Homework 1 Flashcards
What are true statements for a surgery room?
- Ideally it should have its’ own anesthesia machine
- It should only be used for aseptic procedures
- It should have positive pressure ventilation
What is true in regards to a patient warming device
The hard warm-water acrylic circulating pad is puncture proof.
What is not true for a monopolar electrosurgery unit?
has a hand piece that resembles thumb tissue forceps and therefore does not require a ground plate for the patient.
This suction tip is primarily used to remove large volumes of liquid or fluid.
Poole
Since there is never a “no risk” anesthetic patient, which of the following is best describes a Class III anesthetic patient?
Moderate Risk – Patient has moderate systemic disease or mild clinical signs.
What is false when administering an injectable anesthetic induction drug…
the dose in volume is appropriate as the only entry of the amount administered into the medical record.
This pattern for initial scrubbing starts at the proposed incision site. The scrub sponge is grasped by the four corners and moved progressively outward in a circle until the edge of the site is reached.
Target Pattern
70% isopropyl alcohol is a common rinsing agent for a surgical site preparation. Which of the following are characteristics of this rinsing agent?
- It is effective against gram-negative bacteria
- It can enhance the residual properties of chlorhexidine gluconate
- It evaporates quickly and can contribute to patient hypothermia
What is the most correct process for the Final (Sterile) Preparation of the surgical site?
Scrubbed with Chlorhexidine Gluconate Scrub, Rinsed with 70% Isopropyl Alcohol, Painted with a 0.2% Chlorhexidine Solution
The absence of pathogenic microorganisms that cause infection is known as…
Asepsis
Procedure/Area: Cervical: Ventral approach.
Surgical Preparation Clipping Guidelines…
midventral mandible to midsternum, laterally to halfway between the dorsal and ventral midline.
Procedure/Area: Exploratory Laparotomy
Surgical Preparation…
midsternum to pubis, laterally to edge of ribs
Procedure/Area: Stifle
Clipping Guidelines:
tarsus to hip, cranially to last rib, caudally to tuber ischii.
Procedure/Area: Uterine/Ovarian
Clipping Guidelines….
xiphoid to pubis, laterally to edge of ribs
As a member of the surgical team, your fingernails…
Should be clean, free of nail polish and not extend past the fingertips.
As a member of the surgical team, which head cover should be worn by a man with a full beard.
Hood
When performing a “hand” scrub of your fingers, hands and arms. Which of the following statements is false?
A nail cleaning pick is not necessary to use if you are using an antiseptic-impregnated scrub brush on the fingertips
Which of the following statements are true for Surgical Hand Rub / Brushless Agents?
- They contain alcohol and an additional agent such as chlorhexidine gluconate
- They require a shorter scrub time that traditional surgical scrub agents
- They avoid the use of brushes
Which of the following is false for a surgical gown?
The gowns are folded right side out in packs
Alcohol (60-90%)
Broad Spectrum, conflicting evidence of affect by organic matter, no persistent activity
Chlorhexidine Gluconate 4%
Broad Spectrum, minimally affected by organic matter, residual effect maintained for more than 6 days
Iodophores 7.5% (Povidone-iodine)
Broad Spectrum, neutralized rapidly by organic matter, persistence of effect for 4-6 hours
Parachlorometaxylenol (PCMX)
Broad Spectrum minimally affected by organic matter, persistence limited to a few hours
Which of the following is false when wearing a surgical mask in surgery?
If you need to sneeze you should step away from the sterile field and turn your head away from the sterile field
When placing a scalpel blade onto a scalpel handle one should….
- only use a needle holder to place the blade onto the handle
- grasp the blade firmly on the noncutting edge with the appropriate instrument.
- hold the scalpel handle with the thumb and index finger of the opposite hand in a supinated position.
Simple Continuous Pattern
Used where a fluid-tight tissue apposition is needed.
Sterile Sponge
Commonly used to deliver 0.9% normal saline to keep tissue moist.
Surgicel*
Absorbable product when laid on bleeding tissue enhances clot formation.
Towel Clamp
Placed to secure surgical drapes.
