Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery 1 (SAB) > Lecture 4: General Surgery Etiquette & Procedures > Flashcards

Lecture 4: General Surgery Etiquette & Procedures Flashcards

1
Q

What is the primary difference btw/ small animal & large animal patient prep

A

When inducing anesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F: There should be extra cleaning prior to inducing anesthesia

A

False; only if the animal is filthy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the bath controversy

A
  • Does reduce baterial counts on skin
  • Liberates deeper bacteria through open pores
  • Dries out skin
  • Hair must be dried prior to clipping
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the prep for horses & food animals

A
  • Groom & pick out feet before induction
  • Cover feet before starting skin prep
  • Can clip/rough prep while standing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What should be done for food animal/equine standing surgery

A
  • Tie the tail
  • clip & prep (in a room other than the OR)
  • Block
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where is the final sterile prep performed

A

In the OR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Elaborate on clipping

A
  • Sterilization/cleaning of clipper blades
  • Size 40 clipper blade (start w/ a 10 if they are to hairy)
  • Clip only @ the time of surgery
  • @ least 20 cm on either side of the surgical site
  • Vacuum the hair
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the challenges of clippin

A
  • Grease
  • Dirt
  • Blood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T/F: Small animals are susceptible to clipper burn so be gentle

A

Tru

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What clipping techique should be used

A
  • Smooth motions
  • Angle the blade
  • Go against the hair
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the purpose of initial prep

A
  • Remove grossly visible dirt, blood, etc
  • Remove grease
  • Clean the skin
  • Use the same antiseptics as for “sterile” prep outside the OR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some special considerations for initial prep

A
  • Limb hanging
  • Foot prep preparation
  • Opthalmic & dental procedures (no initial prep)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What type of scrub should be used in the final “sterile” prep in the OR

A

A dedicated surgical scrub that stays in the OR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the rules of a “sterile” skin prep

A
  • The person performing the scrub should have a hat & mask, no lab coat, & sterile gloves (ideally washed hands)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What technique should be used during “sterile” skin prep

A
  • circles starting @ the site of incision & working outwards
  • One 4x4 square
  • Scrub alternating w/ alcohol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is some other preparation should be done for opthalmic surgery

A
  • Dilute povidone-iodine solution
  • Never use chlorhexidine or alcohol b/c it can melt the cornea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is important in draping

A
  • Effective bacterial barrier
  • Lint free
  • Tear resistant
  • Sterile
  • Effective fluid barrier
  • Too breathable = not effective
  • Not breathable = bacterial growth under the surface
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Higher thread count = tighter weave = what

A

Better barrier

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Describe cotton muslin as a draping material

A

Inadequate microbial barrier when wet or dry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe pima cotton as draping material

A
  • inadequate microbial barrier when wet
  • Adequate barrier for skin shedding
  • Can be treated to make it water resistant for 75 washes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the disadvantages of using fabric as draping material

A
  • Damage from puncture (like from towel clamps) disrupts the barrier
  • Vulcanized patches resist autoclave steam penetration
22
Q

Describe using disposable material for draping

A
  • Can be celullose, wood pulp, polyesters, or synthetic polymer fibers bonding into sheets
  • Lint free = lower particle count in the air
  • Must be reinforced w/ polyethylene or plastic film to be water resistant
23
Q

When should double gloving be used

A

When contamination is likely

24
Q

Why is are all visible surfaces of a patient is covered

A

Prevents aerosolization from unprepared areas

25
Q

Describe draping technique

A
  • Drape “out” the smallest area possible (but have enough room for the incision)
  • Place adjecnt to the incision then move away (Dont go back toward the incision)
  • Quadrant drap first
    Multi layers to build a waterproof barrier (Quadrant then larger sheet on top) & towel clamps should not penetrate below subsequent layers
26
Q

Why are self-adhering drapes helpful

A

For circumferential draping (legs) or when large areas are draped

27
Q

List the steps of patient prep

A
  1. clip
  2. initial scrub
  3. move to OR
  4. sterile scrub
  5. drape
28
Q

How should the instument table be positioned

A
  • Close to the surgeon if no assistant (next to the surgeon’s dominant hand)
  • Close to the assistant if have an assistant
29
Q

Who goes btw/ table & surgery site

A

Only sterile people

30
Q

T/F: Non-scrubbed people can extend their arms over a sterile field

A

False; they should never

31
Q

Where should anesthesia be

A

As far as possible from the surgery area

32
Q

When should the instrument table is toward the surgeon’s dominant hand

A

During neuters

33
Q

Describe the positioning of the patient in small animal

A

Maximize the location on the table for surgical procedures

34
Q

Describe the position of the patient for large animals

A
  • Not really alot of options
  • They take up the entire table
  • Some adjustments for surger of upper respiratory tract
  • LOTS of padding
35
Q

What should be known while preping for surgery

A
  • Assistance vs. no assistance
  • Location of equipment in the OR
  • Traffic flow in the OR
  • Know how the pack is opened
  • Min time that pack are open - esp during patient set up
36
Q

What should the surgeon do before setting up the surgical field

A
  • Check the table heigh (Ideal = arms bent & even w/ surgical field)
  • Double check patient position
  • Turn on & position the surgical light
37
Q

What is the general order a surgeon should follow w/ minimal assistance

A
  1. Open the table drape (or use the outer pack drape as a table drape)
  2. Open the outlayer of the pack & drop the inner layer wrapped pack onto the table (“protect” the dirty arm)
  3. Open selected suture & scalpel blade onto pack
  4. Open gown
  5. Open gloves onto gown (or side of gown)
  6. Go scrub
  7. Drape
  8. Organize instruments
  9. Cut
38
Q
A
39
Q

What should be in the major procedures part of a surgery report

A
  • Ligation (size of suture; not every single vessel)
  • Transection (instruments used)
  • Blunt dissection
  • Sharp dissection
  • Implants placed (exact numbers, size, etc.)
40
Q

What are the parts of a surgery report

A
  • Start w/ the animal being anesthetid/restraind & how it was position (+/- which table or positioning aids were used)
  • Describe the area prepared & how it was prepared
  • Describe the area prepared & how it was prepared
  • Describe the approach: location, length (cm), & instruments used
  • Describe major finding in order (the body the report)
  • Describe major procedures in order
  • Incision closure (layers, patterns, suture, +/- needle type)
  • Describe any incisional dressings that were applied
  • End w/ how the animal recovered from anesthesia
  • Provide good details for major surgical & anesthetic complications
41
Q

What should be put in the major findings of a surgery report

A
  • What was explored
  • Findings (like a pathology report)
42
Q

What are the general rules of writing a surgery report

A
  • Critical part of the medical record (Goals is to accurately report what occurred during the procedure)
  • Details are important (like length, instruments, & suture)
  • Templates but tailor the template to the patient
  • Step by step
  • Proper medical terminology (give generic terms & avoid brand names)
  • Use procedural writing
  • Dont use filler words
43
Q

How is an instrument to a surgeon

A
  • Hand the surgeon the handles
  • Firmly like a good hand shake
44
Q

Why our gauze counted

A
  • use of radiopaque gauze
  • Counted on the table to catch a miscount before closing
45
Q

What are the jobs for the assistant surgeon

A
  • Organize table
  • Count gauze sponges
  • Count instruments
  • Hand instruments
  • Retract things
  • Hold “things”
  • Cut suture
  • Run suture
46
Q

What is the method of running suture

A
  • Surgeon places bites
  • Surgeon gathers suture & hands excess to assistant
  • Assistant holds the suture out of the way of the surgeon taking bites
47
Q

What is the most important job for the assistant

A

Cut suture

48
Q

What do assistants do

A
  • Moral support
  • Supervision
49
Q

T/F: Below the table is not considered sterile

A

True

50
Q

Before cutting what must the surgeon do

A

Check w/ the anesthetist

Surgery 1 (SAB) (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions