Midterm - Surgical Instruments Flashcards
Mosquito hemostatic forceps
What are surgical instruments?
specially designed tool or device for performing specific actions of carrying out desired effects during a surgery or operation
What is the first step in cleaning instruments?
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
For micro and delicate instruments use _____ cleaning.
manual
Instruments should be processed in a cleaner for the full recommended cycle time which is?
5 to 10 minutes
When instruments are placed into the autoclave, ____ should be placed in he open position.
box locks
In the ultrasonic cleaner, make sure that “Sharp (scissors, knives osteotomes etc.) blades do not touch other _______.
Instruments
Brown-Adson thumb forceps
Backhaus towel clamp
Adson thumb forceps
Allis tissue forceps
Crile hemostatic forceps
Standard Scissors
Kelly Hemostatic forceps
Lister bandage scissors
Rochester-Carmalt forceps
Rat tooth thumb forceps
Gelpi self-retaining retractor
Metzenbaum scissors
snook hook
Suture scissors
Mayo scissors
Senn hand-held retractor
Army-Navy hand-held retractor
Mayo-Hegar Needle holder
Olsen-Hegar needle holder
True or False
In an ultrasonic cleaner, only certain instruments need to be submerged?
False
All instruments need to be submerged
Do not place dissimilar metals (stainless, copper, chrome plated etc.) in the same ________ _______.
cleaning cycle
Change solution _____ at least as often as manufacturer recommends in an ultrasonic cleaner.
frequently
What do you do with the instruments, after ultrasonic cleaning?
Rinse with deionized water to remove ultrasonic cleaning solution
Make sure to air dry
True or false
It is ok to use any kind of steel wool or wire brushes to get tough particles off of instruments?
False
Use only specially recommended stainless steel wire brushes.
When cleaning instruments you should use ____ ____ detergents.
neutral PH -7
What happens when using a low pH detergent on instruments?
Low PH detergents will cause a breakdown of the stainless protective surface and black staining when not rinsed off properly.
What happens when a high pH is used when cleaning instruments?
Using a high pH when cleaning instruments will cause surface deposit of brown stain, which will also interfere with smooth operation of the instrument
What kind of brushes should you use to clean instruments?
Use stiff plastic cleaning brushes (nylon, etc.)
a - tip e - ratchet
b- jaws or neck f - ring handle
c- box lock
d- shank
What is autoclave sterilization?
a machine that sterilizes instruments through heat and steam
What must happen for an autoclave load to be sterile?
- 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
After putting instruments into packs what else must be done?
label pack with pack contents, the person who prepared the pack, and the date the pack was sterilized
True or False
It is ok to put away wet autoclaved items?
False
Never put away wet autoclaved items
Air dry
How can you put instruments into the autoclave?
individually or in sets
What is the most commonly used scalpel handles are?
Bard-Parker No. 3 (for scalpel blades #10, #11, #12, and #15) and No. 4 (for scalpel blades #20, #21, and #22)
Small animal surgeries are generally performed with a what number handle and what numbered blade?
No. 3, #10
Large animal surgeons usually use a what number handle and what numbered blade?
No. 4, #20
