MIDTERM (OR) Flashcards
Principle 1 of Sterility
Principle Number 1: Only sterile items are used within the sterile field.
Principle 2 of Sterility
Principle Number 2: Sterile persons are gowned and gloved
Principle 3 of Sterility
Principle Number 3: Tables are only sterile at Table Level
Principle 4 of Sterility
Principle Number 4: Sterile Persons Touch ONLY Sterile Items while Unsterile OR Personnel Touch Only Unsterile Items.
Principle 5 of Sterility
Principle Number 5: Unsterile persons avoid reaching over sterile fields and sterile persons avoid touching or leaning over an unsterile area.
Principle 6 of Sterility
Principle Number 6: Edges of anything that encloses sterile contents are considered
unsterile.
Principle 7 of Sterility
Principle Number 7: Sterile field is set-up just before a surgical procedure.
Principle 8 of Sterility
Principle Number 8: Sterile areas are continuously kept in view.
Principle 9 of Sterility
Principle Number 9: Sterile persons keep well within sterile areas.
Principle 10 of Sterility
Principle Number 10: Sterile persons keep in contact with sterile areas to minimum.
Principle 11 of Sterility
Principle Number 11: Unsterile persons avoid sterile areas.
Principle 12 of Sterility
Principle Number 12: Destruction of integrity of microbial barriers result in contamination
Principle 13 of Sterility
Principle Number 13: Microorganisms must be kept to irreducible minimum
Layers of the Abdomen
- Skin
- Subcutaneous
- Muscle
- Fascia
- Peritoneum
Types of surgical suture
- Absorbable suture
- Non-absorbable suture
4 classifications of absorbable sutures
- catgut sutures
- polydioxanone suture
- Poliglecaprone suture
- Polyglactin Suture
Sutures that are dissolvable stitches that are made of materials that will disintegrate over time by absorbing into the skin.
Absorbable suture
Sutures that require removal
after a specific time. They are usually made of a material that will not break down in the body and will not be digested by the body’s enzymes.
Non-absorbable suture
Types of surgical suture techniques
- Continuous Suture
- Interrupted Sutures
- Deep Sutures
- Buried Sutures
- Purse String sutures
- Subcuticular Suture
Methods of Anesthesia Administration
- Inhalation
- Intravenous
A temporary loss of feeling and a complete loss of awareness that feels like a very deep sleep.
General Anesthesia
Stages of general anesthesia
Stage 1 - Induction
Stage 2 - Excitement or delirium
Stage 3 - Surgical anesthesia
Stage 4 - Overdose
A temporary loss of feeling or awareness in a part of the body, such as an arm or a leg.
Regional Anesthesia
Side effects of General Anesthesia
- Nausea and vomiting
- Low blood pressure
- heart rate changes
- slower breathing
- sore throat from the breathing tube
- grogginess
- delirium
Common medications used in regional anesthesia
- lidocaine
- bupivacaine
- ropivacaine
Two forms of regional anesthetics
1.) Spinal anesthetic
2.) Epidural anesthetic
An anesthesia given for a short time to stop pain in one part of the body. You stay awake.
Local anesthesia
A type of anesthesia that uses IV medications.
Procedural sedation
Levels of sedation
- Conscious Sedation
- Twilight Anesthesia
- Deep Sedation
A registered nurse or surgical technologist responsible for maintaining the sterile field during surgery
Scrub nurse
A nurse who makes preparations for an operation and continually monitors the patient and staff during surgery outside the sterile field.
Circulating Nurse
Scissors used for cutting delicate tissue and blunt dissection
Metzenbaum Scissors (curved)
Scissors used for cutting tissue directly in a straight line
Metzenbaum Scissors (straight)
Blades with long, thin shanks and blunt tips
Metzenbaum Scissors
Scissors with broad, thick blades
Mayo scissors
Forceps with inward facing serrated edges
Allis Forceps
Forceps with looped, atraumatic tips
Babcock Forceps
Forceps with serrations
Kelly Forceps
Forceps with heavy serrations and a tooth at the tip
Kocher Forceps
Small, fine-pointed forceps
Mosquito Forceps
Large forceps with full serrations
Pean Forceps
Large, ringed forceps
Sponge/Ovum Forceps
Forceps with sharp, pointed hooks
Tenaculum Forceps
Small clamp with sharp, pointed tips
Towel clip/clamp
Forceps with toothed or serrated edges
Tissue Forceps
Small grooves, but no teeth on the tips
Thumb Forceps
Double-ended, smooth-edged retractors
Army-Navy Retractors
Single ended, hand-held retractor with a flat, curved blade
Richardson Retractor
Used to remove blood, fluids, or debris from the surgical site
Suction tip
Tubing connected to a suction device
Suction Tube
Instrument with a locking mechanism
Needle holder
A form of electrosurgery that uses an electric current to cut tissue or create scars
Electrical Cautery