Pre-surgical patient prep.

Question 1

What steps should be taken prior to sx?

Answer 1

-Bath/capstar
-Double check RED collar
-Triple check ID and procedure
-Consent form signed
-Start anesthesia form

Question 2

How does the assistant assist in surgery?

Answer 2

holding tissue out of the way, elevating the ovarian pedicle, getting instruments ready, etc.

Question 3

Before the patient leaves the recovery area, the surgeon is responsible for

Answer 3

writing a very brief surgery report to note areas of difficulty or complications encountered during the procedure

Question 4

_ _ can lead to skin irritation or infection and prolong the healing process. It will also increase the likelihood that the animal will lick the surgical area

Answer 4

Clipper burn

Question 5

What should be done prior to clipping the fur

Answer 5

blades check for chipped or missing teeth, rust, should be sharp

Question 6

What should be done while clipping the fur

Answer 6

intermittently check for over-heating during the process of clipping

Question 7

When is hair removal done

Answer 7

at induction, before the animal is moved to the sx table

Question 8

First clip hair along what direction

Answer 8

same direction of hair growth, then again against the direction of hair growth

Question 9

Hair is clipped in an area extending at least _ _ _ widths in every direction from the planned incision

Answer 9

2 clipper blade

Question 10

Loose hair is thoroughly removed with a _ or _ _before transferring patient from induction area to a sx table

Answer 10

vacuum or lint roller

Question 11

Clip after patient has been _ under anesthesia

Answer 11

stabilized

Question 12

What should be worn during fur clipping

Answer 12

lab coat

Question 13

Hold clippers in _ grip

Answer 13

pencil

Question 14

What are the steps of a thorough skin prep?

Answer 14

-Scrub with chlorhexidine scrub from prep tray
-Rinse with water containing dilute chlorhexidine solution (pale blue)
-Repeat both steps 3 times AFTER all gross debris moved
-Begin each scrub in center and scrub in a “bulls eye” pattern toward the periphery
-Final skin prep done after patient moved to sx table
-The final application of Iodine or Chlorhexidine solution allow to remain on skin “the paint”
-After skin prep, secure legs and adjust lighting

Question 15

What position is a patient in for abdominal surgery

Answer 15

dorsal recumbency with head toward anesthetic machine and resting comfortably on table

Question 16

Warming devices should be placed under a _ and should NEVER

Answer 16

towel; be placed in direct contact with patient

Question 17

In large, deep chested dogs, it may help to

Answer 17

cross forelimbs, securing each tie down to opposite side of the table

Question 18

After removing excess fur if doing an abdominal sx (like a spay) what should be done?

Answer 18

express bladder

Question 19

In a canine spay, where will the incision be?

Answer 19

in the cranial 1/3 of the abdomen, just caudal to the umbilicus

Question 20

In a feline spay, where will the incision be made?

Answer 20

in the middle 1/3 of the abdomen

Question 21

What are the cranial and caudal landmarks for hair removal in a canine and feline spay?

Answer 21

xiphoid to the pubis

Question 22

When clipping the fur for a canine castration, the testicles should be pushed _ to isolate the sx site.

Answer 22

cranially

Question 23

When prepping for a canine neuter, care should be taken to avoid shaving the _

Answer 23

testicles

Question 24

what should be done prior to clipping for a castration in a dog

Answer 24

prepuce flush

Question 25

A - incision will be made for canine castration

Answer 25

pre-scrotal

Question 26

For a feline castration, longer hair around the testicles will be clipped; however, the testicles will be _

Answer 26

plucked

Question 27

for orthopedic sx, any hair remaining on the foot is covered with a

Answer 27

a glove loosely taped and the limb suspended

Question 28

For orthopedic sx the surgical scrub begins at the edge of the tape from _ to _ and moving circumferentially around the limb

Answer 28

distal to proximal

Question 29

What should be placed on the “down limb” in an orthopedic surgery

Answer 29

sterile towel

Question 30

For tail and perianal sx, a - suture should be placed prior to prep; tie a string on your finger too!

Answer 30

purse-string

Question 31

For tail and perianal sx, what area should be prepped last?

Answer 31

dirty area