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Chapter 12 Surgical Case Management Flashcards | StudBud
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Chapter 12 Surgical Case Management
Chapter 12 Surgical Case Management
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Cengage: Surgical Technology for the Surgical Technologist 5th ed.
Flashcards
69 cards
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Practice quiz
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Questions
69
Answers
1
How do you properly push a patient on a stretcher?
Push patient feet first
Push patient head first
2
Ability to anticipate the surgeon is one of the most important skills a ST can have
False
True
3
Which position would facilitate better visualization during a lap chole?
Trend with slight tilt to the left
Reverse trend with slight tilt to the left
Regular supine with slight tilt to the right
Trend with slight tilt to the right
4
What gloving method is used when donning a sterile gown?
Assisted gloving
Closed gloving
Triple gloving
Open gloving
5
Operative site, mayo stand, back table, basins then kickbucket is the sequence of
Sequence for a faster turnover
sequence for intraoperative and closing counts
Sequence for closing an OR room
Sequence of opening an OR room
6
To keep the mayo stand from moving while draping it, what should be done?
Grasp the back side of the tray with one hand
Step on one leg of the mayo stand
Have the circulator hold the mayo stand post
Push the mayo stand against the wall
7
What position is used for flexible colonoscopy procedures & on patient stretcher?
Sims'
Lithotomy
Kraske
Folwer's
8
What is the term for the ST who is on standby & if needed must return to the facility
Called up
Called in
Pulled up
Pulled in
9
being twisted or rotated around an axis
Protrusion
Torsion
Spiral protrusion
10
Prevent penetration of fluid through material
Impervious
Depilatory
Torsion
Neutral zone
11
With what amount of sterile water should a 5cc foley balloon be filled with?
5 ml of sterile water
5 ml of normal saline
10 mL of sterile water
10 mL of normal saline
12
What is handed to the opposite person to complete turning a gown?
Gown ties
Gown velcro
Gown tab
Gown strings
13
Radiation, convection, and evaporation are all examples of:
Types of heat caused by draping
Intraoperative heat loss
Perioperative heat loss
Postoperative heat loss
14
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
15
Which towel is placed first when squaring off the operative site?
Inferior margin
Distal margin
Superior margin
Proximal margin
16
Before opening any supplies for delivery to the sterile field, what is verified?
Removal of charge sticker
Package intergrity being in tact
Length of time item has been in storage
Initials of person who prepared item
17
Sitting position is a modification of which position?
Trendelenburg
Lithotomy
Jackknife
Fowler's
18
Individual is lying on his or her side
Lateral recumbent
Semi-Fowler's
Fowler's
Supine
19
Area between anus and scrotum of anus and vulva in females
Scrotum
Clavicle
Perineum
Manibrium
20
When is it appropriate to use open gloving?
When you are in a hurry to finish a task
When a healthcare worker does not wear a sterile gown
When in doubt open glove it out.
When preparing the operative site
21
Which description of how to pour liquids is correct?
12 inches above and only the lip of the bottle over basin
12 inches above and over the basin
22
What PPE has been shown to decrease disease transmission from needle puncture?
Lead apron
Full coverage hood
Splash guard mask
Double gloving
23
What bed attachment is required to maintain a patient in safe reverse trendelenburg?
Anesthesia screen
Padded foot-board
Shoulder braces
Kidney braces
24
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
25
Operative vital sign measurements include: pulse, BP, temperature, respiratory rate, height/weight
False
True
26
know rules for instrument counts
Open them without touching your body, on the mayo stand
Open laterally completely gently toss item onto the back table
27
Patients leg should be moved slowly and simultaneously during lithotomy positioning
False
True
28
Trendelenburg, reverse trendelenburg, Fowler's & Lithotomy are variants of what position?
Supine
Prone
Lateral
Decubitus
29
Remove paper bands around sponges: separate each sponge into separate piles & count aloud with RN is:
Technique for counting sponges
Technique for item countings
30
Term that describes the skin after a skin prep
Surgically clean
Sterilized
Sterile clean
Surgically acceptable
31
What is the purpose of the patient skin prep?
Reduce the microbial count on the skin
So it looks clean for the surgeon
To follow hospital procedures
32
What items should remain sterile until the patients leave the OR
Towel clamps
Sponges
Surgical drops
Blue towels
33
What is the term for the area under the nails?
Sublingual
Subacromial
Subdermal
Subungual
34
Where should your own gown and gloves be prepared to set up your case
Back table
Mayo stand
OR table
Linen hamper
35
Which statement regarding hair removal is INCORRECT?
Hair must be shaved from every incisional and ECG site
Razors can cause micro-abrasions & increased microbial count
Performed as close to time of surgery as possible
Dependent upon surgeon's preference, patient factors and site
36
What is NOT an appropriate method of performing a surgical scrub?
Medical hand wash
Anatomical timed
Brushless/waterless
Counted strokes
37
Temporary position for a female patient for placement of a urinary catheter
Low lithotomy
Jack knife
Frog-legged
Semi fowlers
38
What is the name of the device used to manually assess blood pressure?
Sphygmomanometer
Glucometer
Electrocardiograph
Pulse oximeter
39
What term for normal resident microbial populations on the skin?
Biologicals
Fomites
Flora
Bio-burden
40
Type of cream used as hair removal method that does not cause microbrasions
Depilatory
Apical
Perfusion
Torsion
41
For which position would the head of the OR be moved to the foot?
Lateral kidney
Jackknife
Trendelenburg
Lithotomy
42
What type of prep would you need 2 people for?
Midline vertical
Two step scrub and paint
Vaginal prep
Circumferential extremity
43
Opening a package completely and gently tossing the item without touching it is:
Steps for delivering sterile 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 items to the back table from a peel pack
44
Passage if fluid through lymphatic system or blood vessels to an organ or tissues
Perfusion
Torsion
Evaporation
Depilatory
45
What is the purpose of a radio-frequency tracking systems in the OR?
Prevent patient misidentification
Assist CSPD personnel in locating instrument trays
Reduce possibility of retained foreign items
Aid in chargeable items being put in the system
46
Designate safe zone/area, within the sterile field, in which sharps can be placed and retrieved
Perfusion
Neutral zone
Torsion
47
Which statement about lateral kidney positioning is correct?
Lower leg is flexed, upper leg is straight
Lower leg is straight, upper leg is flexed
48
Pulse taken at the apex of the heart, used as the method of reading a pulse rate
Perineum
Ausculation
Perfusion
Apical
49
Which 2 team members are responsible for performing the counts?
Surgeon & ST
Surgeon & first assistant
Circulator & surgeon
Circulator & ST
50
Skin prep areas that are considered contaminated should?
need no special attention
be scrubbed vigorously and first
not be scrubbed at all
be scrubbed separately or last
51
gloved finger against tissue, dissection sponge, surgeon and assistant pull open peritoneum bilaterally are examples of:
Dissections done by an ST
Blunt tissue dissection performed by CRNA
Blunt tissue dissection performed by surgeon
52
What is not considered a countable item for potential retained foreign objects?
Sponges
Dressings
Sharps
Instruments
53
What is the name of the common disposable gown type?
Wrap around
Circumferential
Cylindrical
Turnaround
54
What should be removed to facilitate O2 readings?
Dentures
Hair
Hearing aids
Nail polish
55
Who gives permission for the patient to be positioned/transferred?
Surgeon
You can decide
Anesthesiologist
CRNA
56
How many people are needed to safely transfer a patient?
3
4
2
6
57
When setting up the sterile field what is the most economic process?
Position back table close to the door
Move items only once if possible
Place as many instruments on the mayo as possible
Request the circulating RN to open all supplies for case
58
What must you remember when delivering a sterile item to the field?
Slide item over glued edge onto top of table
Open the peel pack away fromself and open over back table
Gently toss item without sliding over glued edge
Project the item into the air, aiming for the back table
59
act of listening to sounds within organs or areas of the body
Perineum
Torsion
Impervious
Ausculation
60
Up to what area of the arms do you scrub?
1 inch above the elbows
1 inch below the elbow
2 inches above the elbows
2 inches below the elbows
61
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
62
How are cords and tubing attached to sterile drapes?
Taped to the side of the patient
Retractors
Towel clips
Taped to the side of the drapes
63
Which position requires anesthesia administration and intubation on patient cart
Lithotomy
Supine
Lateral
Prone
64
Process for transferring an awake, mobile patient from stretcher to OR table
Ask the patient to slide over to the table
Stabilize stretcher then other person on other side to receive
65
Rapid breaths that raise body temperature
Tachypnea
Bradypnea
Hypotension
Hypertension
66
How is a mayo stand cover configured?
Cylindrical
Slowly & sterile
67
What does the circulator verify before the ST places instruments on sterile field?
Filter on the container lid had changed color
Filters on bottom of container are intact and container dry
Internal indicator has changed color
Number of instruments is correct with count sheet from CSPD
68
Contains a ventilation system & many have communication systems used in high risk ortho procedures
Full coverage system
Semi-coverage system
Semi-vent system
Ventilation system
69
What can be the result of positioning the patient's arms greater than 90 degrees
Hamstring strain
Restriction of respiratory function
Brachial plexus hyper-extension
Foot drop