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