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Surgical Technology, Clinical Orientation, Unit6(proctored practice)

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Surgical Technology, Clinical Orientation, Unit6(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
When draping the surgical patient, ________ is the most important factor to consider.
Answer
  • Surgeon Preference
  • Asepsis
  • Sequential Order
  • Efficiency

Question 2

Question
When squaring off the surgical patient with towels, once the towel is placed, it can never be ______
Answer
  • Moved
  • Moved toward the incision
  • Moved away from the incision
  • Repositioned

Question 3

Question
A Steri-drape is most commonly placed _________ when used as part of the draping sequence.
Answer
  • On top of the square off towels
  • Under the square off towels
  • First
  • On top of the last drape of the draping sequence

Question 4

Question
A roller towel used around the tourniquet cuff is folded ______.
Answer
  • In thirds the short way
  • In thirds the long way
  • In half the short way
  • In half the long way

Question 5

Question
A _______ is used to anchor the roller towel placed around the tourniquet cuff when draping an extremity.
Answer
  • Perforating Towel Clip
  • Kocher Clamp
  • Kelley Clamp
  • Non-Perforating Towel Clip

Question 6

Question
When placing drapes onto the patient for the lower extremity draping sequence, the _______ is placed after the impervious split sheet has been placed.
Answer
  • Perforating Towel Clip
  • Impervious Stockinet
  • Coban
  • Roller Towel

Question 7

Question
The following are names of various types of plain sheets except for ______.
Answer
  • 3/4 Sheet
  • Medium Sheet
  • Split Sheet
  • Large Sheet

Question 8

Question
When placing square-off towels on the patient, the first towel is always placed ______ on the patient.
Answer
  • Closest to you
  • Furthest away from you
  • Below the incision site
  • Above the incision site

Question 9

Question
The sheet that is placed following the application of leggings is the _______.
Answer
  • Under the buttocks sheet
  • Lithotomy sheet
  • Split Sheet
  • Laparotomy Sheet

Question 10

Question
List the sequential order for a knee arthroscopy draping sequence. (What comes first, second, etc.)
Answer
  • roller towel, impervious split sheet, stockinet, coban, arthroscopy sheet, medium, towel with non perf tc
  • none

Question 11

Question
Explain what you do with your hand while draping the periphery of the sterile field (when you extend your hand toward an unsterile area)
Answer
  • cuff hand
  • fold hand

Question 12

Question
Check the boxes of two items that can be utilized to correct a contamination that may occur related to draping and give an example of how the item could be utilized during a surgical procedure to correct a contamination.
Answer
  • a 3/4 sheet can be used if a puncture is found in the drape to cover
  • ringed mayo scissors can be used to cut a section of drape to over a hole
  • hemostat can be used for hair

Question 13

Question
When draping the surgical patient with another sterile person, what factors need to be considered
Answer
  • its ok to move drapes towards the incision
  • never move drapes towards an incision
  • below table level is unsterile
  • table level is sterile

Question 14

Question
what you would do if while placing the square off towels, you placed a towel further away from the incision than you wanted to.
Answer
  • a new towel would need to be placed leaving the other towel
  • reposition the towel
  • remove the towel and place a new one

Question 15

Question
List the sequential order for draping a patient for a laparotomy procedure.
Answer
  • 4 square of towels used, laparotomy sheet, medium sheet if needed, legging sheet
  • laparotomy sheet, 4 square of towels used, medium sheet if needed
  • 4 square of towels used, laparotomy sheet, medium sheet if needed

Question 16

Question
List the sequential order for draping a patient in a lateral position for a flank incision.
Answer
  • 4 square off towels, universal drape set with bottom sheet, top sheet,side sheets on each side
  • 4 square off towels, top sheet, universal drape set with bottom sheet, side sheets on each side
  • 4 square off towels, universal drape set with bottom sheet, side sheets on each side, and top sheet

Question 17

Question
List the sequential order for draping for a hip procedure (total hip).
Answer
  • 4 square off towels, impervious split sheet x2, medium sheet x2, stockinet held in place with ace, bottom hip sheet, top hip sheet, steri drap
  • 4 square off towels, medium sheet x2, impervious split sheet x2, stockinet held in place with ace, bottom hip sheet, top hip sheet, steri drap

Question 18

Question
Check the boxes for two uses for plain sheets.
Answer
  • to prevent wick through contamination
  • coverage of a contamination
  • warmth
  • extra coverage

Question 19

Question
List the sequential order for draping for a lithotomy procedure.
Answer
  • lithotomy sheet, under buttox sheet, 2 towels folded triangle, 2 leggings,
  • 2 towels folded triangle, under buttox sheet, 2 leggings, lithotomy sheet
  • under buttox sheet, 2 towels folded triangle, 2 leggings, lithotomy sheet

Question 20

Question
What does it mean by the phrase “stickies on” or “stickies off”? How would you find this out?
Answer
  • Stickes on means paper on and stickes off means paper off. The circulator will say what he wants.
  • Stickes on means paper on and stickes off means paper off. The surgeon will say what he wants.

Question 21

Question
check the boxes of aseptic principles that apply to draping the patient for a surgical procedure.
Answer
  • never move drape towards the incision
  • never cuff hands while applying drapes
  • protect glove hands by cuffing
  • dont manipulate drapes in a excessive motion creating air currents; no shaking or fanning

Question 22

Question
List the draping order for an abdominoplasty procedure. (What comes first, second, etc.)
Answer
  • bottom, top, side, side, 6-8 square off towels
  • 6-8 square off towels, bottom, top, side, side

Question 23

Question
What is this person doing? **Click on the yellow dot and use correct drop down**
Image:
Squaringoff (binary/octet-stream)
Answer
  • squaring off the patient
  • placing blankets on the patient

Question 24

Question
What is the sheet the medical personnel using? **click orange dot for drop down**
Image:
Split Sheet Howto 7 (binary/octet-stream)
Answer
  • impervious split sheet
  • laparotomy sheet

Question 25

Question
What is the sheet being uses here?
Image:
Image0035273a905 (binary/octet-stream)
Answer
  • impervious split sheet
  • buttox sheet

Question 26

Question
What sheet is being applied? **click the orange dot for drop down**
Image:
Image0045273a905 (binary/octet-stream)
Answer
  • buttox sheet
  • legging sheets

Question 27

Question
What is the name of these sheets that are a set?
Image:
Universal+Drape+Sheet+Set (binary/octet-stream)
Answer
  • universal drape set
  • laparoscopic drape set

Question 28

Question
What is the name of this sheet?
Image:
Impervious+Stockinet (binary/octet-stream)
Answer
  • legging sheet
  • impervious sockinet

Question 29

Question
What is the name of this sheet? **click on the orange dot for drop down**
Image:
Laparotomy+Sheet (binary/octet-stream)
Answer
  • universal draping set
  • laparotomy sheet

Question 30

Question
You are scrubbing a laparoscopic cholecystectomy. The surgeon is isolating the cystic duct when you look down at your drapes and see a hair. What do you do? How would you correct the problem? After you correct the problem, what would be something aseptically you should do because of possible contamination?
Answer
  • if a forigne body has been discovered, a hemostat or instrument that we are able to get rid of during the procedure can be used to grab the hair, hand it off to the circulator, then have it placed somewhere where it will not be lost and then change gloves. and finally cover area with some type of plain sheet.
  • Hemostat would be used to remove hair, A new laparotomy sheet would be placed over the patient

Question 31

Question
You are scrubbing a Total Knee. The Surgeon is using a reciprocating saw to remove the distal portion of the femur. As he finishes his cut, the chunk of bone he removed flies up in the air, hits the OR light and comes back down onto the drapes at the foot of the bed. What do you do? Is there a contamination? If there is, how do you correct the situation?
Answer
  • I would treat the contaminated body material similar as a hair. I would use a instrument that wont be needed for the rest of the procedure, take the bone material off of the drape so strick through contamination would be less likely with blood. I would hand that off to a gloved circulator. finally we need to cover the contamination on the drape so a 3/4 sheet could be used to cover that contaminated spot where the bone landed.
  • The bone fragment would be removed with a instrument that wont be utulized later in the case. Then a new laparotomy sheet would be draped over the patient.
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