1015 final Flashcards

1
Q

Basin

A

Supply
- Filled with sterile water for soaking used instru
- Comes wrapped sterilely and to be opened on ring stand

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2
Q

Graduate Pitcher

A

Supply
- Filled with 1000 ml. of warm saline for irrigation around wound
- Irrigation fluid measured and reported to anesthesiologist for EBL

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3
Q

Small bowl

A

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

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4
Q

Kidney basin

A

Supply
- Extra bowl used at tech’s discretion
- Edge is useful to catch spillover saline during wound irrigation

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5
Q

Medicine cup

A

Supply
- Holds medication on back table
- Drugs are poured in cup by circulating nurse in sterile manner

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6
Q

Asepto bulb syringe

A

Supply
- Filled w/ 120cc of saline for irrigation
- May be used to retrieve a β€œwashing” specimen

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7
Q

Bulb Syringe

A

Supply
- Filled w/ 60cc saline for irrigation
- Used to irrigate delicate or shallow structures; nose, ear

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8
Q

Bovie Pad

A

Supply
- Pad is single use, used non-sterile manner
- Applied to pt’s skin over a muscular, non-bony, hair free surface

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9
Q

Bovie Pencil

A

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

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10
Q

Bovie tip

A

Supply/Occluding
- Must be counted
- Tips are interchangeable

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11
Q

Bovie Scratch Pad

A

Supply
- Used to clean char from bovie tip
- Adhesive back to secure to drapes near operative field or on mayo

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12
Q

Needle Mattress

A

Supply
- Needles are stuck on magnetic strip as being used during case
- Each # block receives 1 needle to facilitate count at end of case

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13
Q

Lap Sponges

A

Supply
Pack of 5
- May be moistened w saline and used as a β€œpack to retract and protect non-operative viscera
- Cases w large amounts of blood are expected

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14
Q

Tail Sponges

A

Supply
Pack of 5
- Often used during vaginal hysterectomies to pack bowel away from uterus
- Radiopaque band that runs through, visible by x-ray

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15
Q

Raytec Sponge

A

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

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16
Q

Cottonoid Sponge

A

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

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17
Q

Tonsil Sponge

A

Supply
Pack of 5
- Cotton filled gauze used during tonsillectomy to pack bed.
- Loaded and passed on tonsil clamp

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18
Q

Kitners and Peanuts

A

Supply
Pack of 5
- Used for blunt dissection in small areas
- Often attached to clamp when placed on mayo

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19
Q

Rubber shod

A

Supply
Pack of 10
- Designed to slide onto tips of hemostatic clamps
- Used to grasp sutures w/o damaging

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20
Q

Syringe

A

Supply
- Used to draw up and administer med/fluids
- Measured in milliliters

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21
Q

Hypodermic Needles

A

Supply
- Must be counted
- Needles are # according to size in diameter

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22
Q

Light Handles

A

Supply
- Used by sterile team to adjust operative light
- Attached to spot light and the only sterile place of light

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23
Q

Marking Pen w Labels and Ruler

A

Supply
- Used for writing on skin, labeling meds of other writing necessary
- Thrown away at end of case and new for new cases

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24
Q

Suction Tubing

A

Supply
- Used on most cases for suctioning fluid, blood, or smoke
- End of adapter is passed to nurse to plug into canister

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25
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
26
3-way Stopcock
Supply - Connector between 2 types of tubing & syringe for measuring fluid - Moveable valve shuts off one port at a time
27
Sterile Surgical towels
Supply Pack of 2 or 4 - Both disposable or non-disposable forms - General purpose used at techs discretion
28
Adhesive Tape
Supply - Tape is very strong - Many purposes but rarely used as dressing
29
Elastic Tape
Supply - Tape is stretchy - Frequently used in circumferential dressings & pressure dressings
30
Microfoam tape
Supply - Stretchy & wet proof - Used for pressure dressings
31
Paper Tape
Supply - Paper tape does not stretch & mildly sticky - To tape down 4x4 dressing sponges & people who are allergic to other tape
32
Transpore Tape
Supply - Commonly used dressing in the OR - Small pores to allow dressing to breath & tears easily
33
Steri-Strips
Supply - Designed to stay on until they naturally fall off - Applied directly over the incision to bring skin edges together
34
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.
35
Medipore
Supply - Applied over 4x4 dressings - Perforated, convenient for the circulator to handle
36
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
37
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
38
Coban
Supply - Used as a drape as well as a dressing - Circumferential tape that clings to itself but not to other things
39
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
40
Kerlix
Supply - bulky circumferential dressing that is commonly used on limbs over 4x4 dressing sponges & under Ace wraps
41
Kling
Supply - Non-bulky single layer circumferential dressing that is commonly used on limbs over 4x4 dressing sponges & under Ace wraps
42
Webril Cast Padding
Supply - Used to pad & protect skin underneath a cast, splint, or ace wrap - Made of natural cotton material and tears easily
43
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
44
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
45
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
46
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
47
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
48
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
49
Vaseline Gauze
Supply - Nonpermeable - Cut to size & applied on incisions that don’t have steri-strips, under dressings 4x4s
50
Vag packing
Supply - Packed into the vaginal cavity to aid in hemostasis - Sometimes used as a throat pack on oral surgery procedures
51
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
52
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
53
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
54
Transparent Film Dressing
Supply - Clear to allow observation of tissue beneath - Micro-thin film that does not allow air/fluid to pass through
55
Oval Eye Pad and Shield
Supply - Absorbent multi layer gauze - Aluminum breathable shield
56
Gelfoam
Supply - Often smeared in antibiotic dressing to help w/ insertions - Used temporarily stabilize structures in middle ear grafts
57
Dermabond
Supply - Barrier to bacteria - Topical liquid skin adhesive used on small incisions
58
Stockinette
Supply - Used prior to splint to secure bulky dressings & protect the skin - Comes in a roll & cut to size
59
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
60
Foley Catheter & Down Drain
Supply - ballon retains the catheter in the bladder - placed into the bladder through urethra to drain urine
61
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
62
Intravascular Catheter
Supply - Inserted percutaneous or via small cut down incision - Can use venous or arterial access
63
Pain Pump Catheter
Supply - Commonly used in orthopedic, neurological, & plastic procedures - Connected pump may be external of implanted with an external controller
64
Penrose drain
Supply - Passive drain - Drains fluid into the dressing by capillary action
65
Cigarette Drain
Supply - Passive drain - Penrose drain with gauze inside
66
T-Tube Drain
Supply - passive drain - Placed within the biliary system
67
Feeding Tube
Supply - Typically contains a sump design - Inserted through the abdominal wall into the stomach
68
Nasogastric Tube
Supply - GI tube placed through the nose until reaches stomach - Connected to suction and/or syringe to remove gastric juices
69
Nephrostomy Tube Pig tail
Supply - Self-retaining - Removes urine
70
Hemovac Drain
Supply - Rigid structure designed to not collapse when passed over a joint - Active drain
71
Jackson-Pratt Drain
Supply - Used when moderate amounts of drainage is expected - Has length of holes at insertion end to prevent clogging
72
Channel Drain
Supply - Active drain - Used when moderate amounts of drainage are expected
73
Chest Tube
Supply - Inserted percutaneous through a stab incision - Come in various sizes & designs
74
Closed Water-seal Drainage System
Supply - Active & passive drain - Maintains negative pressure necessary for effectiveness
75
Endotracheal tube (ET tube)
Supply - Used to maintain patency of upper respiratory tract - Can contain obturator to help guide it
76
Oral Airway
Supply - Inserted through the mouth to separate the jaws & depress the tongue - Used to maintain patency of the upper respiratory tract
77
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
78
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
79
Tracheotomy Tube
Supply - Has three components; outer & inner cannula & obturator - Placed into trachea by incision in the neck
80
Ureteral Catheters
Supply - Placed in ureters w assistance of cystoscope - drainage bag may be requires if catheter is retained
81
Suprapubic Catheters
Supply - Placed in bladder through surgical opening in the abd wall - Come in various sizes & designs
82
Urethral Catheters
Supply - Do not require a drainage bag - Variable designs & sizes