Question 1
Question
The sterile field should be established ____.
Question 2
Question
Torn, perforated, or wet disposable supplies should be ____.
Answer
-
used as is
-
used as a last resort
-
thrown away
-
used immediately
Question 3
Question
All are duties performed by the STSR during the preoperative case management phase EXCEPT to ____.
Answer
-
scrub and don sterile attire
-
anticipate the needs of the surgeon
-
prepare the operating room
-
expose the operative site with sterile drapes
Question 4
Question
When creating the sterile field, the ____ should be opened first.
Answer
-
back table
-
instruments
-
ring stand
-
STSR gown and gloves
Question 5
Question
Items are counted in which order for every procedure?
Answer
-
sharps, atraumatic needles, sponges, instruments
-
sponges, instruments, sharps, atraumatic needles
-
sponges, atraumatic needles, sharps, instruments
-
atraumatic needles, instruments, sharps, sponges
Question 6
Question
______is worn to protect personnel from microbial contact and environmental hazards.
Answer
-
Protective attire
-
Surgical attire
-
Sterile attire
-
OR attire
Question 7
Question
_______ 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.
Answer
-
Sterile
-
surgeon's
-
Hold
-
Open
Question 8
Question
Tape used to seal disposable packaging material should be removed rather than broken to prevent possible damage to the integrity of the packaging material
Question 9
Question
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.
Question 10
Question
Sharps counts will include hypodermic needles, scalpel blades, cautery tips, safety pins, and any other sharp items.
Question 11
Question
The mayo stand should be prepared with instruments by the surgical technologist prior to performing the initial instrument count with the circulating nurse.
Question 12
Question
What is a “fire risk assessment” and how does it affect a surgical technologist when preparing for a surgical procedure?
Question 13
Question
Check the boxes that must be verified prior to opening any sterile item.
Answer
-
make sure items are sterilized
-
ask nurse if item is to be used for the case
-
wash the wrapper before use
-
package intergrity
Question 14
Question
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?
Question 15
Question
Check the boxes of the purposes for counting sponges, instruments and needles.
Answer
-
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
Question 16
Question
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?
Answer
-
yes, each hospital has the same policy to abide by
-
yes very important, each hospital can have a different policy regarding counting procedures.
Question 17
Question
Which is a correct statement?
Answer
-
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
Question 18
Question
How many counts are performed during the preoperative phase?
Question 19
Question
How many counts are performed upon closure of a surgical wound for an open cholecystectomy?
Question 20
Question
How many instrument counts are required during the entire perioperative process for an open abdominal hysterectomy?
Question 21
Question
What criteria is used to determine when an instrument count is required (Instruments counts are not required for every case)?
Question 22
Question
Who is generally responsible for performing counts?
Question 23
Question
What order are the locations of the operating room counted in when performing closing counts and what order are the items counted in?
Answer
-
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
Question 24
Question
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?
Question 25
Question
What happens if a count is incorrect? What does the circulator do? What does the scrub do? What does the surgeon do?
Answer
-
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
Question 26
Question
Describe how you would count a multipack of needles, such as control release, when performing the initial needle count.
Question 27
Question
Which kind of soiled sponges are the only sponges to be discarded in the kick bucket?
Answer
-
raytec or laps
-
raytec or laps or peanut
Question 28
Question
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?
Answer
-
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
Question 29
Question
You are functioning as the first scrub on an open bowel resection when the patient suddenly goes into cardiac arrest. What should you do?
Answer
-
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
Question 30
Question
*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**
Question 31
Question
*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***
Question 32
Question
*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***
Question 33
Question
*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**
Question 34
Question
*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**
Question 35
Question
*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**
Question 36
Question
*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*
Question 37
Question
*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*
Question 38
Question
*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*
Question 39
Question
*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*
Question 40
Question
*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*
Question 41
Question
*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*
Question 42
Question
*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*
Question 43
Question
*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*
Question 44
Question
*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*
Question 45
Question
*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*
Question 46
Question
*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*
Question 47
Question
*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*
Question 48
Question
*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*
Question 49
Question
*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*
Question 50
Question
*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*
Question 51
Question
*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*
Question 52
Question
*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*