Sterile instruments

Question 1

What are instruments typically made out of?

Answer 1

titanium or steel

Question 2

What are the 3 finishes of stainless steel?

Answer 2

1. anodized plating
2. ebony plating
3. mirror plating

Question 3

What are characteristics of anodized plating?

Answer 3

1. satin finish
2. Dull, glare-proof quality
3. prone to corrosion

Question 4

What is ebony plating?

Answer 4

1. black finish

2. eliminates glare and prevents laser beam reflection

Question 5

What is mirror plating?

Answer 5

1. shiny finish

2. can impede visibility and create a distraction to the user

Question 6

What is the term used for titanium that means it does not interact with other substances

Answer 6

inert

Question 7

What is titanium compared to stainless steel?

Answer 7

lighter, stronger, and harder

Question 8

What kind of instruments are made out of titanium?

Answer 8

generally microsurgical

Question 9

Is titanium magnetic or nonmagnetic?

Answer 9

nonmagnetic

Question 10

What kind of finish does titanium have?

Answer 10

blue, anodized finish to reduce glare

Question 11

What can be applied to any metal surface?

Answer 11

plating

Question 12

What can plate application do?

Answer 12

chip, peel, rupture, and corrosion

Question 13

What is used to signify plating?

Answer 13

gold color

Question 14

What are the 4 classifications of instruments?

Answer 14

1. cutters
2. clamps
3. retractors
4. other

Question 15

What are types of cutters?

Answer 15

1. scalpel blades
2. scissors
3. rongeurs
4. osteotomes
5. adenotomes
6. dermatomes

Question 16

What are types of clamps?

Answer 16

1. hemostats

2. graspers/holders

Question 17

What are the 4 types of graspers/holders?

Answer 17

1. kosher clamp
2. allis clamp - little teeth
3. adson forceps - fat normal looking
4. Babcock forceps - straight with hole

Question 18

What are 2 categories of retractors?

Answer 18

1. hand held

2. self-retaining

Question 19

What are the 4 types of instruments in the OTHER category?

Answer 19

1. probes
2. suction tips
3. smoke evacuation devices
4. mallets

Question 20

What are the 4 parts of a needle holder from left to right?

Answer 20

1. jaws
2. joint
3. shank
4. ratchet
5. ring

Question 21

What is the most common joint type?

Answer 21

box lock

Question 22

What are the 3 different types of joints?

Answer 22

1. aseptic - semi box
2. box lock
3. screw

Question 23

What is aseptic joint?

Answer 23

2 halves that compromise the instrument can be separated with dislocation of this joint type

Question 24

What is box joint?

Answer 24

most common joint type. One arm is passed through a slot in the other arm and the two halves are secured with a pin or rivet

Question 25

What is a screw joint?

Answer 25

the two halves that comprise the instrument are aligned and secured with a screw that must be checked before surgery so that it is not lost in the patient

Question 26

Instrument set assembly requires what six basic considerations?

Answer 26

1. type of surgery
2. patient population
3. needs of the specialty surgery providers
4. tray weight
5. sterilization method
6. weight of the instruments

Question 27

What is special about the tips on laparoscopic instrumentation?

Answer 27

1. the tips are key to the identification of the instrument

Question 28

Insulated laparoscopic instruments are prone to what?

Answer 28

tears and cracks that can result in patient burns

Question 29

What must be checked on laparoscopic instrumentation?

Answer 29

the insulation integrity must be checked during use and throughout instrument processing

Question 30

How are endoscopes classified?

Answer 30

according to their bending ability

Question 31

What are the 3 types of endoscopes?

Answer 31

1. rigid
2. semi-rigid
3. flexible

Question 32

What do operative scopes have?

Answer 32

a channel that allows for the use of instrumentation

Question 33

How do operative scopes differ from non-operative or diagnostic scopes?

Answer 33

do not have a channel

Question 34

What are similar to laparoscopic instruments?

Answer 34

the instruments inserted into the robotic arms

Question 35

How does a surgeon operate robotic instrumentation?

Answer 35

surgeon operates the instruments, scope, and camera from the console

Question 36

What has the camera monitor and light source for robotic instrumentation?

Answer 36

a video cart

Question 37

What are 3 key considerations for powered instruments?

Answer 37

1. Power sources – Power cords and the power unit or battery are specific to the hand piece. 2. Powered instruments are not immersible.
2. The correct powered instrument is chosen for the intended use.

Question 38

How should instruments be handled?

Answer 38

• Instruments are organized on the sterile field to protect scrub personnel and prevent instrument damage.
• The right instrument is chosen for the intended purpose to prevent patient injury or instrument damage.
• Sterile water is used for point-of-use cleaning.
• The contaminated instruments are transported in a closed container as soon as possible after completion of the
procedure.

Question 39

When Is instrument inspection conducted?

Answer 39

1. at the point of use

2. in the sterile processing department.

Question 40

What is scheduled to ensure that instruments are in proper working order?

Answer 40

preventative maintenance is scheduled and performed

Question 41

What may require lubrication during preventative maintenance and as part of sterile processing?

Answer 41

instruments

Question 42

An understanding of surgical instrumentation that includes the item’s name and purpose are critical elements that what?

Answer 42

1. Promote an understanding of a common language among all members of the surgical team
2. Inform the count process
3. Can reduce time spent in the OR/procedure room