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Medical Assisting > Assisting with Minor Surgery > Flashcards

Assisting with Minor Surgery Flashcards

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USMLE® Step 1 flashcards
1
Q

What is the MA’s role in minor surgical procedures generally?

A
  • knowledgeable procedures performed
  • prepare patient for surgery
  • assist practitioner during surgery
  • care for the patient after surgery
  • ensure surgical asepsis practices
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2
Q

What are the MA’s administrative tasks in minor surgical procedures?

A
  • preauthorization
  • consent
  • pre-op education
  • post-op instructions
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3
Q

What are the MA’s clinical roles in minor surgical procedures?

A
  • prep room and equipment
  • assist during surgery
  • dressing wounds, remove sutures, staples
  • clean room and equipment
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4
Q

When should you use local anesthetics?

A

minor surgical procedure
- medication that causes a loss of sensation

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5
Q

Why should anesthetics be used?

A
  • diagnose an illness
  • repair an injury
  • removal of a wart, skin tag or other small growth
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6
Q

What supplies are needed for mole/cyst removal?

A
  • local anesthetic
  • scalpel
  • suture supplies
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7
Q

What should the MA do for a mole/cyst removal procedure?

A
  • obtain detailed history/change in mole
  • obtain family history/cancer
  • specimen to be sent to lab for evaluation
  • instruct patient to monitor wound, return if infection occurs, follow up suture removal, if needed
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8
Q

What supplies are needed during an ingrown toenail removal?

A
  • local anesthetic
  • sterile scissors, forceps, hemostats
  • bandaging materials
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9
Q

What should a MA do during ingrown toenail removal?

A
  • notify patient that there will be discomfort
  • patient to soak area in warm water to facilitate healing
  • assist provider
  • bandage wound
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10
Q

What is cryosurgery for?

A

exposes tissues to extreme cold to destroy cells

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11
Q

What supplies are needed for cryosurgery?

A

liquid nitrogen

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12
Q

What is the role of a MA in cryosurgery?

A
  • provide patient support and instructions
  • discomfort as tissue warms
  • assist with procedures
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13
Q

What is electrosurgery/electrocauterization?

A

electrical current sent through tissue to stop bleeding, destroy polyps, or break scar tissue

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14
Q

What is needed for electrosurgery?

A

electrocautery unit

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15
Q

What is the role of a MA during electrosurgery?

A

provide patient care and wound care

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16
Q

What is colposcopy/hysteroscopy?

A

using instruments to inspect vaginal area, cervix, uterus

17
Q

What supplies are needed for hysteroscopy?

A
  • exam table with stirrups
  • colposcope/hysteroscope
  • biopsy forceps
18
Q

What is the role of a MA during hysteroscopy?

A
  • patient into lithotomy position
  • notify patient of discomfort
  • provide patient instructions
  • assist provider
  • prepare specimens for transport
19
Q

What is I & D?

A

incision and drainage

20
Q

What is laser surgery?

A

uses special light beams to cut tissue

21
Q

What should MAs do prior to suture removal?

A
  • inspect wound for healing, draining, infection
  • if crusting, soak before removal
22
Q

What supplies are needed for suture removal?

A
  • suture removal tool
  • scissors
  • forceps
  • wound care supplies
  • gauze
  • steri-strips
23
Q

What is the role of a MA during suture removal?

A
  • note the number of sutures/staples that were used
  • stop procedure if gaping of the wound occurs
  • when removing sutures, cut close to the knot and pull with forceps by grabbing the knot and pulling toward the wound
  • apply wound care and educate patients on care and procedures to avoid infection
24
Q

What is a laceration?

A

jagged, open wound in the skin that can extend down into the underlying tissue

25
Q

What is a puncture wound?

A
  • deep wound caused by sharp object
  • may require tdap injection if by metal object
26
Q

What is debridement?

A

removal of debris or dead tissue from the wound
- helps to expose healthy tissue and promote healing

27
Q

How should you clean a wound?

A
  • clean thoroughly with soap and water
  • irrigate with sterile saline solution or sterile water
28
Q

What instruments are used for cutting and dissecting instruments?

A

scalpels
scissors

29
Q

What instruments are used for grasping and clamping?

A

forceps
hemostats
towel clamps

30
Q

What instruments are needed for suturing?

A
  • needles
  • needle holder
  • sutures
  • syringes
  • instrument packs
31
Q

What is surgical asepsis?

A

removal of all microorganisms, including spores
- must be used during invasive procedures
- when penetrating skin or mucous membranes

32
Q

What does surgical asepsis start with?

A
  • sanitizing and disinfecting instruments
  • cleaning and scrubbing with germicidal soap and water
  • allow instruments to dry
33
Q

How can you sterilize tools?

A
  • autoclave
  • pressurized steam
34
Q

How can we prepare items for the autoclave?

A
  • wrapped and labeled
  • porous fabric, paper, plastic
  • sterile pack (instruments used together)
  • label with non-toxic marker (identity of items inside wrapping, person completing procedure, expiration date)
35
Q

What is surgical scrub?

A
  • removes more microorganisms than routine handwashing
  • different than aseptic hand washing
    = sterile scrub brush instead of nail brush
    = hands and forearms are washed
    = hands above the elbows
    = sterile towels instead of paper towels
    = sterile gloves after hands are dried
36
Q

What are the rules of sterile gloves?

A
  • put on after surgical scrub
  • only touch items in the sterile field
  • if the glove is damaged, anything it touches is contaminated
37
Q

What area is considered nonsterile?

A

1 inch around sterile field

38
Q

How do you maintain a sterile field?

A
  • open packages so they drop onto sterile field
  • sterile liquids should be poured from the side of the sterile field
  • don’t let liquid leak on to the field
  • don’t leave it unattended
  • medication vials should be cleaned with alcohol before holding with two hands for the provider to inject with a needle
39
Q

What are the important preoperative procedures?

A
  • obtain written and informed consent
  • answer patient questions
  • prepare the patient in gown and position and drape the patient
  • surgical skin preparation
    = remove hair if needed
    = apply antiseptic

Medical Assisting (38 decks)

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