What basic instrument would you not put on your mayo for a laparoscopic procedure?
Suture scciors
kelly
tissue forceps with teeth
deaver
When making an incision into the fascia the edges of the fascia are grasped with what instrument?
debakey
mayo clamp
carmalt
kochers
What order would you stock your cords in a basin, from top to bottom, when preparing for a laparoscopic case?
suction irrigator, insuflation tubing , light cord, camera, cautery cord,
camera, insuflation tubing, light cord, cautery cord, suction irrigator tubing
cautery cord, insuflation tubing, light cord, camera, suction irrigator tubing
insuflation tubing, light cord, camera, cautery cord, suction irrigator tubing
If your camera has a cap on the end that you hand off to the circulator, what is special about that end and important to remember when preparing for the case?
the whole end of the cord is sterile
inside the cap is sterile
the whole end of the cord is unsterile
inside the cap is unsterile
Spiked end of suction irrigator tubing is connected to what type of solution?
aseptic solution
glycine
injectable saline
water
The buttons on the suction irrigator do what during the procedure?
blue-irrigation
red-irrigation
blue-suction
white-suction
Check three contraindications for laparoscopic procedure?
unsterile instruments
bacteria
gross fecal contamination
uncontrollable bleeding
abdominal adhesions
check three instruments that would be placed on the mayo stand during set up for a laparoscopic procedure?
2 mayo clamps
suture scissors
utility scissors
cautery pencil
2 kellys
check three advantages for performing a case laparoscopically?
least invasive
less chance of SSI
less chance of bacterial infection
less anesthesia time
faster recovery
What is important to remember with the lightbox for patient safety?
make sure to turn on right away before procedure starts
wait till the circulating nurse has entered the OR before turning on
wait till the sterile field has been made
Do not turn on till surgeon is ready as well as the surgical technologist
what type of gas is instilled into the patients peritoneal cavity for pneumoperitoneum?
fresh air
carbon dixide
co2
oxygen
check off two pieces of information that are enetered into the printer before the laparoscopic case starts?
procedure
type of hospital
street address for hospital
patient name
when using a disposable scope warmer, how is the warmer activated?
let circulator prep the scope warmer
put scope warmer in the heating box
plug in the warmer to the outlet
pop the silver disk
When should the disposable warmer be activated and approximately how long will it stay warm?
should be activated when patient enters OR, stays warm for one hour which is enough time before the instrument will be inserted into the patient preventing fogging
should be activated when patient enters OR, stays warm for 20 minutes which is enough time before the instrument will be inserted into the patient preventing fogging
should be activated when patient enters OR, stays warm for hour and half which is enough time before the instrument will be inserted into the patient preventing fogging
should be activated when patient enters OR, stays warm for half hour which is enough time before the instrument will be inserted into the patient preventing fogging
What needs to be done with the camera after the scope and light cord are attached to make sure the picture quality is best for the surgeon?
camera needs to be checked for defects
camera needs to be reset
camera needs to be cleaned
camera white balance needs to be performed
check the steps that need to be done when performing a white balance on a camera?
connect scope with the white balance machine
aim scope at white raytec
wait for monitor to initialize with scope
wait till monitor says white balance is ok
hit white balance button
what is important to remember once the light source is turned on?
light cables should always be placed on the patients drape
light cables should always be placed on sterile skin
light cables should be held in place with suture
light cable should never be placed on a patient skin or drape
what does the light cord have inside and what do we need to be careful of when handling the light cord?
glass fibers, make sure to always bend and wind it so it wont break
glass fibers, make sure to always clamp light cord with a mayo clamp for security
glass fibers, make sure to always bend at the ends to prevent fraying
glass fibers, do not bend or wind it to far which would break it
When preparing the OR for the laparoscopic case, what is important to remember when positioning video monitors? List two procedures and where the monitors would be placed for those procedures.
It depends on the anatomy of the procedure; laparoscopic appendectomy will be placed at head and laparoscopic cholecystectomy will be placed at the feet.
It depends on the anatomy of the procedure; laparoscopic appendectomy will be placed at feet and laparoscopic cholecystectomy will be placed at the head.
check three steps used in the process of establishing pneumoperitoneum and placing a trocar for a laparoscopic procedure?
an incision will be made with a #10 blade
verres needle inserted
dissect through layers with kelly camp
an incision will be made with a #15 or #11 blade
needle holders will be used to suture trocar to skin for security
Laparoscopy was adopted by many to perform which procedures?
extractions
abdominal wall repair
major resection
minor resections
repair of intra-abdominal orgrans
which equipment is needed for laparoscopy?
camera box
cautery
suctioning
rover suction
light box
insuflator
A monitoring device for CO2 is called a ?
A suction machine with filter used in laparoscopic procedures that is self cleaning after procedures is known as a ?
Which common Instruments used in laparoscopic procedures?
endo scissors
endo retractors
trocars
endo
endo stapler
endo monitors
In Laparoscopic small bowel resection where is the monitor placed?
head
feet
side of patient
What disposable device comes in 5mm, 11mm, and 12mm?
tubing
table linens
