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

The sterile field should be established ____.

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

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

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

Items are counted in which order for every procedure?

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

_______ 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.

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

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.

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

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

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

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

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?

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

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?

Which is a correct statement?

How many counts are performed during the preoperative phase?

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

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

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

Who is generally responsible for performing counts?

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

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?

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

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

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

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?

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

*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**

*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***

*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***

*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**

*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**

*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**

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*

*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*