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