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ST 220 Chapter 12 Surgical Case Management Flashcards | StudBud
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ST 220 Chapter 12 Surgical Case Management
ST 220 Chapter 12 Surgical Case Management
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1
What should be removed to facilitate O2 readings?
Nail polish
Hair
Dentures
Hearing aids
2
What must you remember when delivering a sterile item to the field?
Gently toss item without sliding over glued edge
Slide item over glued edge onto top of table
Project the item into the air, aiming for the back table
Open the peel pack away fromself and open over back table
3
What is done if a package of sponges is found to have the incorrect number in it?
Pass to RN, label bag incorrect. Isolate bag off the field
Label the package incorrect and place to the side.
Take the package to sterilazation
4
What does the circulator verify before the ST places instruments on sterile field?
Filter on the container lid had changed color
Number of instruments is correct with count sheet from CSPD
Filters on bottom of container are intact and container dry
Internal indicator has changed color
5
Who gives permission for the patient to be positioned/transferred?
Anesthesiologist
CRNA
You can decide
Surgeon
6
Remove paper bands around sponges: separate each sponge into separate piles & count aloud with RN is:
Technique for counting sponges
Technique for item countings
7
To keep the mayo stand from moving while draping it, what should be done?
Have the circulator hold the mayo stand post
Step on one leg of the mayo stand
Push the mayo stand against the wall
Grasp the back side of the tray with one hand
8
Which statement regarding hair removal is INCORRECT?
Razors can cause micro-abrasions & increased microbial count
Hair must be shaved from every incisional and ECG site
Performed as close to time of surgery as possible
Dependent upon surgeon's preference, patient factors and site
9
Ability to anticipate the surgeon is one of the most important skills a ST can have
True
False
10
Trendelenburg, reverse trendelenburg, Fowler's & Lithotomy are variants of what position?
Lateral
Prone
Supine
Decubitus
11
Up to what area of the arms do you scrub?
2 inches above the elbows
1 inch above the elbows
2 inches below the elbows
1 inch below the elbow
12
Process for transferring an awake, mobile patient from stretcher to OR table
Stabilize stretcher then other person on other side to receive
Ask the patient to slide over to the table
13
When is it appropriate to use open gloving?
When preparing the operative site
When in doubt open glove it out.
When you are in a hurry to finish a task
When a healthcare worker does not wear a sterile gown
14
Designate safe zone/area, within the sterile field, in which sharps can be placed and retrieved
Perfusion
Torsion
Neutral zone
15
What type of prep would you need 2 people for?
Two step scrub and paint
Vaginal prep
Circumferential extremity
Midline vertical
16
Individual is lying on his or her side
Lateral recumbent
Supine
Fowler's
Semi-Fowler's
17
Which 2 team members are responsible for performing the counts?
Circulator & ST
Surgeon & first assistant
Circulator & surgeon
Surgeon & ST
18
Operative site, mayo stand, back table, basins then kickbucket is the sequence of
Sequence of opening an OR room
sequence for intraoperative and closing counts
Sequence for closing an OR room
Sequence for a faster turnover
19
What bed attachment is required to maintain a patient in safe reverse trendelenburg?
Anesthesia screen
Shoulder braces
Kidney braces
Padded foot-board
20
Which statement regarding instrument counts is correct?
They have been replaced by routine post op XR
They are required by state law for every procedure
They should be counted while all still on the back table
They are unnecessary if only one tray is opened for use
21
What is handed to the opposite person to complete turning a gown?
Gown ties
Gown tab
Gown strings
Gown velcro
22
Opening a package completely and gently tossing the item without touching it is:
Steps for delivering items to the back table from a peel pack
Steps for placing drapes on the sterile field
Steps for placing items on the back table
Steps for delivering sterile items to the back table from a peel pack
23
What is the name of the device used to manually assess blood pressure?
Glucometer
Pulse oximeter
Electrocardiograph
Sphygmomanometer
24
Before opening any supplies for delivery to the sterile field, what is verified?
Length of time item has been in storage
Package intergrity being in tact
Initials of person who prepared item
Removal of charge sticker
25
With what amount of sterile water should a 5cc foley balloon be filled with?
10 mL of normal saline
5 ml of normal saline
10 mL of sterile water
5 ml of sterile water
26
What is not considered a countable item for potential retained foreign objects?
Sharps
Dressings
Sponges
Instruments
27
What position is used for flexible colonoscopy procedures & on patient stretcher?
Lithotomy
Kraske
Sims'
Folwer's
28
Pulse taken at the apex of the heart, used as the method of reading a pulse rate
Perineum
Ausculation
Apical
Perfusion
29
What is NOT an appropriate method of performing a surgical scrub?
Brushless/waterless
Anatomical timed
Medical hand wash
Counted strokes
30
Which position requires anesthesia administration and intubation on patient cart
Prone
Lithotomy
Lateral
Supine
31
Which description of how to pour liquids is correct?
12 inches above and not going across sterile field
12 inches above and over the basin
32
What is the term for the ST who is on standby & if needed must return to the facility
Called in
Pulled up
Called up
Pulled in
33
Where is a safety belt placed on a patient in the supine position?
2 inches proximal to the ankles
2 inches distal to the knees
2 inches distal to the perineal region
2 inches proximal to the knees
34
What is the purpose of a radio-frequency tracking systems in the OR?
Assist CSPD personnel in locating instrument trays
Prevent patient misidentification
Reduce possibility of retained foreign items
Aid in chargeable items being put in the system
35
What is the name of the common disposable gown type?
Turnaround
Wrap around
Circumferential
Cylindrical
36
Where should your own gown and gloves be prepared to set up your case
Linen hamper
OR table
Back table
Mayo stand
37
Sitting position is a modification of which position?
Lithotomy
Trendelenburg
Jackknife
Fowler's
38
Operative vital sign measurements include: pulse, BP, temperature, respiratory rate, height/weight
True
False
39
How are cords and tubing attached to sterile drapes?
Retractors
Non penetrating clamp
Taped to the side of the drapes
Taped to the side of the patient
40
Term that describes the skin after a skin prep
Sterile clean
Sterilized
Surgically clean
Surgically acceptable
41
What gloving method is used when donning a sterile gown?
Open gloving
Closed gloving
Assisted gloving
Triple gloving
42
Which towel is placed first when squaring off the operative site?
Distal margin
Superior margin
Inferior margin
Proximal margin
43
Which position would facilitate better visualization during a lap chole?
Regular supine with slight tilt to the right
Trend with slight tilt to the right
Reverse trend with slight tilt to the left
Trend with slight tilt to the left
44
For which position would the head of the OR be moved to the foot?
Lateral kidney
Jackknife
Trendelenburg
Lithotomy
45
How is a mayo stand cover configured?
Slowly & sterile
Cylindrical
46
What is the term for the area under the nails?
Subungual
Sublingual
Subacromial
Subdermal
47
What PPE has been shown to decrease disease transmission from needle puncture?
Splash guard mask
Lead apron
Full coverage hood
Double gloving
48
What is the purpose of the patient skin prep?
Reduce the microbial count on the skin
To follow hospital procedures
So it looks clean for the surgeon
49
How many people are needed to safely transfer a patient?
2
3
4
6
50
What term for normal resident microbial populations on the skin?
Biologicals
Fomites
Flora
Bio-burden
51
Temporary position for a female patient for placement of a urinary catheter
Low lithotomy
Frog-legged
Semi fowlers
Jack knife
52
Which statement about lateral kidney positioning is correct?
Lower leg is flexed, upper leg is straight
Lower leg is straight, upper leg is flexed
53
What items should remain sterile until the patients leave the OR
Sponges
Towel clamps
Surgical drops
Blue towels
54
Type of cream used as hair removal method that does not cause microbrasions
Depilatory
Torsion
Perfusion
Apical
55
What can be the result of positioning the patient's arms greater than 90 degrees
Hamstring strain
Brachial plexus hyper-extension
Foot drop
Restriction of respiratory function
56
Patients leg should be moved slowly and simultaneously during lithotomy positioning
False
True
57
When setting up the sterile field what is the most economic process?
Request the circulating RN to open all supplies for case
Position back table close to the door
Move items only once if possible
Place as many instruments on the mayo as possible
58
How do you properly push a patient on a stretcher?
Push patient feet first
Push patient head first
59
Prevent penetration of fluid through material
Torsion
Neutral zone
Impervious
Depilatory
60
Skin prep areas that are considered contaminated should?
be scrubbed separately or last
not be scrubbed at all
need no special attention
be scrubbed vigorously and first
