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ST Instuments and Supplies (Case Management) > Dressings and Supplies > Flashcards

Dressings and Supplies Flashcards

1
Q

Blunt Dissection

A

Use of a sponge or blunt instrument to separate tissue on a normal anatomical plane

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2
Q

Dissection

A

Separation of tissues through anatomical planes; may be sharp or blunt dissection

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3
Q

Sharp Dissection

A

Use of a knife, scissors, or cutting instrument to separate tissue

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4
Q

Function of a surgical sponge

A

Absorb blood and tissue
Protect tissue
Apply Pressure
Retract tissue

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5
Q

Radiopaque

A

Impenetrable to X-rays or other forms of radiation

Will show if a radiopaque sponge was left in the patient upon closing and x-ray

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6
Q

Laparotomy

A

SUrgical opening of the abdomen

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7
Q

Peritoneum

A

The serous membrane lining of the abdomen

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8
Q

Thoracotomy

A

Surgical incision of the chest wall

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9
Q

Lap Sponge

A

Used in thoracotomy and abdominal surgeries
Most absorbable of surgical packages
Come in packs of 5

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10
Q

Lap sponges come in packs of

A

5

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11
Q

Rays/Raytecs come in packs of

A

10

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12
Q

Raytec (4x4)

A

Radiopaque sponges, also available in 4x8 size

Come in packs of 10

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13
Q

Dissecting sponges/Kitners/Peanuts

A

Used primarily in blunt dissections and are packaged in 5s
Load one at a time
Use with a Pean/Crile/Kelly Clamp

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14
Q

How are Kitners/Peanuts packaged

A

5s

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15
Q

Tonsil Sponges

A

Cotton-filled gauze balls with a cotton strong attached.
Radiopaque Strip
Long string
Use with a tonsil clamp

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16
Q

Opthalmic sponge

A

Weck-cel sponge

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17
Q

Neurosurgical sponges/Cottonoids/Patties

A

Can come in different shapes and sizes
Very small
Radiopaque, attached to a string
Groups of 10

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18
Q

Epithelial

A

Pertaining to the layer of cells forming the epidermis of the skin

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19
Q

Microbe

A

a unicellylar organism such as a bacteria or protozoan

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20
Q

Function of the Surgical Dressing

A 
Keep the wound free of microbe (Prevent infection)
Protect from outside injury
Absorb drainage
Provide Support
Provide Pressure
Provide aesthetic appeal
Maintain a moist environment
Apply medication 
NO RADIOPAQUE STRIPS
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21
Q

What type of dressings do not have a radiopaque strip

A

Surgical Dressings

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22
Q

What sponge should never be used as a dressing

A

Raytecs
Will distort an X-Ray
Just use normal 4x4 gauze

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23
Q

Astringent

A

An agent that has a constricting or binding effect

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24
Q

Denuded

A

Removal of the protecting layer of tissue through surgery, pathological change, or trauma

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25
Q

Exudate

A

A fluid released from the body with a high concentration of protein, cells, or solid debris

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26
Q

Granulation

A

Fleshy projections formed on the surface of a gaping wound that is healing by second or third intention

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27
Q

Hydrocolloid

A

Glue-Like substance in which water is the liquid

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28
Q

Permeability

A

Capable of allowing the passage of fluids

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29
Q

Biological Dressing

A

Used in treament of large denuded area of skin or burns to prevent infection and fluid loss; it may consist of live skin tissue or synthetic material

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30
Q

Types of skin grafts

A

Allograft
Xenograt
Autograft
Artificial

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31
Q

Autograft-

A

Skin transplanted from one part of the patient’s body t another part

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32
Q

Allograft

A

Skin graft transplanted from a genetically incompatible donor

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33
Q

Xenograft

A

Skin Graft transplanted between animals of different species

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34
Q

Artificial

A

Temporary skin graft that consists of synthetic epidermis and collagen-based dermis

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35
Q

One-Layer Dressings

A

COmprised of transparent adherent material and primarily used when only a slight amount of drainage is expected

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36
Q

Aerosol adhesive spray

A

Provides a secure and reliable seal and is unaffected by moisture

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37
Q

Bioexclusive

A

A thin, transparent polyurethane film that allows for observation of the wound

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38
Q

Dermabond

A

Used fro topical repair of cuts and closure of skin incisions (Super glue for skin)

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39
Q

Foams

A

Antimicrobial foam dressings used to support and manage both moisture and bacterial balance of the surgical wound

40
Q

Gels

A

Chemical dressing used to form a thin barrier over the wound when no or slight drainage is expected from the surgical wound; washes or wears off after several days

41
Q

Hydrocolloids

A

Wafers or ganules containing particles that interact with wound exudate to absorb the exudate by forming a gel

42
Q

Steri Strips

A

Thin adhesive strips which can be used to close small wounds

43
Q

Opsite

A

A Transparent, adhesive film used to provide a moist wound environment for usperficial wounds
*Sometimes has an island dressing with it

44
Q

Benzoin

A

An alcohol solution of compound benzoin that is used to increase adhesiveness of steri-strips during closure of the skin

45
Q

Mastisol

A

A Clear liquid adhesive used to secure difficult dressings for an extended period of time

46
Q

Three-Layer Dressing

A

Inner, Intermediate, and outer layer dressings

47
Q

Inner layer (of 3 Layer dressing)

A

Must stay in contact with the skin for 48 hours
Lies against the would to provide a barrier against pathogens and acts as a passageway for the wound’s secretions
Moves secretions away from the wound

48
Q

Why is dry gauze not used on denuded areas of the body?

A

Because it adheres to the wound and acts as a foreign body. Granulation tissue will grow into it and bleeding can be reactivated when its remved

49
Q

used when frequent dressing change is needed on the abdominal area

A

Montgomery Straps

50
Q

chemical dressing used to form a thin barrier over the wound

A

collodian

51
Q

used to secure dressing of the neck area when surgical tape cannot be used

A

thyroid collar

52
Q

used to eliminate dead space and prevent edema and hematoma

A

pressure dressing

53
Q

(Surgical Dressing)

made of transparent adherent polyurethane material.

A

Single Layer

54
Q

(Surgical Dressing)

lies against the wound to provide a barrier against pathogens.

A

inner layer

55
Q

Surgical Dressing

provides easy visualization of the surgical wound.

A

single layer

56
Q

Surgical Dressing

stays in contact with the wound surface for at least 48 hours.

A

Inner Layer

57
Q

Surgical Dressing

A

made of a non-adherent material for easy removal from the wound

58
Q

Cotton-Filled Gauze balls with a cotton string

A

Tonsil

59
Q

largest and most absorbable of the surgical sponges; sometimes used to pack a body cavity

A

Laps

60
Q

used to protect delicate tissue such as brain, spinal cord, and nerves

A

Cottonoids

61
Q

gauze sponges that include an x-ray detectable string

A

Raytec

62
Q 
All of the following are uses of surgical sponges except:
A. absorb blood
B. protect tissue during procedure
C. dress wounds
D. apply pressure
A

Dress Wounds

63
Q

of the following statements regarding surgical dressings are true except?
Select one:
A. dressings keep incisions free of microorganisms
B. dressings with pressure reduce or eliminate dead space
C. prevent post-op wound infections
D. causes wound edema and post-op bleeding

A

causes wound edema and post-op bleeding

64
Q

All of the following are true except:
Select one:
A. counts protect the patient from retained items
B. counts protect the surgical team from liability
C. counts provide verification of a successful procedure
D. counts assist in infection control

A

Counts provide verification of a successful procedure

65
Q

All of the following statements regarding surgical wound packing are true except:
Select one:
A. available in long thin strips of gauze-like material
B. used in body cavities such as the nose and the vagina
C. does not need to be changed until the wound heals
D. may be impregnated with antibiotic ointment

A

does not need to be changed until the wound heals

66
Q

All sponges used during a surgical procedure should be:

A

Radiopaque

67
Q

Always place small dissecting sponges such as peanuts and kitners on a(n)

A

Pean

68
Q

Counts are performed perioperatively When?

A

prior to the incision, as additional items are added, change of personnel, before closure of a cavity

69
Q

During an extreme emergency, what is to be done if a count is omitted?

A

document with an x-ray, document on the patient’s operative record, and complete and incident report

70
Q

If the package of sponges contains an incorrect number of sponges, the STSR should

A

hand the entire package to the circulator and the package should be isolated or removed from the room and not used

71
Q 
Laparotomy sponges may also be called all of the following except:
A. Raytec
B. laps
C. tapes
D. saline sponges
A

Raytec

72
Q

Laparotomy sponges should be moistened with ___ when packed inside a body cavity.

A

Sterile Saline

73
Q

The circulator and the STSR should count all items in the following order:

A

on the surgical field, mayo stand, back table, off the sterile field

74
Q

The major cause of lawsuits arising from surgery are a result of:

A

retained items left in the surgical wound

75
Q

The responsibility to ensure that no item is retained in the surgical wound belongs to:

A

circulator and the STSR

76
Q

The uses of surgical sponges include all of the following except:
Select one:
A. apply pressure to bleeding surfaces
B. pack or isolate structures from the operative site
C. absorb blood and tissue fluid during operative procedure
D. sharp tissue dissection

A

Sharp tissue dissection

(Should only be used for blunt tissue dissection)

77
Q

Tonsil Sponges come packaged in groups of

A

5

78
Q 
Until the final count of the procedure is verified as being correct, \_\_\_ must remain in the operating room.
Select one:
A. instruments
B. sponges and sharps
C. linen and trash
D. all of the above
A

All of the above

79
Q

Which of the following items will be included in a count?

A

lap sponges, crile clamp, cottonoids

80
Q

Which of the following materials are commonly used as the “inner layer” of a dressing?

A

telfa, Vaseline gauze, adaptic

81
Q

Which of the following materials are commonly used as the “intermediate layer” of a dressing?

A

4 x 4 gauze, ABD, kerlix

82
Q

What should be done if a sponge is not located following a sponge count?

A

inform the surgeon, and then recount, if sponge is still not located, take an x-ray to verify sponge is NOT in patient,
complete and incident report for lost sponge

83
Q

Who has the responsibility to keep track of how many and what kind of instruments are inside of the wound.

A

surgeon and STSR

84
Q

True or False:

A surgical count is performed by two people.

A

True

85
Q

True or False:

Additional instruments distributed to the field during surgery must be added to the surgical count.

A

True

86
Q

True or False:

Application of the surgical dressing is not considered part of the surgical procedure.

A

False

87
Q

True or False:

Common sizes for Raytec sponges include 4” x 4” and 4” x 8”.

A

True

88
Q

True or False:

Dissecting sponges are used for sharp dissection and for blotting blood or fluid in wide shallow areas of the wound.

A

False

89
Q

True or False:

Radiopaque sponges should not be used as part of the surgical dressing.

A

True

90
Q

True or False:
Surgeons establish policies directing sponge, sharps, and instrument counts that have been recommended by JCAHO, AORN,and AST.

A

False

91
Q

True or False:

Surgical dressings retract tissue from the operative site.1000000000000

A

False

92
Q

True or False:

The dressing should be kept sterile prior to placing it on the patient.

A

True

93
Q

True or False:

The dressing should not be opened or introduced onto the sterile field until the final count has been performed.

A

True

94
Q

true or False:

The law does not specify the qualifications of those who perform the count or the manner in which it is performed.

A

True (Though our professor said at least 1 person involved in the count must be an RN)

95
Q

At least 1 person involved in the surgical count must be

A

An RN

96
Q

True or False:

When assisting the surgeon with hemostasis, it is best to blot bleeding tissue instead of wiping it.

A

True

ST Instuments and Supplies (Case Management) (7 decks)

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