 Surgical consent (review)
 History and physical report (H&P)
 Preoperative checklist
 Allergies, handicaps, or other
limitations
 Nurses notes

Accepted Answer

All of these things should be in the patient chart.

Question 21

Surgical consents?

Accepted Answer

-Permission to perform an action.
-permission to touch
(voluntary- can be taken away at any time).

Question 22

Touching without permission can be_______.

Accepted Answer

Battery

Question 23

Informed Consent:
Obtain for all invasive procedures
 Protects patients and providers
 Patient is aware of:

Accepted Answer

- Their condition
- Proposed procedure
- Risks
- Viariables
- alternatives

Question 24

The responsibility for securing
written, informed consent belongs
with the:

Accepted Answer

Surgeon

Question 25

Preoperative Patient Education reduces ____________.Significant increase in patient __________________. Proven to shorten hospital stay.

Accepted Answer

- Anxiety.
- Compliance

Question 26

 Patient should shower or bath the
night or morning prior to surgery
 Practice good oral hygiene
 Hair should be washed
 Preop shave
 As close to the time of surgery as
possible
 NPO eight hours prior to surgery
 Comfortable clothing

Accepted Answer

PREOPERATIVE
( before admitting to hosptial for surgery).

Question 27

Nail polish should be removed to
better measure blood oxygen
saturation
Pulse oximeter
Makeup should be removed
Skin tone
Infection

Accepted Answer

PREOPERATIVE

Question 28

All ______________ should be removed prior to surgery. Dentures, prostheses, and implants also need to be removed.

Accepted Answer

Jewelery

Question 29

Jewelary, Dentures, Prostheses, etc. need to be ______________ and placed with patient possesions. This includes wigs and hairpins.

Accepted Answer

Labeled

Question 30

Once patient possisions are collected:

Accepted Answer

- Give to family members 
- Lock in the hospital safe
- Labeled and kept with patients chart

Question 31

Preoperative medications are used to:

Accepted Answer

- Alleviate anxiety
- Decrease nausea 
- Produce amnesia
- Decrease saliva and gastric juices
-

Question 32

These medications should be taken __ to __ hours before surgery.

Accepted Answer

1 to 2

Question 33

The paitent should not be left alone after administration of Pre OP meds.

Accepted Answer

True that.

Question 34

Know the proper attire for the surgical technologist.

Accepted Answer

- Hat
- Masks
- Scrub suit
- Shoe covers
- Protective eyewear
- radiation protection
- gloves

Question 35

Scrub suits are changed _____.

Accepted Answer

Daily

Question 36

Shirts and drawstrings tucked __.

Accepted Answer

In

Question 37

Need to change _______(s) if they become soiled.

Accepted Answer

Need to change SCRUBS if they become soiled.

Question 38

Wear a cover gown or ____ ______ when
leaving the O.R. environment. It looks professional and it prevents cross-contamination.

Accepted Answer

Lab coat

Question 39

Hair covers are donned prior to the
scrub suit to prevent shedding
 Reusable hats must be washed everyday
 Completely cover hair
 Space helmets
 Skullcap
 bouffant

Accepted Answer

True

Question 40

Masks are worn at all times in _________________ areas. Tied snugly to fit over mouth and nose
 Strings of mask should not be crossed
 On or off
 Not hanging around neck
 Handled with strings
Minimal
 Changed between all cases.

Accepted Answer

-Restricted

Question 41

Shoe covers protect your _____.
Remove when soiled.
Remove when leaving surgical site.

Accepted Answer

Shoes

Question 42

Gowns are sterile from ______ _______ to ___ ______.

Accepted Answer

Waist level to mid level.

Question 43

Sleeves circumferentially to _____ inches above elbows.

Accepted Answer

two

Question 44

Cuffs of the gown are considered ___ ______________,

Accepted Answer

Non sterile

Question 45

_________(s) Should be worn anytime contact with
broken skin or body fluids is expected.

Accepted Answer

Gloves

Question 46

Always examine package and inspect ___________ of package before opening and putting on back table.

Accepted Answer

Integrity

Question 47

Check the ________ date.

Accepted Answer

Expiration

Question 48

Open __________ table first.

Accepted Answer

Back

Question 49

____________ items to ____________ items.

Accepted Answer

Larger items to smaller items.

Question 50

STSR’s gown and gloves should not be opened on the ____ _______.

Accepted Answer

Back table

Question 51

During a surgical scrub hands and arms need to be __" above the elbow.

Accepted Answer

2

Question 52

Surgical scrub should provide a film that lasts for several __________.

Accepted Answer

hours

Question 53

There are two types of surgical scrubs:

Accepted Answer

-Timed method and -Counted brush stroke method. ( Hospital policy will dictate  Number of strokes  Required number of minutes 5-10)

Question 54

Open door with back  Keep hands between waist and midchest  Avoid touching anything  Don a surgical gown  Minimize big movements  Do not turn your back on sterile field  “closed gloving”

Accepted Answer

Self drying and gloving

Question 55

Keep hand in sight  Keeps hands in sterile zone  Establish a routine  Drape the mayo stand  Organize the back table  Move as little as possible  Keep body centered  Work in sections  Handle each item only once  Be aware of environment

Accepted Answer

Preperation of sterile field

Question 56

Sponges. Packs of __ or __.

Accepted Answer

5 or 10

Question 57

__________. sponges should not be used until after final count

Accepted Answer

Dressing sponges.

Question 58

Patient Transport

Accepted Answer

 Feet first  Slowly  Elevator  Head first

Question 59

Apply safety strap __” above knee  Proximal to knee. Never leave patient alone.

Accepted Answer

2 inches above knee

Question 60

Normal temp values: Oral: Rectal: Axillary:

Accepted Answer

Oral: 98.6 Rectal: 99.6 Axillary: 97.6

Question 61

Tempature monitoring Methods: Noninvasive: Invasive:

Accepted Answer

Noninvasive: -touch -skin sticker -ear -axilla INVASIVE: -Oral -Rectal -Esophogeal -Bladder

Question 62

Normal Pulse Values: ------------------- Birth: Infants: Children ( 1 to 7): Children ( over 7): Adults:

Accepted Answer

Birth: 130-160 Infants:110-130 Children (1-7): 80-120 Children (over 7): 80-90 Adults: 60-80

Question 63

Normal Respirations: Infants Children Adults

Accepted Answer

Infants: 30-60 per minute Children: 18-30 per minute Adults: 12-20 per minute

Question 64

Normal BP for a newborn:

Accepted Answer

50-52 SYSTOLIC/25-30 DIASTOLIC

Question

Question

Question

Surg Tech CH. 12

Part one - Pre-op case management

Question	Answer
What are the 3 Phases of Surgical Case Management?	-Preoperative -Intraoperative -Postoperative
Preoperative case management: Prepare the ___. Pull necessary _____________(s). Prepare and maintain the __________ field. _______, gown, and _______. Count. Drape. Don ___.	- OR - Supplies - PPE - Sterile - Scrub,gown,and glove
Intraoperative case management: Maintain the ________ field. ________________ team members needs. Pass __________(s) and ___________(s) as needed. Prepare and handle med_____(s). Speciman ______. Dressings.	- Maintain the STERILE field. - ANTICIPATE - Instruments and supplies - Medications - Specimen CARE
Postoperative case management: Maintain _______ field until patient is transported. Transport used instruments and equipment to _______________ area. Prepare OR for next patient. Dispose of ______(s).	- STERILE FIELD - Decontamination area - Sharps
 Maintain the sterile field  Anticipate team members needs  Pass instruments and supplies as needed  Prepare and handle medications  Specimen care  Dressings	Intraoperative case management
 Prepare the OR  Pull necessary supplies  Don PPE  Prepare and maintain the sterile field  Scrub, gown, and glove  Count  Drape	Preoperative case management
 Maintain sterile field until patient is transported  Transport used instruments and equipment to decontamination area  Prepare OR for next patient  Dispose of sharps	Postoperative case management
A POSitive CARE approach. What do the letters in CARE stand for?	C - Caring attitude A - Application R - Role E - Enviormental Concern
APOS?	A - Anatomy P - Pathology O - Operative (procedure) S - Specific (variations)
 Identifying goal or problem  Gathering and evaluating information  Use A POSitive CARE Approach  Generating one or more responses  Implementing the best response  Assessing the results	The five steps to critical thinking.
What is the first step in the five steps to critical thinking?	1. Identifying the goal or problem
What is the second step in the five steps to critical thinking?	2. Gathering and evauluating information. ( Use A POSitive CARE approach).
What is the third step in the five steps to critical thinking?	3. Generating one or more responses
What is the fourth step in the five steps to critical thinking?	4. Implementing the best response
What is the final step in the five steps to critical thinking?	5. Assesing the results
Where can you gather information about the surgeon and what he wants?	Surgeons prefrence card
NAME THREE PHYSIOLOGICAL NEEDS:	-breathing -food -water
Name three physicological needs :	-safety -belonging -love
Reminder  Never judge a patient  Condition  Behaviors that led to condition  Personal appearance  Surgical choices  Always view patients with compassion This is called :	Respect
 Laboratory results  Radiology reports  Previous pathology reports  Surgical consent (review)  History and physical report (H&P)  Preoperative checklist  Allergies, handicaps, or other limitations  Nurses notes	All of these things should be in the patient chart.
Surgical consents?	-Permission to perform an action. -permission to touch (voluntary- can be taken away at any time).
Touching without permission can be_______.	Battery
Informed Consent: Obtain for all invasive procedures  Protects patients and providers  Patient is aware of:	- Their condition - Proposed procedure - Risks - Viariables - alternatives
The responsibility for securing written, informed consent belongs with the:	Surgeon
Preoperative Patient Education reduces ____________.Significant increase in patient __________________. Proven to shorten hospital stay.	- Anxiety. - Compliance
 Patient should shower or bath the night or morning prior to surgery  Practice good oral hygiene  Hair should be washed  Preop shave  As close to the time of surgery as possible  NPO eight hours prior to surgery  Comfortable clothing	PREOPERATIVE ( before admitting to hosptial for surgery).
Nail polish should be removed to better measure blood oxygen saturation Pulse oximeter Makeup should be removed Skin tone Infection	PREOPERATIVE
All ______________ should be removed prior to surgery. Dentures, prostheses, and implants also need to be removed.	Jewelery
Jewelary, Dentures, Prostheses, etc. need to be ______________ and placed with patient possesions. This includes wigs and hairpins.	Labeled
Once patient possisions are collected:	- Give to family members - Lock in the hospital safe - Labeled and kept with patients chart
Preoperative medications are used to:	- Alleviate anxiety - Decrease nausea - Produce amnesia - Decrease saliva and gastric juices -
These medications should be taken __ to __ hours before surgery.	1 to 2
The paitent should not be left alone after administration of Pre OP meds.	True that.
Know the proper attire for the surgical technologist.	- Hat - Masks - Scrub suit - Shoe covers - Protective eyewear - radiation protection - gloves
Scrub suits are changed _____.	Daily
Shirts and drawstrings tucked __.	In
Need to change _______(s) if they become soiled.	Need to change SCRUBS if they become soiled.
Wear a cover gown or ____ ______ when leaving the O.R. environment. It looks professional and it prevents cross-contamination.	Lab coat
Hair covers are donned prior to the scrub suit to prevent shedding  Reusable hats must be washed everyday  Completely cover hair  Space helmets  Skullcap  bouffant	True
Masks are worn at all times in _________________ areas. Tied snugly to fit over mouth and nose  Strings of mask should not be crossed  On or off  Not hanging around neck  Handled with strings Minimal  Changed between all cases.	-Restricted
Shoe covers protect your _____. Remove when soiled. Remove when leaving surgical site.	Shoes
Gowns are sterile from ______ _______ to ___ ______.	Waist level to mid level.
Sleeves circumferentially to _____ inches above elbows.	two
Cuffs of the gown are considered ___ ______________,	Non sterile
_________(s) Should be worn anytime contact with broken skin or body fluids is expected.	Gloves
Always examine package and inspect ___________ of package before opening and putting on back table.	Integrity
Check the ________ date.	Expiration
Open __________ table first.	Back
____________ items to ____________ items.	Larger items to smaller items.
STSR’s gown and gloves should not be opened on the ____ _______.	Back table
During a surgical scrub hands and arms need to be __" above the elbow.	2
Surgical scrub should provide a film that lasts for several __________.	hours
There are two types of surgical scrubs:	-Timed method and -Counted brush stroke method. ( Hospital policy will dictate  Number of strokes  Required number of minutes 5-10)
Open door with back  Keep hands between waist and midchest  Avoid touching anything  Don a surgical gown  Minimize big movements  Do not turn your back on sterile field  “closed gloving”	Self drying and gloving
Keep hand in sight  Keeps hands in sterile zone  Establish a routine  Drape the mayo stand  Organize the back table  Move as little as possible  Keep body centered  Work in sections  Handle each item only once  Be aware of environment	Preperation of sterile field
Sponges. Packs of __ or __.	5 or 10
__________. sponges should not be used until after final count	Dressing sponges.
Patient Transport	 Feet first  Slowly  Elevator  Head first
Apply safety strap __” above knee  Proximal to knee. Never leave patient alone.	2 inches above knee
Normal temp values: Oral: Rectal: Axillary:	Oral: 98.6 Rectal: 99.6 Axillary: 97.6
Tempature monitoring Methods: Noninvasive: Invasive:	Noninvasive: -touch -skin sticker -ear -axilla INVASIVE: -Oral -Rectal -Esophogeal -Bladder
Normal Pulse Values: ------------------- Birth: Infants: Children ( 1 to 7): Children ( over 7): Adults:	Birth: 130-160 Infants:110-130 Children (1-7): 80-120 Children (over 7): 80-90 Adults: 60-80
Normal Respirations: Infants Children Adults	Infants: 30-60 per minute Children: 18-30 per minute Adults: 12-20 per minute
Normal BP for a newborn:	50-52 SYSTOLIC/25-30 DIASTOLIC
Normal BP for a child under six years of age:	95/62
Normal BP for a child to ten years old:	100/65
Normal BP for an adolescent:	118/75
Three basic positions:	-Supine -Prone -Lateral
Patient Positionins:	Supine  Prone  Fowler’s  Trendelenburg  Reverse Trendelenburg  Lithotomy  Kraske  Lateral

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