1015 final Flashcards
Basin
Supply
- Filled with sterile water for soaking used instru
- Comes wrapped sterilely and to be opened on ring stand
Graduate Pitcher
Supply
- Filled with 1000 ml. of warm saline for irrigation around wound
- Irrigation fluid measured and reported to anesthesiologist for EBL
Small bowl
Supply
- Used on back table for variety of reasons: specimens, dye, or sponges
- Even if empty keep on back table use can arise at any time
Kidney basin
Supply
- Extra bowl used at tech’s discretion
- Edge is useful to catch spillover saline during wound irrigation
Medicine cup
Supply
- Holds medication on back table
- Drugs are poured in cup by circulating nurse in sterile manner
Asepto bulb syringe
Supply
- Filled w/ 120cc of saline for irrigation
- May be used to retrieve a “washing” specimen
Bulb Syringe
Supply
- Filled w/ 60cc saline for irrigation
- Used to irrigate delicate or shallow structures; nose, ear
Bovie Pad
Supply
- Pad is single use, used non-sterile manner
- Applied to pt’s skin over a muscular, non-bony, hair free surface
Bovie Pencil
Supply/Occluding
- End of cord is passed to circulator to be plugged into bovie machine
- Tip is considered a sharp and must be removed from pencil and disposed in sharp container
Bovie tip
Supply/Occluding
- Must be counted
- Tips are interchangeable
Bovie Scratch Pad
Supply
- Used to clean char from bovie tip
- Adhesive back to secure to drapes near operative field or on mayo
Needle Mattress
Supply
- Needles are stuck on magnetic strip as being used during case
- Each # block receives 1 needle to facilitate count at end of case
Lap Sponges
Supply
Pack of 5
- May be moistened w saline and used as a “pack to retract and protect non-operative viscera
- Cases w large amounts of blood are expected
Tail Sponges
Supply
Pack of 5
- Often used during vaginal hysterectomies to pack bowel away from uterus
- Radiopaque band that runs through, visible by x-ray
Raytec Sponge
Supply
Pack of 10
- Cases w small incisions w/ minimal blood loss
- Must be folded and loaded on sponge stick if used below fascia layer
Cottonoid Sponge
Pack of 10
- Soaked in hemostatic agent then topically applied to tissue to constrict blood vessels for controlled bleeding
- Radiopaque band runs through, visible during x-ray
Tonsil Sponge
Supply
Pack of 5
- Cotton filled gauze used during tonsillectomy to pack bed.
- Loaded and passed on tonsil clamp
Kitners and Peanuts
Supply
Pack of 5
- Used for blunt dissection in small areas
- Often attached to clamp when placed on mayo
Rubber shod
Supply
Pack of 10
- Designed to slide onto tips of hemostatic clamps
- Used to grasp sutures w/o damaging
Syringe
Supply
- Used to draw up and administer med/fluids
- Measured in milliliters
Hypodermic Needles
Supply
- Must be counted
- Needles are # according to size in diameter
Light Handles
Supply
- Used by sterile team to adjust operative light
- Attached to spot light and the only sterile place of light
Marking Pen w Labels and Ruler
Supply
- Used for writing on skin, labeling meds of other writing necessary
- Thrown away at end of case and new for new cases
Suction Tubing
Supply
- Used on most cases for suctioning fluid, blood, or smoke
- End of adapter is passed to nurse to plug into canister
Suction tip
Supply/Occluding
- Attached to tubing to aid in removing fluid from wound
- Variety of sizes and shapes to adapt to various cavities/tissues
3-way Stopcock
Supply
- Connector between 2 types of tubing & syringe for measuring fluid
- Moveable valve shuts off one port at a time
Sterile Surgical towels
Supply
Pack of 2 or 4
- Both disposable or non-disposable forms
- General purpose used at techs discretion
Adhesive Tape
Supply
- Tape is very strong
- Many purposes but rarely used as dressing
Elastic Tape
Supply
- Tape is stretchy
- Frequently used in circumferential dressings & pressure dressings
Microfoam tape
Supply
- Stretchy & wet proof
- Used for pressure dressings
Paper Tape
Supply
- Paper tape does not stretch & mildly sticky
- To tape down 4x4 dressing sponges & people who are allergic to other tape
Transpore Tape
Supply
- Commonly used dressing in the OR
- Small pores to allow dressing to breath & tears easily
Steri-Strips
Supply
- Designed to stay on until they naturally fall off
- Applied directly over the incision to bring skin edges together
Mastisol
Supply
- Liquid adhesive provides sticky surface to help steri-strips adhere to skin surface
- Dispensed by crushing the glass vial and allows the liquid to permeate the cotton tip.
Medipore
Supply
- Applied over 4x4 dressings
- Perforated, convenient for the circulator to handle
Ortho Glass
Supply
- Wrapped in padding & sealed foil wrapper to prevent air from hardening the fiberglass
- Fiberglass is very soft & pliable. Hardening agent is activated by dipping the material in warm water
Cast Tape
Supply
- Used with a cast padding material
- Must be allowed to air dry before it comes in contact with other surfaces to prevent sticking
Coban
Supply
- Used as a drape as well as a dressing
- Circumferential tape that clings to itself but not to other things
Ace Bandage
Supply
- An elasticized circumferential dressing, good for compression dressings on limbs
- Comes in variable widths. 2” & 3” work best on hand dressings or pediatric feet
Kerlix
Supply
- bulky circumferential dressing that is commonly used on limbs over 4x4 dressing sponges & under Ace wraps
Kling
Supply
- Non-bulky single layer circumferential dressing that is commonly used on limbs over 4x4 dressing sponges & under Ace wraps
Webril Cast Padding
Supply
- Used to pad & protect skin underneath a cast, splint, or ace wrap
- Made of natural cotton material and tears easily
Soft Roll Cast Padding
Supply
- Used to pad & protect skin underneath a cast
- Made of a synthetic material that doesn’t tear as easily as Webril
4x4 Dressings
Supply
- Dressing size is picked according to wound size
- Basic part of almost all dressings to absorb mild to moderate amounts of drainage
4x4 Fluffs
Supply
- To absorb mild to moderate amounts of drainage while protecting & padding the wound
- May be folded, opened out & fluffed, or used just as they are
ABD Pad
Supply
- Large thick and over wounds that are expected to bleed / drain significant amounts of fluid
- Pack a wound & remain in pt postoperatively w/ radiopaque strip
Telfa
Supply
- Cut to size & used over incisions w/ no steri-strips to keep wound from scabbing
- Non-adherent dressing that allows passage of air/fluids & used to wick secretions from a wound
Adaptic
Supply
- Permeable (allowed for fluid and air to wick through)
- Cut to size & applied on incisions that don’t have steri-strips, under 4x4 dressings
Vaseline Gauze
Supply
- Nonpermeable
- Cut to size & applied on incisions that don’t have steri-strips, under dressings 4x4s
Vag packing
Supply
- Packed into the vaginal cavity to aid in hemostasis
- Sometimes used as a throat pack on oral surgery procedures
Peri Pad & Belt
Supply
- Used when that patient is asleep, & very difficult to put mesh underwear on
- This dressings is used in GYN procedures that could produce post operative vaginal
Nu Gauze
- Long stripof cotton used to pack openings to aid in hemostasis & drain wounds
- Open on sterile field & the tech must use a sterile forceps & pull the strip out & let it drop onto the back table
Montgomery Straps
Supply
- Used when a long incisions is left open
- Adhesive backings are applied to the pt’s skin on both sides of the wound
Transparent Film Dressing
Supply
- Clear to allow observation of tissue beneath
- Micro-thin film that does not allow air/fluid to pass through
Oval Eye Pad and Shield
Supply
- Absorbent multi layer gauze
- Aluminum breathable shield
Gelfoam
Supply
- Often smeared in antibiotic dressing to help w/ insertions
- Used temporarily stabilize structures in middle ear grafts
Dermabond
Supply
- Barrier to bacteria
- Topical liquid skin adhesive used on small incisions
Stockinette
Supply
- Used prior to splint to secure bulky dressings & protect the skin
- Comes in a roll & cut to size
Retention Suture Bridge
Supply
- Device that takes pressure off primary incision
- Circular tightening device the suture is threaded through allows for tension to be adjusted
Foley Catheter & Down Drain
Supply
- ballon retains the catheter in the bladder
- placed into the bladder through urethra to drain urine
Cholangiogram Catheter
Supply
- Introduces radiopaque dye to detect for presence of calculi in biliary system
- Variable designs to secure it temporarily to common bile duct to prevent it from slipping out
Intravascular Catheter
Supply
- Inserted percutaneous or via small cut down incision
- Can use venous or arterial access
Pain Pump Catheter
Supply
- Commonly used in orthopedic, neurological, & plastic procedures
- Connected pump may be external of implanted with an external controller
Penrose drain
Supply
- Passive drain
- Drains fluid into the dressing by capillary action
Cigarette Drain
Supply
- Passive drain
- Penrose drain with gauze inside
T-Tube Drain
Supply
- passive drain
- Placed within the biliary system
Feeding Tube
Supply
- Typically contains a sump design
- Inserted through the abdominal wall into the stomach
Nasogastric Tube
Supply
- GI tube placed through the nose until reaches stomach
- Connected to suction and/or syringe to remove gastric juices
Nephrostomy Tube
Pig tail
Supply
- Self-retaining
- Removes urine
Hemovac Drain
Supply
- Rigid structure designed to not collapse when passed over a joint
- Active drain
Jackson-Pratt Drain
Supply
- Used when moderate amounts of drainage is expected
- Has length of holes at insertion end to prevent clogging
Channel Drain
Supply
- Active drain
- Used when moderate amounts of drainage are expected
Chest Tube
Supply
- Inserted percutaneous through a stab incision
- Come in various sizes & designs
Closed Water-seal Drainage System
Supply
- Active & passive drain
- Maintains negative pressure necessary for effectiveness
Endotracheal tube (ET tube)
Supply
- Used to maintain patency of upper respiratory tract
- Can contain obturator to help guide it
Oral Airway
Supply
- Inserted through the mouth to separate the jaws & depress the tongue
- Used to maintain patency of the upper respiratory tract
Nasal Airway
Supply
- Inserted though the nose to prevent obstruction of the airway due to relaxation of the soft palate
- Used to maintain patency of the upper respiratory tract
Laryngeal Mask Airway (LMA)
Supply
- Supraglottic airway device used to maintain patency of the upper respiratory tract
- Alternative to placing an ET tube through the glottis
Tracheotomy Tube
Supply
- Has three components; outer & inner cannula & obturator
- Placed into trachea by incision in the neck
Ureteral Catheters
Supply
- Placed in ureters w assistance of cystoscope
- drainage bag may be requires if catheter is retained
Suprapubic Catheters
Supply
- Placed in bladder through surgical opening in the abd wall
- Come in various sizes & designs
Urethral Catheters
Supply
- Do not require a drainage bag
- Variable designs & sizes
