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

Gelöschter Nutzer 38 Fragen Aktualisiert am 30 Okt 2019

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1Ringed instruments should be placed where when preparing the mayo stand for a surgical procedure?
1. AOff the edge closest to where the surgical technologist stands
2. BOff the back edge (edge furthest from the incision when pulled up to the sterile field)
3. COff the front edge (edge closest to the incision when pulled up to the sterile field) away from where the surgical technologist stands
4. DOff the edge furthest
2Where 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.
1. ACount Sheet
2. BWhite Board
3. CPatient's Chart
4. DBoth A and C
3The activity that signifies the transition from the preoperative phase of a surgical procedure to the intraoperative phase is ___________.
1. ACreation of the incision
2. BDonning of sterile attire by the surgeon
3. CDraping the surgical patient
4. DApplication of the surgical dressing
4Anaerobic bacteria are able to survive ____.
1. Ain high concentrations of oxygen
2. Bin conditions of extreme heat or cold
3. Cwith or without oxygen
4. Dwithout oxygen
5Surgical drapes should be removed at the end of a procedure by the _________ to help prevent unnecessary contamination.
1. ASurgical Technologist
2. BCirculating Nurse
3. CPhysician’s Assistant
4. DSurgeon
6Where should the scalpel or any other sharp items be placed when preparing the mayo stand for a surgical procedure?
1. AOn the edge of the mayo closest to where the surgical technologist
2. BOn the edge of the mayo furthest away from where the surgical technologist stands
3. COn the back edge of the mayo
4. DOn the front edge of the mayo stands
7________ of items are usually placed on the mayo stand while preparing for a surgical procedure.
1. APairs/ Even numbers
2. BOdd numbers
3. CIndividual Pieces
4. DSets
8When preparing the cords for a laparoscopic case, they should be stacked in which of the following orders? (Listed from the top down)
1. ACamera, light cord, cautery, insufflation tubing, suction/irrigator
2. BSuction/Irrigator, cautery, light cord, camera, insufflation tubing
3. CCautery, insufflation tubing, camera, light cord, suction/irrigator
4. DInsufflation tubing, camera, light cord, cautery, suction/irrigator
9When preparing the universal back table for a laparotomy procedure, where is the instrument basket placed?
1. AWherever the surgical technologist has room on their table to place it
2. BOn the edge of the back table that will be furthest away from the patient when pulled up to the operating table
3. CIn the middle towards the back of the back table
4. DOn the edge of the back table that will be closest to the patient when pulled up to the operating table
10When 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.
1. ADouble draping both back tables and the double ring stand
2. BDouble gloving and wearing hoods or space suits
3. CThoroughly inspecting rep pans for wetness and debris
4. DCreating a working space along the front half of the table as the team will sit to perform the procedure

11After 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.
1. AAttach cautery to the drapes
2. BPlace 2 dry laps near the incision site
3. Chand surgeon the knife
4. Dplace 2 raytecs up near incision site
12After 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.
1. Ahand surgeon forceps and stick tie
2. BHand the light handles to the surgeon
3. CAttach suction tubing to the drapes
4. Dhand surgeon ant extra drapes
13Describe how the back table set-up for a vaginal procedure is different compared to the universal back table set-up for a laparotomy procedure.
1. AA 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.
2. BA 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.
14 What should the surgical technologist remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
1. Atheir 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.
2. BTheir may not be any mayo stands because their is less instruments for the procedure
15 What should the surgical technologist remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
1. AThese cases can use many medications so being on the same page as the surgeon is very important
2. Bthese cases dont use as many medications as other procedures.
16Describe three considerations that the surgical technologist should remember when preparing a back table set-up for a cardiovascular or a peripheralvascular procedure.
1. Atheir will always be one scrub and one surgeon on these cases
2. BAlways 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
3. CTheir 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.
17what 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.
1. ATheir 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.
2. BThe team needs to be sterile and ready for the next case coming up
3. CIts customary to wait for the patient to enter the PACU
18What 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.
1. ACautery is the first item used after the knife so we want to prioritize and have it ready to go
2. BWe want to make sure we know what side the cautery machine is going to be used.
3. CThe cautery is used after the suction so its put up first
19What is the reasoning for obtaining the instrument set as quickly as possible when preparing the back table for a procedure.
1. AThe surgeon preference is always to obtain the instrument basket first
2. BWe obtain the instrument basket as quickly as possible in case their is a missing item that nurse has time to get another
3. CWe 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.
20The 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!)
1. A0.25 Marcaine with epi 1:200000 30ml
2. B0.25% Marcaine with epi 1:200,000 30ml
3. C0.25% Marcaine with epi 1:200000 30ml
21Check the boxes that Describe duties of the surgical technologist during the intraoperative phase of a surgical procedure.
1. Apassing of instruments
2. Bhelping surgeon perform cautery and anasotomosis
3. Chelping circulator in unsterile role
4. Danticipating the needs of the surgical team
22which describe a dutievof the surgical technologist during the intraoperative phase of a surgical procedure.
1. Aassisting anesthesia
2. Bhelping with the incision
3. Cmaintain organization of the working area
23Identify 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**
1. A2
2. B1
3. C3
4. Dnone
24Identify 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**
1. A2
2. B1
3. Cnone
4. D3
25Identify 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 **
1. A0
2. B1
3. C2
4. D3
26Identify 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**
1. A1
2. B0
3. C2
4. D3
27Identify 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**
1. A2
2. B1
3. C0
4. D3
28Identify 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**
1. A0
2. B1
3. C2
29Identify 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**
1. A2
2. B0
3. C1
4. D3
30Identify 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**
1. A0
2. B1
3. C2
4. D3
31Identify 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**
1. A0
2. B1
3. C2
32Identify 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**
1. A1
2. B0
3. C2
4. D3
33Identify 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*
1. A2
2. B0
3. C1
4. D3
34Identify 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**
1. A2
2. B0
3. C1
35Identify 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**
1. A1
2. B0
3. C2
36Check the boxes of considerations that the surgical technologist should remember when preparing a back table set-up for a neurosurgical procedure.
1. AMicroscope and C-arm need to be draped
2. Bknowing how many members of the O.R. team will be performing the procedure
3. Chow is the patients mental state
4. Dmultiple back tables and mayo stands can be used
37Which is a consideration that the surgical technologist should remember when preparing a back table set-up for a neurosurgical procedure.
1. Atheir is only a few types of medicines that is used for neuro procedures
2. BTheir may be many different medications, make sure to verbalize when handing it to the surgeon and Set up is procedure dependant
3. Cknow the total number of items in the O.R.
38Identify 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
1. Aall specimens are put in formalin
2. Bplace all sharps in needle book, close needle book, but in biohazard bag
3. Cleave light handles on for following procedure
4. Dplace unused instruments back in the instrument tray
5. Eleave basin of soiled instruments in water out for the next people to clean up
6. Fdisasemble all instruments from mayo stand and place in basin of water

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Beschreibung: Surgical Technology, Clinical Orientation, Unit4-5(proctored practice)
Autor: Gelöschter Nutzer
Sprache: English
Aufrufe: 15
Verlauf: Erstellt am 29 Okt 2019 · aktualisiert am 30 Okt 2019
Schlagwörter: der nutzer hat seine fachbereichs-information gelöscht.
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Surgical Technology, Clinical Orientation, Unit4-5(proctored practice)

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