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Sterile tech final Flashcards

1
Q

Kelly Hemostat

A

Function- Clamp bleeding vessels and tissues
Curved or strait, serations only run halfway down the jaw, medium size

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2
Q

Crile Hemostat

A

Function- Secures hemostasis in deep anatomy.
Curved or strait. Serations run the entire length of the jaw

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3
Q

Halstead Mosquito hemostat

A

Function- Delecate anatomy.
Smaller, serations run the entire lenth of the jaw.

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4
Q

Heartman Mosquito hemostat

A

Function- Optho surgery.
Smallest, serations run the entire lenth of the jaw.

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5
Q

Rochester carmalt hemostats

A

Function- Clamp intestines, bowel, large vessels.
Less traumatic, serations run lengthwise, come in any size.

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6
Q

Rochester pean hemostat

A

Function- Clamp large vessels.
Traumatic, larger than crile, deep sharp serations

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7
Q

Babcock intestinal forceps

A

Function- Clamp delicate organs
Atraumatic “C” jaws, large

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8
Q

Doyen intestinal forceps

A

Function- Clamp delicate organs
Atraumatic, lenthwise serations, size of a guinea pig

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9
Q

Allis tissue forceps

A

Function- Holding body wall or sponges.
Traumatic IC teeth, large

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10
Q

Sponge forceps

A

Function- hold sponges, complete sx scrub, apply sterile dressing
Serrated round jaws w/ large opening, very large

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11
Q

Alligator forceps

A

Function- Retrieve things from hard to reach places

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12
Q

Adison thumb forceps

A

Function- Grasp superficial tissue
Rat teeth at end, short and wide

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13
Q

Adison-brown thumb forceps

A

Function- Grasp superficial tissue & delicate tissue.
Row of teeth, short and wide

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14
Q

Cushing thumb forceps

A

Function- Disecting tissue and aid in suturing.
Long and slender, rat teeth

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15
Q

Standard/dressing thumb forceps

A

Function- Grasp or pick up soft or bony tissue.
Serated tips, long and slender

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16
Q

DeBakey thumb forceps

A

Function- Grasp delicate tissue, aids in suturing.
Atraumatic, largest forceps, log set of teeth

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17
Q

Metzenbaum scissors

A

Function- Fine tissue disection.
Sharpish tips, curved or strait, long narrow shaft

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18
Q

Mayo dissection scissors

A

Function- Cut pt drape or disect tissue.
Sharp and blunt tips, curved or strait, wider than metzenbaum

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19
Q

Standared operating scissors

A

Funtion- Cut suture or pt drape
Shorter than mayo or metzenbaum, curved or strait

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20
Q

Iris scissors

A

Function- Opthalmic surgery
Small, both sharp tips

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21
Q

Wire cutting scissors

A

Function- Used to wire sutures
Very traumatic, bulky, notch in jaw

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22
Q

Littauer suture removal scissors

A

Function- Removes sutures
Notch for suture cutting, small

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23
Q

Lister bandage scisors

A

Function- Cutting through bandage matterial
Atraumatic tip, various sizes

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24
Q

Mayo-hegar needle holders

A

Function- Holds needls, aids in suture
Not able to cut suture, jaw much shorter than hemostats

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25
Q

Olsen-hegar needle holders

A

Function- Holds needls, aids in suture
Can cut sutre, scissors in jaw, short jaw

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26
Q

Mathieu needle holders

A

Function- Delicate opthalmic surgery
Short jaws, no finger rings handles bend around

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27
Q

Senn retractor

A

Function- Retracts fascia or muscle tissue
Ends point opposite direction

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28
Q

Mathieu retractor

A

Function- Retracts fasia or muscle tissue
Ends point in same direction

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29
Q

Army-Navy retractor

A

Function- Retracts large amounts of tissue
Atraumatic, ends point same direction, big hole in middle

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30
Q

Parker retractor

A

Function- Retracts fascia and muscle tissue
Looks similar to park bench

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31
Q

Malleable retractor

A

Function- Retracts very strong muscles often large breed dogs
Variable shape, large

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32
Q

Deaver retractor

A

Function- Large amounts of tissue or fascia
Big hook and little hook

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33
Q

Volkman retractor

A

Function- Retracts superficial tissue
Small, dental surgery

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34
Q

Hohmann retractor

A

Function- Retracts deeper muscle/fascia
Traumatic, sharp tip, large

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35
Q

Weitlaner

A

Function- Spinal muscle retraction
Self retaining mechanism, W shape tips

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36
Q

Gelpi

A

Funtion- Ortho surgery
Traumatic

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37
Q

Balfour

A

Function- Hold open abdomen
Comes apart to be stored and cleaned

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38
Q

Backhaus towel clamp

A

Function- Attach and secure drape material
Sharp tips but no balls

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39
Q

Backhaus-roeder towel clamp

A

Function- Attach and secure drape
Sharp tips, has balls on jaws

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40
Q

Edna towel clamp

A

Function- Attach suction and cautery to pt drape
Small, atraumatic

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41
Q

Jones towel clamp

A

Function- Attach and secure drape
very small sharp tip, no finger clamps

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42
Q

3 Scalpel handle

A

10, 15 blades

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43
Q

4 Scalpel handle

A

20 blade

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44
Q

7 Scalpel handle

A

10, 15 blades

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45
Q

Kern bone holding forceps

A

Function- Reduce fractures
Self retaning mechanisms, sharp traumatic teeth

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46
Q

Lowman bone clamp

A

Function- Realign bones, prevents crushing bone
Atraumatic, self retaining mechanisms

47
Q

Dingman forceps

A

Function- Holds bones together during fixation
Bent shaft, sharp traumatic teeth w/ jaws always partially open

48
Q

Rongeur

A

Function- Bite into bone and remove pieces
Spring loaded, bigger and heaver than needle drivers

49
Q

Periosteal elevator

A

Function- Lift periostium off bone which promotes growth and healing
2 smooth thin ends

50
Q

Brun bone curette

A

Function- Collect bone marrow samples and scoop out pieces of bone
Mini scoop

51
Q

Liston bone cutting forceps

A

Function- Cut bone
Very strong and sharp jaws

52
Q

Osteotome

A

Function- W/ mallet to chisel/cut bone
Long flat instrument

53
Q

Orthopedic mallet

A

Function-W/ osteotome to chisel/cut bone

54
Q

Bone rasp

A

Function- Smooth rough bone surfaces
2 tapered ends w/ variable texture for filling bone

55
Q

Gigli wire +/- handles

A

Function- Hand saw to cut/chisel bone

56
Q

Michel trephine

A

Function- Obtain a bone biopsy
Has stylet

57
Q

Hand chuck and key

A

Function- Screw in intramedullary pins

58
Q

Steinman intramedullary pins

A

Function- Internal fixation during reductions
Sharp tip and threaded tip

59
Q

Cerclage wire twister

A

Function- W/ wire as an internal fixation device

60
Q

Yankhauer suction tip

A

Function- Only allows fluid not tissue or metal
Only one opening angled tip

61
Q

Poole suction tip

A

Function- Suck large amounts of fluid
Multiple holes for suction

62
Q

Frazier suction tip

A

Function- Smaller ares like brain /spine
Narrow tip

63
Q

Skin stapler

A

Function- Skin closure
Usually one use but can be re-steralized

64
Q

Staple remover

A

Function- Removes staples

65
Q

Cautery pen +/- tip

A

Function- Hemostasis and/or cutting
Cauterize vessels, cut skin tags or into body wall

66
Q

Tourniquet

A

Function- Reduce blood flow to area
Auto locking mechanism, 10-15 minuets at a time

67
Q

Michel clip applicator and remover +/- clips

A

Function- To attach pt drape to quarter drapes
Not used to often

68
Q

Covalt spay hook

A

Function- Retrieve uterine horns
Thin more delicate

69
Q

Snook spay hook

A

Function- Retrieve uterine horns
Bulkier than covalt

70
Q

What are the 2 methods of cleaning? Which is the most effective?

A

Manual, mechanical (ultrasonic). Ultrasonic is the most effective

71
Q

What is the chemical name for instrument milk?

A

Sodium benzoate

72
Q

Steps for wrapping instruments for sterilization

A

Heavy instruments on the bottom, open ratchets (exception, towel clamps closed), use base towel, towel and drapes on top

73
Q

Qualities for ideal wrapping material

A

Selective permiability, resistance to damage, flexable, has memory

74
Q

What color are steam sterilization stripes before and after?

A

Tan w/ white stripes before and black stripes after heat exposure

75
Q

What color are gas sterilization stripes before and after?

A

Green w/ yellow stripes before and red stripes after

76
Q

Three things that need to be on every wrapped pack

A

Contents of pack, initials of person who wrapped pack, date of sterilization

77
Q

What are the pressure requrements for the autclave at sea level and above sea level?

A

At sea level- 15psi
Above sea level- 17psi

78
Q

What are the temps and times for a full load and single pack in autoclave? Flash cycle?

A

Full load- 121.5 c (250 f) for 30 min
1 pack- 121.5 c (250 f) for 15 min
Flash cycle- 134 c (275 f) for 3 min

79
Q

Brand names for Anprolene

A

ETO, ethlene oxide

80
Q

Criteria for ETO

A

Temp- 50-60 c (120 -130 f)
Time- 18-24 hr
Humidity- 40-80%
Concentration- 500-1000 mg/L
Pressure- Occures as ampule blows up in bag

81
Q

Steps to start prepping the pt for surgery in order

A

1) verify pt (ID and surgery being done)
2) Confirm pre-surgical instructions (NPO? Surgery release form?)
3) Obtain blood work/lab results, body wt.
4) Examine (Pre-existing health problems, vaccinations
5) Report abnormal behavior, any results from above tasks to DVM before you begin prepping

82
Q

Order of drapping- Soft tissue

A

1) 4 quarter drapes
2) towel clamps
3) pt drapes
4) Mayo scissors
5) Michelle clips

83
Q

Order of drapping- Ortho

A

1) Quarter drapes
2) towel clamps
3) stockinette or vet wrap
4) Pt drape

84
Q

What circulator can do

A

Will have mask and cap on, clean OR, set up the Sx table, collect all necessary surgical supplies, drape the back up table, assist the scrub nurse, pt prep, clean the OR after, attach suction and cautery cord to machine, mediator between sterile and non sterile feilds

85
Q

What scrub nurse can do

A

Will have mask and cap on, help gown and glove surgeon, attach cauter and or suction tip, pass instruments, mediator between sterile and sterile feilds, clean OR before and after, drape mayo stand,

86
Q

Incision

A

A wound made aseptically by a scalpel or cautery in a prepard site. Closure is performed easily, and first intention healing occurs due to the close correct approximation of the tissue

87
Q

Laceration

A

An accidental wound created in a contaminated matter (irragular tear of flesh). Closure could be difficult, infection very possible, could be secondary or third intention. Less than 6rs old is golden time to fix

88
Q

Puncture

A

A hole or wound made by sharp pointed object usually teeth. Often close easily, but usually never benaficial due to bacteria its better to leave it open to drain

89
Q

First intention healing

A

Healing usually follows the initial suturing of incised and correct closed wound. Usually fast with no complications, little scare tissue. “side to side” healing.

90
Q

Second intention healing

A

Wounds that failed to heal or should not be healed by first intention due to: infection, excessive trauma, loss of tissue, inadaquate approximation. Causes scare tissue and area will not grow back hair. Granulation tissue (proud flesh)

91
Q

Third intention healing/delayed primary closure

A

The surgeon waits 3-5 days after injury to close the wound, granulation tissue must be present and no signs of infection. Surgeon will then debride the wound and suture with primary closure

92
Q

Secondary closure

A

Can be done up to 1 month after initial wound. Heals by second intention, the granulation tissue is removed and the wound is resutred with primary closure. Rids wound of infection, creates healthy tissue and reduces scar tissue

93
Q

Dihiscence

A

Partiale seperation of a wound that has been healing before complete healing has occured

94
Q

Antiseptic

A

Chemicals used to inhibit or prevent the growth of microbes on living tissue

95
Q

Disinfectant

A

Chemicals used to inhibit or prevent the growth of microbes on inanimate objects

96
Q

Sanitize

A

Reduce the number of microbes to a safe level

97
Q

Sterilize

A

Eliminate all microbes (inactivates or kills)

98
Q

Biocide

A

Kills living organisms

99
Q

Bacteriostat

A

Inhibits growth of bacteria

100
Q

Detergent

A

Contains free ions (leaves film on surface)

101
Q

Anionc detergent

A

Soaps have free negative ions that produce curd when combined with calcium and magnesium in hard water

102
Q

Catatonic detergent

A

Quaternary ammonium contains positively charged ions which remain suspened in vehichle

103
Q

What cleaners are bactericidal?

A

Bleach, roccal, rescue, povidone iodine (betadine), chlorahexadine, 70% alchohol, hydrogen peroxide

104
Q

What cleaners are fungicidal?

A

Roccal, rescue, chlorahexadine. Betadine is fugistatic

105
Q

What cleaners are viricidal?

A

Bleach, roccal, rescue, betadine, chlorahexadine

106
Q

What cleaners are sporacidal?

A

Bleach but only slightly

107
Q

What four factors prevented the developmentof surgery until the industrial revolution?

A

Knowledge of anatomy, inability to cause hemostasis, anesthesia, aseptic techneques

108
Q

Ambroise Pare

A

French army surgeon. Started using emollient of egg yolk, rose oil, turpentine to cauterize wounds instead of boiling oil. learned to ligate blood vessels with silk sutures. Considered father of hemostasis

109
Q

Ignaze Semmelweiss

A

Instructed doctors to wash hands and death/infection rates decreased. His work was largly unappreciated

110
Q

Louis Pasteur

A

Biogenesis replaced spontanious generation. Isolated microorganisms, developed lab techneques still used today. Worked on chicked cholera, applied knowledge to improving anthrax vaccine (cattle), developed vaccine & post exposure treatment for rabies.

111
Q

Joseph Lister

A

Inspired by Pasteur’s work lead him to spraying instruments, incisions, and dressings with carbonic acid. Had sureons wear clean gloves and wash hands before and after surgery using 5% carbonic acid

112
Q

Sterile

A

Complete asepsis, living tissue will never be sterile

113
Q

Sterilization

A

Procedure which results in a colplete absence of microbes

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