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Surgical Technology, Clinical Orientation, Unit4-5(proctored practice)

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Surgical Technology, Clinical Orientation, Unit4-5(proctored practice)
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh about 5 years ago
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Resource summary

Question 1

Question
Ringed instruments should be placed where when preparing the mayo stand for a surgical procedure?
Answer
  • Off the edge closest to where the surgical technologist stands
  • Off the back edge (edge furthest from the incision when pulled up to the sterile field)
  • Off the front edge (edge closest to the incision when pulled up to the sterile field) away from where the surgical technologist stands
  • Off the edge furthest

Question 2

Question
Where does the circulating nurse write the initial count of sponges, atraumatic needles, and sharps after it has been completed during the preparation of the back table for a surgical procedure.
Answer
  • Count Sheet
  • White Board
  • Patient's Chart
  • Both A and C

Question 3

Question
The activity that signifies the transition from the preoperative phase of a surgical procedure to the intraoperative phase is ___________.
Answer
  • Creation of the incision
  • Donning of sterile attire by the surgeon
  • Draping the surgical patient
  • Application of the surgical dressing

Question 4

Question
Anaerobic bacteria are able to survive ____.
Answer
  • in high concentrations of oxygen
  • in conditions of extreme heat or cold
  • with or without oxygen
  • without oxygen

Question 5

Question
Surgical drapes should be removed at the end of a procedure by the _________ to help prevent unnecessary contamination.
Answer
  • Surgical Technologist
  • Circulating Nurse
  • Physician’s Assistant
  • Surgeon

Question 6

Question
Where should the scalpel or any other sharp items be placed when preparing the mayo stand for a surgical procedure?
Answer
  • On the edge of the mayo closest to where the surgical technologist
  • On the edge of the mayo furthest away from where the surgical technologist stands
  • On the back edge of the mayo
  • On the front edge of the mayo stands

Question 7

Question
________ of items are usually placed on the mayo stand while preparing for a surgical procedure.
Answer
  • Pairs/ Even numbers
  • Odd numbers
  • Individual Pieces
  • Sets

Question 8

Question
When preparing the cords for a laparoscopic case, they should be stacked in which of the following orders? (Listed from the top down)
Answer
  • Camera, light cord, cautery, insufflation tubing, suction/irrigator
  • Suction/Irrigator, cautery, light cord, camera, insufflation tubing
  • Cautery, insufflation tubing, camera, light cord, suction/irrigator
  • Insufflation tubing, camera, light cord, cautery, suction/irrigator

Question 9

Question
When preparing the universal back table for a laparotomy procedure, where is the instrument basket placed?
Answer
  • Wherever the surgical technologist has room on their table to place it
  • On the edge of the back table that will be furthest away from the patient when pulled up to the operating table
  • In the middle towards the back of the back table
  • On the edge of the back table that will be closest to the patient when pulled up to the operating table

Question 10

Question
When preparing the back table for a total joint arthroplasty, which of the following is NOT a technique that is utilized by the surgical technologist to comply with a heightened attention to aseptic technique.
Answer
  • Double draping both back tables and the double ring stand
  • Double gloving and wearing hoods or space suits
  • Thoroughly inspecting rep pans for wetness and debris
  • Creating a working space along the front half of the table as the team will sit to perform the procedure

Question 11

Question
After the surgical patient is prepped for a laparotomy, the following tasks must be performed to establish the sterile field at the operating table and prepare the area to begin the surgical procedure. Check which boxes do this.
Answer
  • Attach cautery to the drapes
  • Place 2 dry laps near the incision site
  • hand surgeon the knife
  • place 2 raytecs up near incision site

Question 12

Question
After the surgical patient is prepped for a laparotomy, the following tasks must be performed to establish the sterile field at the operating table and prepare the area to begin the surgical procedure. Check which boxes do this.
Answer
  • hand surgeon forceps and stick tie
  • Hand the light handles to the surgeon
  • Attach suction tubing to the drapes
  • hand surgeon ant extra drapes

Question 13

Question
Describe how the back table set-up for a vaginal procedure is different compared to the universal back table set-up for a laparotomy procedure.
Answer
  • A Vaginal procedure does not make use of a mayo stand, but the laparotomy procedure does. The backtables will be set up differently. The front of the vaginal backtable will have a work space with most frequently used instruments to act as the mayo stand that are organised by the steps of the procedure.
  • A Vaginal procedure makes use of extra mayo stands. The backtables will be set up differently. The front of the vaginal backtable will have a work space with most frequently used instruments to act as the mayo stand that are organised by the steps of the procedure.

Question 14

Question
What should the surgical technologist remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
Answer
  • their can be more then one mayo stand and back table being used for the procedure which means their is many more instruments being used in these cases.
  • Their may not be any mayo stands because their is less instruments for the procedure

Question 15

Question
What should the surgical technologist remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
Answer
  • These cases can use many medications so being on the same page as the surgeon is very important
  • these cases dont use as many medications as other procedures.

Question 16

Question
Describe three considerations that the surgical technologist should remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
Answer
  • their will always be one scrub and one surgeon on these cases
  • Always bee safe then sorry. Open up any items that may not even be needed for the procedure just in case they are needed as the procedure needs to be done quickly
  • Their may be two or more first srubs and surgeons working on large cases like these. Also be careful that these procedures use procedure specific expensive items, so dont open any items that might not be used for the procedure.

Question 17

Question
what is the reasoning for maintaining the sterile field, including the back table, mayo stand, and basin set, at the completion of a surgical procedure until the patient has left the operating room and is being transported to the PACU.
Answer
  • Their might be complications after the procedure is completed that requires surgical needs. Instead of having to re-drape everything and obtain new instrument sets we will be able to use the sterile fields we have already setup.
  • The team needs to be sterile and ready for the next case coming up
  • Its customary to wait for the patient to enter the PACU

Question 18

Question
What is the reasoning for always hooking cautery up to the sterile field FIRST when creating the sterile field at the operating table prior to the start of a surgical procedure.
Answer
  • Cautery is the first item used after the knife so we want to prioritize and have it ready to go
  • We want to make sure we know what side the cautery machine is going to be used.
  • The cautery is used after the suction so its put up first

Question 19

Question
What is the reasoning for obtaining the instrument set as quickly as possible when preparing the back table for a procedure.
Answer
  • The surgeon preference is always to obtain the instrument basket first
  • We obtain the instrument basket as quickly as possible in case their is a missing item that nurse has time to get another
  • We obtain the instrument basket as quickly as possible in case that it has not been properly sterilized we have enough time to obtain a new instrument basket before the procedure starts.

Question 20

Question
The circulating nurse has just read you the outside of the vial of medication that you will need for the procedure you are preparing for. It is quarter percent Marcaine with Epinephrine at a concentration of 1 to 200,000 in a 30mL bottle. She verifies the outdate with you and then aseptically pours the medication onto your back table utilizing a vial-a-jet. You begin to make a label for the container. What does the label say? (Be exact!)
Answer
  • 0.25 Marcaine with epi 1:200000 30ml
  • 0.25% Marcaine with epi 1:200,000 30ml
  • 0.25% Marcaine with epi 1:200000 30ml

Question 21

Question
Check the boxes that Describe duties of the surgical technologist during the intraoperative phase of a surgical procedure.
Answer
  • passing of instruments
  • helping surgeon perform cautery and anasotomosis
  • helping circulator in unsterile role
  • anticipating the needs of the surgical team

Question 22

Question
which describe a dutievof the surgical technologist during the intraoperative phase of a surgical procedure.
Answer
  • assisting anesthesia
  • helping with the incision
  • maintain organization of the working area

Question 23

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **#3 knife handles loaded with #10 blades**
Answer
  • 2
  • 1
  • 3
  • none

Question 24

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **#3 knife handles loaded with #15 blades**
Answer
  • 2
  • 1
  • none
  • 3

Question 25

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Basic Mayo Scissor **
Answer
  • 0
  • 1
  • 2
  • 3

Question 26

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Basic Suture Scissor**
Answer
  • 1
  • 0
  • 2
  • 3

Question 27

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Utility (Sharp/Blunt) Scissor**
Answer
  • 2
  • 1
  • 0
  • 3

Question 28

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. *Curved Mosquitos**
Answer
  • 0
  • 1
  • 2

Question 29

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Curved Kellys**
Answer
  • 2
  • 0
  • 1
  • 3

Question 30

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Adson Tonsil Clamp**
Answer
  • 0
  • 1
  • 2
  • 3

Question 31

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Short Mayo Heagar Needleholder**
Answer
  • 0
  • 1
  • 2

Question 32

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Medium Mayo Heagar Needleholder**
Answer
  • 1
  • 0
  • 2
  • 3

Question 33

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. *Medium Debakey Forceps*
Answer
  • 2
  • 0
  • 1
  • 3

Question 34

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Short Tissue Forceps with Teeth**
Answer
  • 2
  • 0
  • 1

Question 35

Question
Identify how many of each of the following items are placed on the universal mayo stand to prepare for a basic laparotomy procedure. Some of these items may not be included. **Right Angle**
Answer
  • 1
  • 0
  • 2

Question 36

Question
Check the boxes of considerations that the surgical technologist should remember when preparing a back table set-up for a neurosurgical procedure.
Answer
  • Microscope and C-arm need to be draped
  • knowing how many members of the O.R. team will be performing the procedure
  • how is the patients mental state
  • multiple back tables and mayo stands can be used

Question 37

Question
Which is a consideration that the surgical technologist should remember when preparing a back table set-up for a neurosurgical procedure.
Answer
  • their is only a few types of medicines that is used for neuro procedures
  • Their may be many different medications, make sure to verbalize when handing it to the surgeon and Set up is procedure dependant
  • know the total number of items in the O.R.

Question 38

Question
Identify the duties of the surgical technologist during the breakdown of the sterile field following transport of the surgical patient to the PACU. Check the boxes that apply
Answer
  • all specimens are put in formalin
  • place all sharps in needle book, close needle book, but in biohazard bag
  • leave light handles on for following procedure
  • place unused instruments back in the instrument tray
  • leave basin of soiled instruments in water out for the next people to clean up
  • disasemble all instruments from mayo stand and place in basin of water
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