Transfer forceps are used by personal in the surgical suite that are..
not considered sterile. Transfer forceps allow them to grasp sterile objects with the pincer ends and move them to other sterile areas
considered to be sterile
Transfer forceps must NOT be taken out of the germiphene solution for longer then...
60 seconds
30 seconds
After changing the germiphene solution you must immerse the forceps for....
20 minutes before they are considered sterile
30 minutes before they are considered sterile
True/False the jaws of the transfer forceps should always be facing down and you should gently shake off the jaws before touching any sterile fabrics
True
Flase
When is complete sterilization often completed using an autoclave machine?
9-15 minutes after exposure to 250F
20-30 after exposure to 285F
60 mins after exposure to 400F
You are using the manual autoclave and notice that the water is below the safety valve...what do you do?
add more distilled water NOT into the reservoir during operation
add water during operation
Which is the proper setting for using an manual autoclave for gowns and drapes.
Temp: 273 F , time 30 mins,
Temp: 273 F, time 35 mins
Temp: 250 F, time 30 min
What is the proper settings for using an manual autoclave for instruments?
273 F Temp, 35 minutes
273 F temp, 30 mins
250 F temp, 30 mins
A dry cycle of temp 273 F and 20 mins is used for
gowns and drapes
instruments
T/F when loading packs into the autoclave machine they should not touch the roof or back of chamber
true
false
When filling the chamber with water how would you get it to stop from spilling out?
once it hits the line quickly change the dial to the STE position
there is no way to stop this
When you set the timer for using an autoclave what should you do?
as the pressure builds up ensure that the door is closed tightly enough
if you hear steam whistle then slowly tighten the door until the sound stops
For using a automatic autoclave when will you know that the door is properly closed?
close door will illuminate
you will hear a click
What temp should you let the autoclaves go down to in between use?
194F at a minimum
200F at a minimum
250F at a minimum
What kind of hemostat does this describe?
Transverse striations over half the jaw
Crushing instrument that clamps blood vessels
Larger type of hemostats
Kelly hemostat
Mosquito hemostat
What kind of hemostat does this describe? Transverse striations whole length of jaw Crushing instrument that clamps blood vessels Smallest type of hemostats
Match the tool Grasps and holds tissues strong tissue retraction should only be used on tissue going to be removed
Allis tissue forceps
kelly hemostats
kocher forceps
Match the tool also known as rochester forceps transverse striations along entire jaw single rat tooth as tip used to clamp drapes
allis tissue forceps
kelly hemostat
Match the thumb forceps -transverse striations -used for dressing only
dressing forceps
adson hudson tissue forceps
rat tooth forceps
Match the thumb forceps -wide grips on the handle with tampered tip -fine rat tooth to carefully grasp delicate tissue
Match the thumb forceps -rat teeth in various combinations found at tip -used to hold dense tissue i.e skin
Match the scissors : -blunt dissecting through tough tissue -blunt/blunt tips -tissue use only
mayo scissors
operating scissors
metzenbaum scissors
Match the scissors : -can be seen as sharp/blunt or blunt/blunt or sharp/sharp -not for tissue use only used for bandage/suture material
Match the scissors : -can be found in various lengths - usally long shank to shorter blade ratio -for fine tissue use -use only for bandage/suture materials
Which statement is true about backhaus towel clamps?
very sharp tips! thus always leave closed
designed to never go through a blood vessel
used to clamp drapes to skin or drapes to drapes
Needle drivers come in two kinds. Mayo -hegar and olsen hegar. Which of these two is cutting?
Olsen hegar
mayo hegar
When passing surgical instruments to the surgeon they should be
all instruments should be open unless they are securing other objects
make sure that you do not point the pointy but towards them
Match the scalpel blades: # 10 handle 3
a general blade used in small animal procedures
used to sever ligaments
used in lacerating abscesses
commonly used in Onchydectomies
Match the scalpel blades: # 11 handle 3
used to severe ligaments
general blade for small animal procedures
used for lancing abscesses
Onchydectomies
Match the scalpel blades: # 12 handle 3
lancing abscesses
Match the scalpel blades: # 15 handle 3
sever ligaments
Cutting needles generally have two or three opposing cutting edges.Used in tissue that is typically difficult to penetrate, there are two styles available
Reverse cutting needle
needles have a third cutting edge located on the outer (convex)curvature of the needle
needles (spatula needles) are flat on the top and bottom;generally used in ophthalmic procedures
side cutting
Tapered needles(round needles)have a sharp tip that pierces and spreads tissues without cutting them
Taperpoint
needles are used in tissues that can be easily penetrated
needles have a reverse-cutting edge tip and a taper-point body;generally used for suturing dense, tough fibrous tissue
Tapercut
When would you want to use a straight needle?
Straight needles are useful when they can be manipulated with the surgeon’s finger
Straight needles reach deeper,more in accessible tissue and are used with needle driver
When would you use a curved needle?
Curved needles reach deeper,more in accessible tissue and are used with needle driver
Curved needles are useful when they can be manipulated with the surgeon’s finger
Look at diagram on how to load a scalpel blade :)
okay!
no
When threading a needle you want to thread the suture material through the eye of the needle from the...
inner curve towards the the outer edge
outer curve towards the inner edge
After the you have inserted the suture material once into an eye of the needle the second step would be to...
Loop the suture material over to insert it through the eye a second time in the same manner and direction as the first time
you may pull it taunt now
For hand washing instruments the materials you need are
scrub brush
chlorhexidine soap
surgical milk
large besin (for the milk)
T/F before putting instruments in surgical milk you should rinse them with hot water
To use the MidMark M150 cleaner you must fill the empty tank with distilled water and GZYME. What is the ratio you use?
10 mL of GZYME followed by 4L of distilled water
20 ml of GZYME followed by 4 L of distilled water
Before using the MIDMARK150 ultrasonic cleaner you should degass the the fresh cleaning solution. To do this you....
run the cleaner for 5-10 minutes without any air in the solution to allow for air within the solution to escape
run the cleaner for 10- 20 minutes without any air in the solution to allow for the air within the solution to escape
You have run with MIDMARK M150 solution for 15 minutes successfully cleaning the solution. Now that the cycle has ended what should you do with the instruments?
rinse all the instruments in a warm water bath to remove the cleaning solution
there is nothing you have to do
Which of these is an example of an advantage to using the MidMark150 directly?
this is the simplest way to operate the ultrasonic cleaner and is highly effective
less steps then indirect which leads to the potential that more cycles can be run in a shorter period
What is an disadvantage to using the MIDMARK M150 directly?
all debris from the instrument can contaminate the entire tank which can lead to more frequent changes of the solution
small items ( such as surgical needles) can not be used this in this method
What is surgical milk used for?
used as a lubricator
rust inhibitor
What is the concentrated raio for surgical milk to water?
1:5
1:10
1:2
You have laid the surgical instruments in surgical milk for 30 seconds (the proper amount of time). What do you do next?
lay the instruments onto a delinted towel and allow them to air dry
they are now ready to be sterilized
True/False All instruments MUST be immersed in surgical milk prior to being sterilized
False
Prior to draping the surgical patient in the surgical suite, the assistant surgeon will complete the final prep with sterilized betadine solution. How much betadine solution should be put into erlenmeyer flask?
Put 10 mls of betadine solution into the erlenmeyer flask
Put 15 mls of betadine solution into the erlenmeyer flask
Put 5 mls of betadine solution into the erlenmeyer flask
Look at the instructions on how to autoclave the final betadine prep
okay :) (remember to loosen the cap one half rotation to allow steam to escape before autoclaving)
When using outer drapes how many layers of thickness should you use for optimal sterility?
2 layers of protection
4 layers of protection
Review the folding techniques for outer drapes (there is a video or diagrams can be found in the surgical manual)
okay :)
How would you prepare a view pack? (also watch the video on this)
Cut the appropriate length of view pack material, Fold one open end over 2 times and tape.Cover both sides with the same length of tape,leaving a tab and being sure not to extend past the end of the pack
Cut the appropriate length of view pack material. Fold one open end over 1 times and tape. Cover one side with a slightly longer length of tape then the other. Make a tab that extends past the end of the pack
When making a gown pack besides the gown you should also include a....
hand towel
scissors
Review the video and or diagram on how to make gown packs
Review the video and or diagram on how to do a hand towel
Review how to fold a ground drape ethier with the diagram or video
Review how to fold a laparotomy sheet
Review how to make a drape pack. What should be in it?
okay and its 1 single double thickness outer drape, 3 skin drapes, 4 ground drapes, 1 laparotomy drape
True/False When labeling yourdrape pack,include the sizeof the ground drapes and the length of the fenestration in the laparotomy sheet
Which of these materials are in a post prep drape pack
1 post prep drape pack
2 single thickness outer drapes
1 autoclave indicator strip
autoclave tape
Review the instrument pack
Who is the circulating nurse?
They are the key non-sterile personnel that interact directly with sterile personnel and ensure that all materials and equipment are in the suite and ready for use
they are the prep person and prepare the animal for surgery. They also calculate dosages
When the pack that have been prepared for surgery are brought to the surgical room they will be open by the....
circulating nurse
instrument tech
prep person
What tool would the circulating nurse use in order to open the surgery packs
transfer forceps
needle drivers
The tape submission sheet will hold the indicator tape and steam clox of each pack that is opened. Who ensures that the tape is put into this book?
the circulating nurse
the prep person
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