Ringed instruments should be placed where when preparing the mayo stand for a surgical procedure?
Off the edge closest to where the surgical technologist stands
Off the back edge (edge furthest from the incision when pulled up to the sterile field)
Off the front edge (edge closest to the incision when pulled up to the sterile field) away from where the surgical technologist stands
Off the edge furthest
Where does the circulating nurse write the initial count of sponges, atraumatic needles, and sharps after it has been completed during the preparation of the back table for a surgical procedure.
Count Sheet
White Board
Patient's Chart
Both A and C
The activity that signifies the transition from the preoperative phase of a surgical procedure to the intraoperative phase is ___________.
Creation of the incision
Donning of sterile attire by the surgeon
Draping the surgical patient
Application of the surgical dressing
Anaerobic bacteria are able to survive ____.
in high concentrations of oxygen
in conditions of extreme heat or cold
with or without oxygen
without oxygen
Surgical drapes should be removed at the end of a procedure by the _________ to help prevent unnecessary contamination.
Surgical Technologist
Circulating Nurse
Physician’s Assistant
Surgeon
Where should the scalpel or any other sharp items be placed when preparing the mayo stand for a surgical procedure?
On the edge of the mayo closest to where the surgical technologist
On the edge of the mayo furthest away from where the surgical technologist stands
On the back edge of the mayo
On the front edge of the mayo stands
________ of items are usually placed on the mayo stand while preparing for a surgical procedure.
Pairs/ Even numbers
Odd numbers
Individual Pieces
Sets
When preparing the cords for a laparoscopic case, they should be stacked in which of the following orders? (Listed from the top down)
Camera, light cord, cautery, insufflation tubing, suction/irrigator
Suction/Irrigator, cautery, light cord, camera, insufflation tubing
Cautery, insufflation tubing, camera, light cord, suction/irrigator
Insufflation tubing, camera, light cord, cautery, suction/irrigator
When preparing the universal back table for a laparotomy procedure, where is the instrument basket placed?
Wherever the surgical technologist has room on their table to place it
On the edge of the back table that will be furthest away from the patient when pulled up to the operating table
In the middle towards the back of the back table
On the edge of the back table that will be closest to the patient when pulled up to the operating table
When preparing the back table for a total joint arthroplasty, which of the following is NOT a technique that is utilized by the surgical technologist to comply with a heightened attention to aseptic technique.
Double draping both back tables and the double ring stand
Double gloving and wearing hoods or space suits
Thoroughly inspecting rep pans for wetness and debris
Creating a working space along the front half of the table as the team will sit to perform the procedure
After the surgical patient is prepped for a laparotomy, the following tasks must be performed to establish the sterile field at the operating table and prepare the area to begin the surgical procedure. Check which boxes do this.
Attach cautery to the drapes
Place 2 dry laps near the incision site
hand surgeon the knife
place 2 raytecs up near incision site
hand surgeon forceps and stick tie
Hand the light handles to the surgeon
Attach suction tubing to the drapes
hand surgeon ant extra drapes
Describe how the back table set-up for a vaginal procedure is different compared to the universal back table set-up for a laparotomy procedure.
A Vaginal procedure does not make use of a mayo stand, but the laparotomy procedure does. The backtables will be set up differently. The front of the vaginal backtable will have a work space with most frequently used instruments to act as the mayo stand that are organised by the steps of the procedure.
A Vaginal procedure makes use of extra mayo stands. The backtables will be set up differently. The front of the vaginal backtable will have a work space with most frequently used instruments to act as the mayo stand that are organised by the steps of the procedure.
What should the surgical technologist remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
their can be more then one mayo stand and back table being used for the procedure which means their is many more instruments being used in these cases.
Their may not be any mayo stands because their is less instruments for the procedure
These cases can use many medications so being on the same page as the surgeon is very important
these cases dont use as many medications as other procedures.
Describe three considerations that the surgical technologist should remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
their will always be one scrub and one surgeon on these cases
Always bee safe then sorry. Open up any items that may not even be needed for the procedure just in case they are needed as the procedure needs to be done quickly
Their may be two or more first srubs and surgeons working on large cases like these. Also be careful that these procedures use procedure specific expensive items, so dont open any items that might not be used for the procedure.
what is the reasoning for maintaining the sterile field, including the back table, mayo stand, and basin set, at the completion of a surgical procedure until the patient has left the operating room and is being transported to the PACU.
Their might be complications after the procedure is completed that requires surgical needs. Instead of having to re-drape everything and obtain new instrument sets we will be able to use the sterile fields we have already setup.
The team needs to be sterile and ready for the next case coming up
Its customary to wait for the patient to enter the PACU
What is the reasoning for always hooking cautery up to the sterile field FIRST when creating the sterile field at the operating table prior to the start of a surgical procedure.
Cautery is the first item used after the knife so we want to prioritize and have it ready to go
We want to make sure we know what side the cautery machine is going to be used.
The cautery is used after the suction so its put up first
What is the reasoning for obtaining the instrument set as quickly as possible when preparing the back table for a procedure.
The surgeon preference is always to obtain the instrument basket first
We obtain the instrument basket as quickly as possible in case their is a missing item that nurse has time to get another
We obtain the instrument basket as quickly as possible in case that it has not been properly sterilized we have enough time to obtain a new instrument basket before the procedure starts.
The circulating nurse has just read you the outside of the vial of medication that you will need for the procedure you are preparing for. It is quarter percent Marcaine with Epinephrine at a concentration of 1 to 200,000 in a 30mL bottle. She verifies the outdate with you and then aseptically pours the medication onto your back table utilizing a vial-a-jet. You begin to make a label for the container. What does the label say? (Be exact!)
0.25 Marcaine with epi 1:200000 30ml
0.25% Marcaine with epi 1:200,000 30ml
0.25% Marcaine with epi 1:200000 30ml
Check the boxes that Describe duties of the surgical technologist during the intraoperative phase of a surgical procedure.
passing of instruments
helping surgeon perform cautery and anasotomosis
helping circulator in unsterile role
anticipating the needs of the surgical team
which describe a dutievof the surgical technologist during the intraoperative phase of a surgical procedure.
assisting anesthesia
helping with the incision
maintain organization of the working area
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included.
**#3 knife handles loaded with #10 blades**
2
1
3
none
**#3 knife handles loaded with #15 blades**
**Basic Mayo Scissor **
0
**Basic Suture Scissor**
**Utility (Sharp/Blunt) Scissor**
*Curved Mosquitos**
**Curved Kellys**
**Adson Tonsil Clamp**
**Short Mayo Heagar Needleholder**
**Medium Mayo Heagar Needleholder**
*Medium Debakey Forceps*
**Short Tissue Forceps with Teeth**
**Right Angle**
Check the boxes of considerations that the surgical technologist should remember when preparing a back table set-up for a neurosurgical procedure.
Microscope and C-arm need to be draped
knowing how many members of the O.R. team will be performing the procedure
how is the patients mental state
multiple back tables and mayo stands can be used
Which is a consideration that the surgical technologist should remember when preparing a back table set-up for a neurosurgical procedure.
their is only a few types of medicines that is used for neuro procedures
Their may be many different medications, make sure to verbalize when handing it to the surgeon and Set up is procedure dependant
know the total number of items in the O.R.
Identify the duties of the surgical technologist during the breakdown of the sterile field following transport of the surgical patient to the PACU.
Check the boxes that apply
all specimens are put in formalin
place all sharps in needle book, close needle book, but in biohazard bag
leave light handles on for following procedure
place unused instruments back in the instrument tray
leave basin of soiled instruments in water out for the next people to clean up
disasemble all instruments from mayo stand and place in basin of water
