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Surgical Technology, Clinical Orientation,Unit1-3(proctored practice)

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Surgical Technology, Clinical Orientation, Unit1-3(proctored practice)

Surgical Technology, Clinical Orientation, Unit1-3(proctored practice)

Frage 1 von 52

1

The sterile field should be established ____.

Wähle eine der folgenden:

  • close to the door

  • in major traffic paths

  • farthest from the door

  • in the middle of the room

Erklärung

Frage 2 von 52

1

Torn, perforated, or wet disposable supplies should be ____.

Wähle eine der folgenden:

  • used as is

  • used as a last resort

  • thrown away

  • used immediately

Erklärung

Frage 3 von 52

1

All are duties performed by the STSR during the preoperative case management phase EXCEPT to ____.

Wähle eine der folgenden:

  • scrub and don sterile attire

  • anticipate the needs of the surgeon

  • prepare the operating room

  • expose the operative site with sterile drapes

Erklärung

Frage 4 von 52

1

When creating the sterile field, the ____ should be opened first.

Wähle eine der folgenden:

  • back table

  • instruments

  • ring stand

  • STSR gown and gloves

Erklärung

Frage 5 von 52

1

Items are counted in which order for every procedure?

Wähle eine der folgenden:

  • sharps, atraumatic needles, sponges, instruments

  • sponges, instruments, sharps, atraumatic needles

  • sponges, atraumatic needles, sharps, instruments

  • atraumatic needles, instruments, sharps, sponges

Erklärung

Frage 6 von 52

1

______is worn to protect personnel from microbial contact and environmental hazards.

Wähle eine der folgenden:

  • Protective attire

  • Surgical attire

  • Sterile attire

  • OR attire

Erklärung

Frage 7 von 52

1

_______ items are those that are listed as available on the surgeon's preference card, that may or may not be utilized during a specific surgical procedure.

Wähle eine der folgenden:

  • Sterile

  • surgeon's

  • Hold

  • Open

Erklärung

Frage 8 von 52

1

Tape used to seal disposable packaging material should be removed rather than broken to prevent possible damage to the integrity of the packaging material

Wähle eine der folgenden:

  • False

  • True

Erklärung

Frage 9 von 52

1

It is okay to have the circulator open your dressing sponges onto your back table if you have extra time in the middle of your case before the surgeon begins closing the operative wound.

Wähle eine der folgenden:

  • False

  • True

Erklärung

Frage 10 von 52

1

Sharps counts will include hypodermic needles, scalpel blades, cautery tips, safety pins, and any other sharp items.

Wähle eine der folgenden:

  • False

  • True

Erklärung

Frage 11 von 52

1

The mayo stand should be prepared with instruments by the surgical technologist prior to performing the initial instrument count with the circulating nurse.

Wähle eine der folgenden:

  • True

  • False

Erklärung

Frage 12 von 52

1

What is a “fire risk assessment” and how does it affect a surgical technologist when preparing for a surgical procedure?

Wähle eine der folgenden:

  • A fire risk assessment gives a score from 0 to 3 depending on fire risks involved with the procedure. As the level moves up more precaution is needed during the procedure to remove the risk of accidental burns to the patient.

  • none

Erklärung

Frage 13 von 52

1

Check the boxes that must be verified prior to opening any sterile item.

Wähle eine oder mehr der folgenden:

  • make sure items are sterilized

  • ask nurse if item is to be used for the case

  • wash the wrapper before use

  • package intergrity

Erklärung

Frage 14 von 52

1

Why is it important for the surgical technologist to verify the items contained within their case cart prior to the start of their assigned surgical procedure?

Wähle eine der folgenden:

  • to make sure all the items are sterile

  • to separate items that are hold and items that will be used

Erklärung

Frage 15 von 52

1

Check the boxes of the purposes for counting sponges, instruments and needles.

Wähle eine oder mehr der folgenden:

  • prevent items accidently being left inside the patient

  • prevent unsterile items from being used

  • protect yourself and hospital from legal liability

  • so the surgeon can document the supplies used during the procedure

Erklärung

Frage 16 von 52

1

Once you are employed as a surgical technologist in a healthcare facility, is it important for you to know your hospital's count policy? Why or why not?

Wähle eine der folgenden:

  • yes, each hospital has the same policy to abide by

  • yes very important, each hospital can have a different policy regarding counting procedures.

Erklärung

Frage 17 von 52

1

Which is a correct statement?

Wähle eine der folgenden:

  • Initial count is done before and incision is made

  • second closing count is done after the skin layer has been closed

  • first closing count is performed when the muscle layer is closed

  • second closing count is done after the procedure has ended

Erklärung

Frage 18 von 52

1

How many counts are performed during the preoperative phase?

Wähle eine der folgenden:

  • 1

  • 2

  • 0

Erklärung

Frage 19 von 52

1

How many counts are performed upon closure of a surgical wound for an open cholecystectomy?

Wähle eine der folgenden:

  • 1

  • 2

  • 3

Erklärung

Frage 20 von 52

1

How many instrument counts are required during the entire perioperative process for an open abdominal hysterectomy?

Wähle eine der folgenden:

  • 0

  • 2

  • 3

Erklärung

Frage 21 von 52

1

What criteria is used to determine when an instrument count is required (Instruments counts are not required for every case)?

Wähle eine der folgenden:

  • most hospital policys dictate less then 2 inch incision instrument counts are not required

  • most hospital policys dictate less then 3 inch incision instrument counts are not required

Erklärung

Frage 22 von 52

1

Who is generally responsible for performing counts?

Wähle eine der folgenden:

  • Its a duel role between the Scrub Tech and the circulator.

  • CST in the first scrub role

Erklärung

Frage 23 von 52

1

What order are the locations of the operating room counted in when performing closing counts and what order are the items counted in?

Wähle eine der folgenden:

  • Sterile field at patient, mayo stand, backtable and lastly floor

  • Sterile field at patient, mayo stand, floor, backtable

  • mayo stand, Sterile field at patient, backtable and lastly floor

Erklärung

Frage 24 von 52

1

The circulating nurse is performing the “time out” prior to the start of a surgical procedure and you are the first scrub on the case setting up your back table. What should you do while the “time out” is being performed?

Wähle eine der folgenden:

  • communicate with the O.R. team

  • be quiet

  • make sure everyone is ready to proceed with the surgery

Erklärung

Frage 25 von 52

1

What happens if a count is incorrect? What does the circulator do? What does the scrub do? What does the surgeon do?

Wähle eine der folgenden:

  • The first step is to recount. The scrub will search all fields for missing item. If the item cannot be found the surgeon will order an xray. The circulator calls for additional help

  • The first step is to have the surgeon order an xray. Then we will recount, if the item still can not be found the circulator will order additional help

Erklärung

Frage 26 von 52

1

Describe how you would count a multipack of needles, such as control release, when performing the initial needle count.

Wähle eine der folgenden:

  • each needle in the package must be counted. IF package is unopened its counted as 1

  • each needle in the package must be counted. The package must be opened.

Erklärung

Frage 27 von 52

1

Which kind of soiled sponges are the only sponges to be discarded in the kick bucket?

Wähle eine der folgenden:

  • raytec or laps

  • raytec or laps or peanut

Erklärung

Frage 28 von 52

1

What is the rule regarding a package of sponges (Raytecs) that are counted during the initial count that are found to only have nine sponges instead of ten?

Wähle eine der folgenden:

  • sponges with incorrect counts should be discared, taken out of the room and replaced with another package

  • The circulator is to be informed that another raytec is needed to make 10

Erklärung

Frage 29 von 52

1

You are functioning as the first scrub on an open bowel resection when the patient suddenly goes into cardiac arrest. What should you do?

Wähle eine der folgenden:

  • protect the sterile field from contamination, If needed a ST may need to break scrub

  • protect the sterile field from contamination, the ST should never break scrub

Erklärung

Frage 30 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Places the specimen on a piece of Telfa and carefully drops it into the specimen container**

Wähle eine der folgenden:

  • I, T

  • D,P

Erklärung

Frage 31 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

***Watch for breaks in aseptic technique***

Wähle eine der folgenden:

  • C,PO

  • D,P

  • T,I

Erklärung

Frage 32 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

***Give report to P.A.C.U. nurse about the patient and the procedure just performed***

Wähle eine der folgenden:

  • T,I

  • T,P

  • C,PO

Erklärung

Frage 33 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Anticipate needs of surgeon by handing needed instruments and supplies**

Wähle eine der folgenden:

  • T,P

  • PO

  • T,I

Erklärung

Frage 34 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Gown and glove surgeon and their assistants**

Wähle eine der folgenden:

  • D,P

  • T,P

  • T,I

Erklärung

Frage 35 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

**Undrape the patient and discard the soiled drapes in the trash**

Wähle eine der folgenden:

  • T,I

  • T,PO

  • T,P

Erklärung

Frage 36 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Check surgeon's preference card for special equipment to be brought into the room*

Wähle eine der folgenden:

  • T,I

  • T,P

  • D,P

Erklärung

Frage 37 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Check chart for history, physical examination, consent forms, laboratory reports, radiology reports, cardiology reports, and allergies*

Wähle eine der folgenden:

  • D,P

  • T,P

  • C,P

Erklärung

Frage 38 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Assist with positioning the patient after the induction phase of anesthesia*

Wähle eine der folgenden:

  • D,P

  • T,P

  • C,P

Erklärung

Frage 39 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual
*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Assist surgeon with draping the patient*

Wähle eine der folgenden:

  • T,P

  • C,P

  • D,P

Erklärung

Frage 40 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Prep the surgical patient with antimicrobial solutions*

Wähle eine der folgenden:

  • T,P

  • C,P

  • D,P

Erklärung

Frage 41 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Remove contaminated gown and gloves from the surgeon during the case*

Wähle eine der folgenden:

  • C,I

  • T,P

  • D,I

Erklärung

Frage 42 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Count sponges, needles, and instruments at the close of the procedure*

Wähle eine der folgenden:

  • C,I

  • D,I

  • C,P

Erklärung

Frage 43 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Place label on frozen section in the container and call for transporter to take to lab*

Wähle eine der folgenden:

  • C,I

  • D,I

  • C,P

Erklärung

Frage 44 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Obtain additional equipment and supplies and open as requested during the surgical procedure*

Wähle eine der folgenden:

  • I, T

  • C,PO

  • C,I

Erklärung

Frage 45 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Discard soiled sponges into the kick bucket*

Wähle eine der folgenden:

  • T,I

  • C,I

Erklärung

Frage 46 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Insert Foley catheter into the patient prior to the prep*

Wähle eine der folgenden:

  • T,I

  • C,P

Erklärung

Frage 47 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Connect drains to the evacuator*

Wähle eine der folgenden:

  • D,P

  • T,I

Erklärung

Frage 48 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Move patient to recovery cart or bed*

Wähle eine der folgenden:

  • D,PO

  • T,I

Erklärung

Frage 49 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Assist anesthesia during induction*

Wähle eine der folgenden:

  • C,P

  • D,PO

Erklärung

Frage 50 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Help surgeon tie around the gown*

Wähle eine der folgenden:

  • D,P

  • T,I

Erklärung

Frage 51 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Place first layer of dressing on wound*

Wähle eine der folgenden:

  • D,P

  • T,I

Erklärung

Frage 52 von 52

1

*For each of the following duties decipher whether each is designated for the Surgical Technologist in the scrub role, the Circulator in the unsterile role, or Dual for both.
T = Surgical Technologist C= Circulator D= Dual

*For each of the following duties also identify whether the task is completed during the preoperative, intraoperative, or postoperative period of a surgical procedure.
P = Preoperative I= Intraoperative PO= Postoperative

*Clean up back table and instruments and place on case cart*

Wähle eine der folgenden:

  • T,PO

  • T,I

Erklärung

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