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Rad Pro 3 > Lecture 7-Surgical OR > Flashcards

Lecture 7-Surgical OR Flashcards

1
Q

T/F

Masks should be worn at all times while in actual OR room

A

True

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2
Q

What is the Operating Room Attire?

A
  1. Protective eyeware
  2. Masks
  3. Caps / hairnets / hoods
  4. Shoe covers
  5. Radiation badges
  6. Gloves
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3
Q

T/F

In the OR, all hair needs to be covered including facial hair

A

True

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4
Q

Where (what zone) are Caps / hairnets / hoods worn

A

Worn in semi & restricted areas

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5
Q

What is the condition for removing boot covers?

A

Removed after exiting OR if clean, but before exiting OR suite if soiled

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6
Q

Where/how many radiation badges are worn in the OR

A

-2
-1 under apron (at waist) – whole body dose and 1 on thyroid collar – for fluoro techs

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7
Q

What type of gloves should MRT’s wear in the OR

A

Non-sterile

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8
Q

Label each area according to thier zones:

A

a=Zone 1
b=Zone 2
c=Zone 3

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9
Q

What type of restriction is zone 1?

A

Unrestricted

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10
Q

What type of restriction is zone 2?

A

semi-restricted

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11
Q

What type of restrictioin is zone 3?

A

restricted

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12
Q

What clothing can you wear in zone 1?

A

street clothes

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13
Q

What attire should you be wearing in zone 2?

A

dressed in OR scrubs, hair and shoes covered

(not necessarily a mask)

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14
Q

What attire should be worn in zone three?

A

-All worn in zone 2 and scrub dress and mask

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15
Q

T/F

In the OR, MRT’s do not scrub in.

A

True

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16
Q

What are 3 examples of non sterile workers on the surgical team?

A

Anesthesiologist
Circulating Nurse
RADIOGRAPHERS

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17
Q

What are 3 examples of sterile people working in the sugical team?

A

Surgeon
Surgical assistants
Certified Surgical Technologist - CST

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18
Q

T/F

Doubtful sterile items considered unsterile

A

True

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19
Q

Where should the sterile gown be on the body?

A

Over top of the OR scrubs & apron

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20
Q

What area of the arm needs to be cleaned for a sterile scrub?

A

Fingertips to 2” above elbow

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21
Q

What two things create an Aseptic Environment?

A

Medical Asepsis + Surgical Asepsis

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22
Q

What is the difference between medical and surgical asepsis?

A

-Medical is disinfecting, surgical is complete sterilization

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23
Q

Give some examples of surgical asepsis in this image:

A

Surgical tool autoclaved. Gowns, drapes, gloves. Handles on the lights.

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24
Q

Give some examples of medical asepsis in this image?

A

-C arm, the leg

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25
Q

What are the 3 most common Means of the Spread of Infection in the OR?

A
  1. Contaminated instruments or gloves
  2. Wet or damp sterile field
  3. Microorganisms blown onto surgical site
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26
Q

When should the mobile unit be disinfected for the OR?

A

PRIOR to entry into suite

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27
Q

If the C arm is above the patient, what type of bag should cover it?

A

COVER image intensifier with sterile bag if directly over field

28
Q

If the C arm is below the patient, or in a lateral position, what type of bag should cover it?

A

A non sterile bag

29
Q

If a mobile unit is needed in the OR, what is it covered with?

A

Site covered with sterile towel

Make sure to tuck your shirt in so that the shirt does not go over the sterile field with mobile equipment

30
Q

In the OR, what part of a surgical bag should you hold?

A

The inside of the surgical bag

31
Q

What is the red arrow pointing to?

A

The sterile cooridor

32
Q

Can MRTs go in the sterile coridoor?

A

No; we are not sterile

33
Q

T/F

Surgical table is sterile only on the surface

A

True

34
Q

T/F

Movement under the sterile drape is not acceptable

A

False;Movement under the sterile drape is acceptable

35
Q

What are the different directions that the C arm moves in?

A
  1. Up and down
  2. In and out (like cross table lateral)
  3. Pivot-spin it about 15 degrees either way
  4. Tilt (angle side to side)
  5. Arc-(can also extend the arm away from you)
36
Q

T/F

Imaging in the OR can be Portable or mobile

A

True

37
Q

Where is the x ray tube, and where is the II in C-arms? Why is this the best position?

A

Tube under the table, II above the table; less scatter to the operator, table absorbs some low radiation, II is closest to the patient

38
Q

What direction of motion is this showing?

A

In and out motion

39
Q

What direction of motion is this showing?

A

Pivot

40
Q

What direction of motion is this showing?

A

Tilt

41
Q

What direction of motion is this showing?

A

Arc

42
Q

What position is this showing? How do you get the tube in this position?

A

Rainbow position
II needs to be on the bottom before you can extend it out this way

43
Q

If we had to stand right beside the C arm where is the best spot to stand (lateral)?

A

If we had to stand right beside the C arm, the best side to stand on is on the II side

44
Q

What is this picture demonstrating?

A

A compound angle

45
Q

How do you image for hip pinning in the OR?

Understand the concept

A

-Bring C arm in as if you are going to do a cross table lateral hip
-Center to the hip on the lateral, when you move the AP the II will be further, and that is okay. Leave it at the height of the lateral

46
Q

Why is the arm up during hip pinning?

A

centering over the hip and then flipping to lateral, so it needs to be out of the way

47
Q

What surgery is being preformed here?

A

Hip pinning

48
Q

Watch the following video on hip pinning

A

https://youtu.be/jdPnM8B8DTQ

49
Q

What is being shown here?

A

HDS
Dynamic hip screw
-Going through the middle of the femoral neck

50
Q

T/F

We do not have to be in OR with Bipolar surgeries

A

True

51
Q

What is this showing?

A

Femur Rodding/IM Nailing

52
Q

What is this showing?

A

Bipolar Hip repair

53
Q

T/F

MRTs are only required to be in the OR for revisions when it comes to orthepedic surgeries

A

True

-Example; right knee on A has been revised; put in another prothesis

54
Q

What are the common OR requests for Imaging?

A
  1. ORIF
  2. IM nailing
  3. External-Fixator
  4. Spinal imaging
  5. RETROGRADE UROGRAM
  6. CHOLANGIOGRAM
  7. Pacemaker insertions
55
Q

What surgery is required?

A

External fixator needed

56
Q

What is done for patients that have an allergic reaction to metal prothesis?

A

Have to take joint out and put in antibiotic leads

57
Q

What surgery has been done here?

A

Artificial disc replacement

58
Q

What surgery has been done here?

A

Lamina/discectomy/fusion surgery

59
Q

What imaging has been done here?

A

CHOLANGIOGRAM

60
Q

What imaging has been done here?

A

RETROGRADE UROGRAM

61
Q

Should you sheild the patient in the OR?

A

Yes, if possible

62
Q

What are the radiation protection devices used in the OR?

A
  1. Lead screen
  2. Lead aprons
  3. Thyroid collars - dosimeter on outside
  4. Stand as far away from patient, tube, and beam as possible (Min 3 m – right angle to patient)
63
Q

What are the three aspects of radiation protection?

A

TIME – DISTANCE – SHIELDING

64
Q

T/F

It is always safer to be at a 90 degree angle on the side of the x ray tube.

A

False; It is always safer to be at a 90 degree angle on the side of the Image intensifier

65
Q

What image pulse rate is better for radiation protection, a 15 or 30 pulse rate?

A

A 15 pulse rate

Surgeons like 30 because image is smoother

66
Q

In what ways should the image intensifer be positioned for optimal radiation protection?

A
  1. Image intensifier on top
  2. II as close to the patient as possible

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