Exam #7: Draping the Patient Flashcards
When creating the your sterile field, begin by:
Opening your back table
What can be adjusted to the height of the sterile field that has been created over the surgical PT?
MAYO Stand
When organizing the back table, put the following into practice:
- Move about as little as possible
- Keep the body situated in a central location
- Handle each item only once
Typically how many lap sponges are in a pack?
5
What is done when there is incorrectly prepackaged sponges?
They must not be added to the count & must be removed completely from the O.R suite.
What is an example of a cylindrical drape?
Mayo stand drape
When is the best time to do the initial instrument count?
When all items are on the back table
What must be labeled according to facility policy immediately upon filling it?
Bulb syringe
For every procedure the count is done in the following order:
- Sponges
- Sharps
- Instruments
When hands and arms are scrubbed for a prescribed length of time it is called?
The times method
What is important to avoid touching once the scrub is complete?
non sterile items
What is used once the sterile gown has been donned?
The closed-glove technique
What is the method or technique used to don gloves for patient skin preparation or urinary catheterization?
Open-gloving
Who is typically the one who assists team member with turning gowns?
Circulator
What should be done AFTER gown removal?
Gloves
Surgical masks:
- Strings should NOT be crisscrossed when tied
- Should be either on or off
- Should be handled by the strings only
- Should be changed between all cases
To treat shock wha should be used?
The trendelenburg position may be used
Who is responsible for the safe positioning of the surgical PT?
The entire surgical team
When the PT lies flat on the back, with the arms secured at the sides and palms facing inward, this describes the correct position for?
Supine
Not removing hair preoperatively UNLESS it interferes with the operation is recommended by who?
CDC
What are fast, deep breaths for a period of time, followed by 20-60 seconds of apnea?
Cheyne- Stokes
During surgery, when hands are exposed to X-rays, what should be worn?
Lead gloves may be worn
What should be the first thing donned when changing into O.R attire?
A hair cover
What is responsible for stomach ulcers?
H. Pylori (helicobacter pylori)
What is a microorganism that causes both cellulitis and gas gangrene?
Clostridium perfringens
What class is dirty wound is a surgical procedure that involves perforated viscera?
Class IV
What causes most surgical infections?
Contamination during a procedure
What is the infection contracted within the health care setting?
Nosocomial infection
What may NOT be recapped and reused?
Fluid bottles
What is the process that spores and other microorganisms are killed?
Sterilization
What is exhausted (expelled) from the decontamination room to the outside of the health care facility?
The filtered air
What solution is based primarily on the type of instrument being cleaned?
A detergent (cleaner) solution
What should be done to instrument with multiple parts before cleaning?
disassembled before cleaning
In order to avoid damage in the washer sterilizer, instruments made of different metals should?
Not be placed next to each other in the washer sterilizer
At the end of the washer sterilization cycle, instrument are:
NOT considered appropriate for use on the PT
When pouring sterile fluid:
- Verify that the “five rights” are met
- The fluid container may be saved for future reference or discarded
- Verify the patient’s allergy status
