19987905
Pregunta 1
Pregunta
Check the boxes of which are the goals of surgical "time out"?
Respuesta
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prevent wrong site of surgery
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prevent contamination
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prevent wrong person surgery
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prevent aseptic breaks
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prevent wrong procedure
Pregunta 2
Pregunta
Who usually reads the "time out"?
Respuesta
-
ST
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circulator
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surgeon
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first assistant
Pregunta 3
Pregunta
What is the surgical "fire risk assesment"?
Respuesta
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Is an assessment that is given a score for risk of fire done as part of the time out.
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is an assessment that is given a score for risk of fire done directly after the time out
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is pre-operative paperwork that states the risk of fire in each procedure that the surgical technologist should know
Pregunta 4
Pregunta
Check the boxes of which potential fire risk are taken into consideration when coming up with the "fire risk assesment" score.
Respuesta
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surgical site above the xiphoid
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lights on in the operating room
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available ignition source
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open oxygen source
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if more then one medication is being used
Pregunta 5
Pregunta
The "fire risk assesment" score ranges from what?
Respuesta
-
0-4
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0-5
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0-3
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0-2
Pregunta 6
Pregunta
Check the boxes for routine fire safety protocol used in the O.R..
Respuesta
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allowing sufficient drying of prep
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always drape right after prep is applied
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do not allow pooling of prep solution
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always leave flammable bottles a little open to prevent pressure build up
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close open bottles of flammable agents
Pregunta 7
Pregunta
Check which boxes determine where the sterile field should be established.
Respuesta
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sterile field should be set up furthest away from the doors.
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sterile field should be set up closest to the doors
Pregunta 8
Pregunta
What is a custom pack?
Respuesta
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pack that contains most of the procedures supplies that will be used during the case.
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pack that contains the instruments
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pack that contains drapes
Pregunta 9
Pregunta
how is the basin unpacked or opened?
Respuesta
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open flap away from you first, then two side flaps, closest to you last.
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none
Pregunta 10
Pregunta
when should torn, perforated, or wet disposable supplies be used?
Respuesta
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in emergencies
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never
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only if their is no items left
Pregunta 11
Pregunta
Check the boxes of what items are placed on a backtable as part of a laparoscopic and laparotomy procedure.
Respuesta
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laparotomy drape
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surgical masks
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instrument sets
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basins filled with supplies
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gowns/gloves for the ST
Pregunta 12
Pregunta
how far away from the walls should all tables be set up as part of the sterile field?
Respuesta
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2 feet
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3 feet
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1 foot
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4 feet
Pregunta 13
Pregunta
why should the "back table" pack be be opened first when creating the sterile field?
Respuesta
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prevent are gowns from touching it
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prevent contamination
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prevent your back from facing the backtable
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prevent opening the sterile field in the wrong place
Pregunta 14
Pregunta
what is the order for counting items for every surgical procedure?
Respuesta
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sponges, sharps, needles, instruments
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sponges, instruments, sharps, needles
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sponges, needles, sharps, instruments
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none
Pregunta 15
Pregunta
where can information concerning surgeons requests for a specific procedure be obtained from?
Respuesta
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the surgeon himself
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the circulator
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student handbook
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prefrence card
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none
Pregunta 16
Pregunta
which portion of the surgical procedure is identified as the pre-operative phase?
Respuesta
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the middle of the procedure
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the end of the procedure
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before the patient steps foot in the hospital
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The first stage of the perioperative procedure, that ends after the scalpel is handed to the surgeon and the incision is made
Pregunta 17
Pregunta
What is the main goal the ST strives to achieve during the postoperative phase of a surgical procedure?
Respuesta
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turnover, getting the O.R. ready for the next procedure
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taking time out to discuss with the O.R. team the best way to go about proceeding
Pregunta 18
Pregunta
Why should the sterile field, including the backtable, mayo stand, and basin set be maintained at the completion of a surgical procedure until the patient has left the operating room and is being transported to the PACU?
Respuesta
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we never break aseptic technique
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their may be an emergency with another patient that needs attention right away
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the sterile fields are not broken down untill the patient reaches the PACU because that patient may have a complication that needs attention right away and having to set up everything again would take alot of time
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its faster to wait till more people show up after the case to help breakdown the sterile fields.
Pregunta 19
Pregunta
What is the proper technique for removing the drapes from the surgical patient by the ST following the completion of a surgical procedure?
Respuesta
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Anesthesia will hold dressing in place while anesthesia releases suspended portion of drape attached to IV poles. Drape is rolled to prevent spillage, drape is placed in waste receptacle
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circulator will hold dressing in place while anesthesia releases suspended portion of drape attached to IV poles. Drape is rolled to prevent spillage, drape is placed in waste receptacle
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ST will hold dressing in place while anesthesia releases suspended portion of drape attached to IV poles. Drape is rolled to prevent spillage, drape is placed in waste receptacle
Pregunta 20
Pregunta
What is the proper procedure that should be followed by the ST when removing their gown and gloves following the completion of a surgical procedure following removal of the drapes from the surgical patient?
Respuesta
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The Gown is removed before the gloves. Its untied, grasped at shoulders and pulled down. It is removed from arms and rolled to keep contaminants inside rolled portion. Gloves are then removed glove to glove, and skin to skin.
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none.
Pregunta 21
Pregunta
Check the boxes of which duties the ST performs during the breakdown of the sterile field following transport of the surgical patient to the PACU.
Respuesta
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care for the specimen
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remove mayo stand and basin from OR as they are contaminated
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place all sharps in the needlebook on the backtable, then put it in a puncture proof biohazard container
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remove padding from bed to be cleaned
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disasemble instruments from the mayo stand and place into basin of water
Pregunta 22
Pregunta
The biggest difference between an orthopedic hand/minor procedure to a universal back table set up for laparotomy is?
Respuesta
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instruments are generally smaller for small hand cases
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instruments are larger for laparotomy setups
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orthopedic hand procedures do not use mayo stands
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orthopedic procedures require more then one mayo stand
Pregunta 23
Pregunta
What are the three different types of attire that are required for personnel that enter the operating room?
Respuesta
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O.R. Attire, protective attire, sterile attire
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gloves, gowns, mask
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face mask, scrubs, hairnet
Pregunta 24
Pregunta
What is the difference between hold and open items listed on the surgeons preference card and how can the surgical technologist differentiate between the two different types of items?
Respuesta
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hold items are items that are held till later in the case. Open items are supplies that will be utilized for the case
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hold items are items that might be needed but are not put on the sterile field. Open items are supplies that will be utilized for the case
Pregunta 25
Pregunta
Why should the mayo stand not be prepared by the ST before the initial count is done?
Respuesta
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not all the instruments are set up properly
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its best to leave all the instruments in one place to make counting more efficient and time saving
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because this is how its always been done and who are we to question the past
Pregunta 26
Pregunta
What activities are performed by ST at begining of day to prepare O.R. for first first procedure?
Respuesta
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clean ceiling, floor, walls
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clean door, ceiling, sink, all horizontal surfaces
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wipe all equipment and horizontal surfaces with disinfectant. Mop floor.
Pregunta 27
Pregunta
Why should linen and trash bags not be removed from an operating room until the completion of a surgical procedure, after final closing count.
Respuesta
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The linen and trash bags are still needed
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the patient may need to come back to the O.R. if complications arise
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The potability of a missing instrument being in a linen or trash bag is high so we must verify all instruments and supplies are accounted before taking the bags out of the O.R.
Pregunta 28
Pregunta
How many instrument counts are required during the entire perioperative process?
Respuesta
-
3
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1
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2
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0
Pregunta 29
Pregunta
What is the general rule regarding multiple needles in a package, such as control release , when performing the initial needle count?
Respuesta
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if the package is unopened, its counted as 1
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if their is more then one needle in the package its counted togather
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if the package is unopened, it needs to be opened. The needles need to be counted individually
Pregunta 30
Pregunta
Why is it not ok 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?
Respuesta
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sponges wont be sterile if opened by the circulator
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the items can get contaminated by other supplies if opened in the middle of the procedure
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dressings do not have radio-opaque strips in them to let us know if their is one that was left in a patient if a dressing goes missing
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none
Pregunta 31
Pregunta
What soiled sponges are the only sponges to be discarded in the kick bucket?
Respuesta
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peanutes, laps, raytecs
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raytecs, peanuts, tonsil sponges
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laps and raytecs
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laps, raytecs, peanuts, cottonoids
Pregunta 32
Pregunta
What is the rule for the scub person regarding soiled cottonoid sponges?
Respuesta
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none
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soiled cottonoid sponges should be kept confined on the sterile back table
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soiled cottonoid sponges should be removed from the field so their not accidentally placed back in the wound
Pregunta 33
Pregunta
What procedure will the surgeon be sitting for?
Respuesta
-
hand/minor
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orthopedic
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lapatoromy
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vaginal
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none
Pregunta 34
Pregunta
If an area that is to be prepped is scrubbed and painted, what prepping solution would most likely be used?
Respuesta
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duraprep
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chloraprep
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betadine
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hibaclense
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