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

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

Pregunta 1 de 52

1

The sterile field should be established ____.

Selecciona una de las siguientes respuestas posibles:

  • close to the door

  • in major traffic paths

  • farthest from the door

  • in the middle of the room

Explicación

Pregunta 2 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • used as is

  • used as a last resort

  • thrown away

  • used immediately

Explicación

Pregunta 3 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • scrub and don sterile attire

  • anticipate the needs of the surgeon

  • prepare the operating room

  • expose the operative site with sterile drapes

Explicación

Pregunta 4 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • back table

  • instruments

  • ring stand

  • STSR gown and gloves

Explicación

Pregunta 5 de 52

1

Items are counted in which order for every procedure?

Selecciona una de las siguientes respuestas posibles:

  • sharps, atraumatic needles, sponges, instruments

  • sponges, instruments, sharps, atraumatic needles

  • sponges, atraumatic needles, sharps, instruments

  • atraumatic needles, instruments, sharps, sponges

Explicación

Pregunta 6 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • Protective attire

  • Surgical attire

  • Sterile attire

  • OR attire

Explicación

Pregunta 7 de 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.

Selecciona una de las siguientes respuestas posibles:

  • Sterile

  • surgeon's

  • Hold

  • Open

Explicación

Pregunta 8 de 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

Selecciona una de las siguientes respuestas posibles:

  • False

  • True

Explicación

Pregunta 9 de 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.

Selecciona una de las siguientes respuestas posibles:

  • False

  • True

Explicación

Pregunta 10 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • False

  • True

Explicación

Pregunta 11 de 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.

Selecciona una de las siguientes respuestas posibles:

  • True

  • False

Explicación

Pregunta 12 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 13 de 52

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • make sure items are sterilized

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

  • wash the wrapper before use

  • package intergrity

Explicación

Pregunta 14 de 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?

Selecciona una de las siguientes respuestas posibles:

  • to make sure all the items are sterile

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

Explicación

Pregunta 15 de 52

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 16 de 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?

Selecciona una de las siguientes respuestas posibles:

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

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

Explicación

Pregunta 17 de 52

1

Which is a correct statement?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 18 de 52

1

How many counts are performed during the preoperative phase?

Selecciona una de las siguientes respuestas posibles:

  • 1

  • 2

  • 0

Explicación

Pregunta 19 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • 1

  • 2

  • 3

Explicación

Pregunta 20 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • 0

  • 2

  • 3

Explicación

Pregunta 21 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 22 de 52

1

Who is generally responsible for performing counts?

Selecciona una de las siguientes respuestas posibles:

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

  • CST in the first scrub role

Explicación

Pregunta 23 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 24 de 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?

Selecciona una de las siguientes respuestas posibles:

  • communicate with the O.R. team

  • be quiet

  • make sure everyone is ready to proceed with the surgery

Explicación

Pregunta 25 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 26 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 27 de 52

1

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

Selecciona una de las siguientes respuestas posibles:

  • raytec or laps

  • raytec or laps or peanut

Explicación

Pregunta 28 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 29 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 30 de 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**

Selecciona una de las siguientes respuestas posibles:

  • I, T

  • D,P

Explicación

Pregunta 31 de 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***

Selecciona una de las siguientes respuestas posibles:

  • C,PO

  • D,P

  • T,I

Explicación

Pregunta 32 de 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***

Selecciona una de las siguientes respuestas posibles:

  • T,I

  • T,P

  • C,PO

Explicación

Pregunta 33 de 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**

Selecciona una de las siguientes respuestas posibles:

  • T,P

  • PO

  • T,I

Explicación

Pregunta 34 de 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**

Selecciona una de las siguientes respuestas posibles:

  • D,P

  • T,P

  • T,I

Explicación

Pregunta 35 de 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**

Selecciona una de las siguientes respuestas posibles:

  • T,I

  • T,PO

  • T,P

Explicación

Pregunta 36 de 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*

Selecciona una de las siguientes respuestas posibles:

  • T,I

  • T,P

  • D,P

Explicación

Pregunta 37 de 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*

Selecciona una de las siguientes respuestas posibles:

  • D,P

  • T,P

  • C,P

Explicación

Pregunta 38 de 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*

Selecciona una de las siguientes respuestas posibles:

  • D,P

  • T,P

  • C,P

Explicación

Pregunta 39 de 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*

Selecciona una de las siguientes respuestas posibles:

  • T,P

  • C,P

  • D,P

Explicación

Pregunta 40 de 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*

Selecciona una de las siguientes respuestas posibles:

  • T,P

  • C,P

  • D,P

Explicación

Pregunta 41 de 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*

Selecciona una de las siguientes respuestas posibles:

  • C,I

  • T,P

  • D,I

Explicación

Pregunta 42 de 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*

Selecciona una de las siguientes respuestas posibles:

  • C,I

  • D,I

  • C,P

Explicación

Pregunta 43 de 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*

Selecciona una de las siguientes respuestas posibles:

  • C,I

  • D,I

  • C,P

Explicación

Pregunta 44 de 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*

Selecciona una de las siguientes respuestas posibles:

  • I, T

  • C,PO

  • C,I

Explicación

Pregunta 45 de 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*

Selecciona una de las siguientes respuestas posibles:

  • T,I

  • C,I

Explicación

Pregunta 46 de 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*

Selecciona una de las siguientes respuestas posibles:

  • T,I

  • C,P

Explicación

Pregunta 47 de 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*

Selecciona una de las siguientes respuestas posibles:

  • D,P

  • T,I

Explicación

Pregunta 48 de 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*

Selecciona una de las siguientes respuestas posibles:

  • D,PO

  • T,I

Explicación

Pregunta 49 de 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*

Selecciona una de las siguientes respuestas posibles:

  • C,P

  • D,PO

Explicación

Pregunta 50 de 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*

Selecciona una de las siguientes respuestas posibles:

  • D,P

  • T,I

Explicación

Pregunta 51 de 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*

Selecciona una de las siguientes respuestas posibles:

  • D,P

  • T,I

Explicación

Pregunta 52 de 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*

Selecciona una de las siguientes respuestas posibles:

  • T,PO

  • T,I

Explicación

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