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Intermediate Nursing - class notes > Midterm - Surgical Instruments > Flashcards

Midterm - Surgical Instruments Flashcards

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1
Q
A

Mosquito hemostatic forceps

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2
Q

What are surgical instruments?

A

specially designed tool or device for performing specific actions of carrying out desired effects during a surgery or operation

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3
Q

What is the first step in cleaning instruments?

A

Immediately rinse off any tissues, blood and body fluid after surgery using warm (not hot) water.

If you can’t clean instruments right away soak them in chlorhexidine

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4
Q

For micro and delicate instruments use _____ cleaning.

A

manual

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5
Q

Instruments should be processed in a cleaner for the full recommended cycle time which is?

A

5 to 10 minutes

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6
Q

When instruments are placed into the autoclave, ____ should be placed in he open position.

A

box locks

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7
Q

In the ultrasonic cleaner, make sure that “Sharp (scissors, knives osteotomes etc.) blades do not touch other _______.

A

Instruments

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8
Q
A

Brown-Adson thumb forceps

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9
Q
A

Backhaus towel clamp

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10
Q
A

Adson thumb forceps

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11
Q
A

Allis tissue forceps

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12
Q
A

Crile hemostatic forceps

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13
Q
A

Standard Scissors

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14
Q
A

Kelly Hemostatic forceps

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15
Q
A

Lister bandage scissors

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16
Q
A

Rochester-Carmalt forceps

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17
Q
A

Rat tooth thumb forceps

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18
Q
A

Gelpi self-retaining retractor

19
Q
A

Metzenbaum scissors

20
Q
A

snook hook

21
Q
A

Suture scissors

22
Q
A

Mayo scissors

23
Q
A

Senn hand-held retractor

24
Q
A

Army-Navy hand-held retractor

25
Q
A

Mayo-Hegar Needle holder

26
Q
A

Olsen-Hegar needle holder

27
Q

True or False

In an ultrasonic cleaner, only certain instruments need to be submerged?

A

False

All instruments need to be submerged

28
Q

Do not place dissimilar metals (stainless, copper, chrome plated etc.) in the same ________ _______.

A

cleaning cycle

29
Q

Change solution _____ at least as often as manufacturer recommends in an ultrasonic cleaner.

A

frequently

30
Q

What do you do with the instruments, after ultrasonic cleaning?

A

Rinse with deionized water to remove ultrasonic cleaning solution

Make sure to air dry

31
Q

True or false

It is ok to use any kind of steel wool or wire brushes to get tough particles off of instruments?

A

False

Use only specially recommended stainless steel wire brushes.

32
Q

When cleaning instruments you should use ____ ____ detergents.

A

neutral PH -7

33
Q

What happens when using a low pH detergent on instruments?

A

Low PH detergents will cause a breakdown of the stainless protective surface and black staining when not rinsed off properly.

34
Q

What happens when a high pH is used when cleaning instruments?

A

Using a high pH when cleaning instruments will cause surface deposit of brown stain, which will also interfere with smooth operation of the instrument

35
Q

What kind of brushes should you use to clean instruments?

A

Use stiff plastic cleaning brushes (nylon, etc.)

36
Q
A

a - tip e - ratchet

b- jaws or neck f - ring handle

c- box lock

d- shank

37
Q

What is autoclave sterilization?

A

a machine that sterilizes instruments through heat and steam

38
Q

What must happen for an autoclave load to be sterile?

A
  • steam must have penetrated the packs completely - when this happens materials have had the proper exposure to steam at the proper temperature and for the proper duration
39
Q

After putting instruments into packs what else must be done?

A

label pack with pack contents, the person who prepared the pack, and the date the pack was sterilized

40
Q

True or False

It is ok to put away wet autoclaved items?

A

False

Never put away wet autoclaved items

Air dry

41
Q

How can you put instruments into the autoclave?

A

individually or in sets

42
Q

What is the most commonly used scalpel handles are?

A

Bard-Parker No. 3 (for scalpel blades #10, #11, #12, and #15) and No. 4 (for scalpel blades #20, #21, and #22)

43
Q

Small animal surgeries are generally performed with a what number handle and what numbered blade?

A

No. 3, #10

44
Q

Large animal surgeons usually use a what number handle and what numbered blade?

A

No. 4, #20

Intermediate Nursing - class notes (16 decks)

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