General (1-5) Flashcards
The 3 reliable methods of sterilization.
Steam under pressure (autoclave), dry heat, ethylene oxide gas
For sterilizing telescoping instruments, plastic goods, rubber goods, sharp and delicate instruments, electrical cords, and sealed ampules…use this technique.
Ethylene oxide gas sterilization (good for heat sensitive things)
How hot is an autoclave?
120 degrees C.
What is dry heat sterilization?
Exposure to continuous dry heat at 170 degree C for an hour.
A minimum of ____ min hand scrub before the first case is sufficient.
5 min
Most attention should be paid to what part of the hands when washing?
Fingertips and NAILS
How long should your hand scrub between cases be?
2 min at least
Chlorhexidine and iodophors (are/are not) the most affective.
ARE the most affective.
T/F Alcohol based hand antiseptics eliminate C. diff.
FALSE
A pt presents to surgery for a procedure, you should use what to ensure all germs are killed in the area to be operated on?
Chlorhexidine Gluconate (hibi-clense)
When should shaving of the area to operated on be performed?
Immediately before the procedure.
Where should iodine not be used?
Perineum, genitals, face, irritated or delicate skin, or on a pt with a history of sensitivity. Use caution with kids (sensitive skin)
T/F You should allow iodine to dry before draping.
TRUE
What’s another option (other than iodine) for sensitive area?
Iodophor, chlorhexidine, benzalkonium
Most common organisms responsible for cross contamination in the surgery setting
Staph A, pseudomonus A, E. coli, C. diff
Most common surgical position for pts
Dorsal, supine
What position would you put someone in who requires a vaginal or perineal approach?
Lithotomy
Legs bent, head raised to 45 degrees
Fowler’s (sitting)
What position would you place a pt in who was undergoing a sigmoidoscopy or a lumbar laminectomy?
Knee to chest
What position is commonly used for gluteal and anorectal procedures?
Jackknife
Position used when the head is lowered below the feet
Trendelenburg
These little forceps are toothed and concentrate force on a very tiny area allowing more holding power but doing less damage to tissue
Adson tissue forceps
If you don’t have a suture and you need to stop some bleeding…you could use a ____
Clamp
T/F Silver handled scissors are used for cutting tissue
FALSE. The handle should be gold
What style of hand held retractor has two different sized blades…one at each end?
Army/Navy retractors.
A “Richardson” is a (small/large) retractor?
LARGE
True electrosurgery is known as ____
BOVIE
Sometimes referred to as an RF knife
BOVIE
The most ubiquitous power source in surgery
BOVIE
What would you use to stop the bleeding of a blood vessel?
Cautery (a clamp could also be used)
