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Surg Tech > Surg Tech 1010 Final > Flashcards

Surg Tech 1010 Final Flashcards

1
Q

All of the following are components of the surgical patient’s medical record EXCEPT:
1) anesthesia record
2) history and physical
3) interdepartmental communications
4) surgeon’s preference card

A

4) Surgeon’s preference card

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2
Q

What term describes the relationship between the certified surgical technologist (CST) and the other members of the surgical team in the OR?

A

professional

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3
Q

If a patient suffered a burn as a result of improper application of the ESU dispersive (grounding) pad, the individual team member responsible may be found guilty in a lawsuit of which of the following?

A

Negligence

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4
Q

The legal term that identifies the knowledge and skills required for a profession and describes a health care provider’s core accountability, based on education, experience, and credentialing is:

A

scope of practice

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5
Q

Which of the following roles is defined by the American College of Surgeons (ACS) as providing aid in exposure, hemostasis, and other technical functions that help the surgeon carry out a safe operation with optimal results for the patient?

A

First Scrub

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6
Q

Which member of the surgical team is ultimately responsible for obtaining a written, informed surgical consent from a patient?

A

Surgeon

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7
Q

Which surgical team member would be responsible for separating instruments and disassembling the sterile field in the interoperative and postoperative phases?

A

CST (certified surgical technician)

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8
Q

The terms entry-level, proficient, and expert practitioners are applied to what?

A

AST recommended clinical ladder levels

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9
Q

The CST and CSFA credentials are registered trademarks of which organization?

A

NBSTSA (National Board of Surgical Technology and Surgical Assisting)

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10
Q

Surgical team members who fail to monitor and protect a medicated patient from falling could be charged with:

A

abandonment

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11
Q

What term describes the principles such as benevolence, trustworthiness, and honesty for the care and well-being of others in society?

A

morals

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12
Q

The broad objectives of the Health Insurance Portability and Accountability Act (HIPAA) include all of the following EXCEPT:
1) eliminate medical errors
2) improve patient services
3) protect patient privacy
4) reduce health care fraud

A

1) Eliminate medical errors

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13
Q

What form of consent is defined by the Joint Commission as “agreement or permission accompanied by full notice about what is being consented to”?

A

informed consent

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14
Q

In a common adage, what is the “best medicine” in health care?

A

Prevention

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15
Q

Which of the following surgical team members would be primarily responsible for maintaining the patient’s operative record and assisting in transporting the patient to the post-anesthesia care unit (PACU)?

A

Circulating RN

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16
Q

Verification that educational programs meet minimum accreditation standards is done by:

A

CAAHEP (Commission on Accreditation of Allied Health Education Programs)

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17
Q

The STSR surgical technologist performs intraoperative tasks under the broad delegatory authority of the:

A

Surgeon

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18
Q

What term describes the relationship between the CST and the patient

A

therapeutic

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19
Q

What is the term that describes a method of pretrial discovery in which a surgical team member might answer questions under oath?

A

deposition

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20
Q

According to the AST position statement on teamwork, which type of environment contributes most to a safe and efficient surgical experience with positive patient outcomes?

A

collaborative

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21
Q

What term is used to describe surgical intervention that does not have to be performed immediately or within a short period of time, for example, a torn meniscus repair?

A

elective surgery

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22
Q

What term describes the surgical technologist’s foundational commitment to professional honesty, confidentiality, fair treatment, cost containment, and attention to the highest level of surgical patient care?

A

surgical conscience

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23
Q

What term describes a civil wrong that may be intentional or unintentional?

A

Tort

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24
Q

Which type of legal action is MOST likely in cases involving TORT law and operating room personnel?

A

Civil

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25
Q

The most common types of patient-care errors committed by operating room personnel, including negligence and malpractice, are categorized as:

A

Unintentional Torts

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26
Q

Which part of the patient’s medical record documentation would contain pre-op and post-op diagnoses, positioning, skin prep, start and stop times, counts, and dressings?

A

intraoperative record

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27
Q

Graduates of CAAHEP programs are eligible to sit for the CST or CSFA examinations administered by:

A

NBSTSA

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28
Q

Which type of consent applies when emergency circumstances exist when reasonable providers believe that a patient would agree to treatment, even if no form was signed or verbal permission given?

A

Implied Consent

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29
Q

What is establishing a neutral zone designed to do?

A

Prevent sharps injuries during surgical procedures

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30
Q

What pertains to a patient’s wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate?

A

Advance directive

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31
Q

What is an example of an intentional tort pertaining to surgical patient care?

A

When restraints are applied to a patient who threatens to leave

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32
Q

How many phases of surgical case mazement are there?

A

3

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33
Q

What do conscientiousness, problem solving, skills competency, teamwork, and commitment to continuing education represent for a CST?

A

professional traits

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34
Q

Specimen loss, mislabeling, and improper preparation are examples of what?

A

negligence

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35
Q

For which of the following processes are identification and reporting of unsafe conditions and hazards MOST critical?
1)advance directives
2) informed consent
3) risk management
4) unintentional torts

A

3) risk management

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36
Q

Which of the following would NOT be considered an example of a potential ethical dilemma?
1) patient privacy
2) genetic engineering
3) elective abortion
4) right to die, termination of care

A

1) patient privacy

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37
Q

When an ARC/STSA site visitor is sent to a surgical technology program to verify and clarify records and annual reporting information, to whom does he or she submit the findings?

A

CAAHEP (Commission on Accreditation of Allied Health Education Programs)

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38
Q

What type of surgical situation would require a special consent form?

A

Surgical procedure

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39
Q

What term meets the following definition: a voluntary and informed act in which one party permits another party to “touch”?

A

Consent

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40
Q

Which organization develops national certification exams for surgical technologists and surgical first assistants and confers the appropriate credentials to eligible certificates?

A

NBSTSA (National Board of Surgical Technology and Surgical Assisting)

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41
Q

The best assurance of safe and individual professional behavior by the CST or CSFA is a well-developed, unyielding:

A

Surgical Conscience

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42
Q

What legal doctrines would MOST likely apply in the case of a wrong site surgery or retained foreign body?

A

res ipsa loquitur
(The thing itself speaks)

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43
Q

What is the name of the type of report sent to risk management in an effort to decrease the chance of harm to patients or staff or damage to hospital property?

A

Sentinel Event

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44
Q

What surgical patients would be legally authorized to sign an informed surgical consent, based on medical practice acts and state law?
1) premedicated competent adult
2) adult in a persistent vegetative state
3) an emancipated 16-year-old minor
4) a foreign language speaker without an interpreter

A

3) An emancipated 16-year-old minor

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45
Q

What legal terms is BEST described as “professional misconduct that results in harm to another”?

A

malpractice

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46
Q

What terms describes the system of moral principles and rules that become standards of conduct for professionals?

A

ethics

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47
Q

The phrase “departure from the standard of care” BEST describes which of the following legal terms?

A

negligence

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48
Q

What would be classified as unintentional?

A

Foreign bodies left in patient

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49
Q

According to the Joint Commission’s definition regarding consent to surgical intervention, which party has “autonomy”?

A

the patient

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50
Q

Which legal doctrine would be MOST applicable in a case involving failure by the RN and CST to do proper surgical counts resulting in the retention of a foreign object and the surgeon being found not liable?

A

the doctrine of borrowed servant

51
Q

What does the acronym DRG stand for in the hospital setting?

A

Diagnosis

52
Q

what acronym represents an organization that serves as both an insurer and provider of medical services?

A

HMO (Health Maintenance Organization)

53
Q

Which role is defined by the American College of Surgeons (ACS) as providing aid in exposure, hemostasis, and other technical functions that help the surgeon carry out a safe operation with optimal results for the patient?

A

Surgical 1st Assistant

54
Q

When ARC/STSA site visitor is sent to a surgical technology program to verify and clarify records and annual reporting information, to whom do they submit the findings?

A

CAAHEP (Commission on Accreditation of Allied Health Education Programs)

55
Q

A medical device or surgical piece of equipment that has failed would have to be taken out of service and any patient injury reported to which agency

A

FDA (Food and Drug Administration)

56
Q

Which surgical team member would be primarily responsible for maintaining the patient’s operative record and assisting in transporting the patient to the post-anesthesia care unit (PACU)?

A

Circulating RN

57
Q

What is the name of an independent, nonprofit national organization that develops standards for and accredits health care organizations in the United States?

A

The Joint Commission

58
Q

Which organization develops national certification exams for surgical technologists and surgical first assistants and confers the appropriate credentials to eligible certificates?

A

NBSTSA (National Board of Surgical technology and Surgical Assisting)

59
Q

What specialist would likely have the privilege to surgically treat diseases for the breast, hepatobiliary, and gastrointestinal systems, and thyroid gland?

A

General Surgeon

60
Q

What are the the CST and CSFA orgizations of?

A

NBSTSA

61
Q

How many phases of surgical case management are there?

A

3 phases: preoperative, intraoperative, and postoperative

62
Q

Which membership organization for surgical technology with a board of directors elected by a House of Delegates?

A

AST

63
Q

What term is used to describe a surgical intervention that does not have to be performed immediately or within a short period of time, for example, a torn meniscus repair?

A

elective surgery

64
Q

which federal regulatory agency is dedicated to enforcing workplace safety and preventing worker injuries?

A

OSHA (Occupational Safety and Health Administration)

65
Q

The federal governmental insurance programs under the general heading of CMS include what?

A

CHAMPUS (Civilian Health and Medical Program of the Uniformed Services)

66
Q

Which surgical team member would be responsible for separating instruments and disassembling the sterile field in the interoperative and postoperative phase?

A

STSR (surgical technologist in the scrub role)

67
Q

Which terms entry-level, proficient, and expert practitioners are applied to which of the following?

A

AST (Association of surgical technologist) recommended clinical ladder levels

68
Q

Which term describes the surgical technologist’s foundational commitment to professional honesty, confidentiality, fair treatment, cost containment, and attention to the highest level of surgical patient care?

A

Surgical Conscience

69
Q

According to the AST position statement on teamwork, which type of environment contributes most to a safe and efficient surgical experience?

A

Collaborative

70
Q

Which term describes the relationship between CST and patient?

A

Therapeutic

71
Q

Which term describes the relationship between CST and the other members of the surgical team in the OR?

A

Professional

72
Q

Frozen section biopsies are sent to which hospital department for analysis?

A

pathology

73
Q

What term is defined as the extent to which a machine, microscope, human, or robot can differentiate between two objects?

A

resolution

74
Q

What would MOST likely be the cause of a patient burn from the alternate exit pathway of the ESU current?

A

Placement site of electrocardiogram (EKG) leads

75
Q

What term is defined as the number of ways that a robotic manipulator can move?

A

degrees of freedom

76
Q

What organizations set standards for electrical safety, sterilization, and use of medical devices?

A

AAMI (Association for the Advancement of Medical Instrumentation)

77
Q

What is the large piece of OR furniture onto which most sterile supplies are opened and organized for use during a case?

A

Back table

78
Q

When using a bayonet bipolar forceps:

A

One side of the forceps collects and returns the current to the generator

79
Q

What term describes the right and left (side-to-side) movements of a robotic manipulator that has 3-D capability?

A

yaw

80
Q

What is the name of the system attached to all anesthesia machines to remove waste anesthesia gases?

A

scavenger

81
Q

Which type of gas is used to enhance the effectiveness of the electrosurgical unit active electrode pencil?

A

Argon

82
Q

What term is used for the smoke that is generated by the use of a laser of electrosurgical unit pencil on tissue

A

plume

83
Q

Where are surgical instrument “booms” mounted in an operating room?

A

ceiling

84
Q

An operating room where a surgical procedure is in progress would be considered what type of area?

A

Restricted

85
Q

All of the following represent a complete AC electrical circuit EXCEPT:
A) C battery → C battery → wire → flashlight bulb
B) ESU generator → bipolar cord → one prong of bipolar forceps → tissue → other prongs of bipolar forceps → bipolar cord → ESU generator another prong
C) positive (hot) wire → negative (neutral) wire → ground source
D) wall plug → ESU generator → active electrode pencil? tissues → patient ground pad → ESU generator → wall plug

A

A) C battery → C battery → wire → flashlight bulb

86
Q

What is a substance that is derived from tropical trees and that patients and health care workers may be highly allergic to?

A

latex

87
Q

What is commonly used as a tissue fixative and preservative for surgical specimens sent to pathology?

A

Formalin

88
Q

What is the term for the object in an electrical circuit (e.g., surgical light, light bulb,or ESU) that receives and can modify the amount of power from the source?

A

Load

89
Q

Which type of ventilation system (laminar flow) provides a supply of clean air and reduces contaminants and fumes from the OR?

A

Positive, unidirectional

90
Q

The patient return electrode for a patient undergoing a laparoscopic cholecystectomy would MOST likely be placed:

A

On the anterior thigh

91
Q

During routine robotic surgery procedures, where is the surgeon?

A

sitting at the robotic console separate from the OR table

92
Q

Which of the following is NOT a type of ESU tip?
1) ball
2) loop
3) needle
4) trocar

A

4) Trocar

93
Q

What are the Centers for Disease Control and Prevention (CDC) guidelines for OR air exchanges per hour?

A

20-25 with 20% fresh outside air

94
Q

All of the following are components of a three-prong electrical plug EXCEPT:
1) current convertor
2) ground pin
3) negative (neutral)
4) positive (hot)

A

current converter

95
Q

Which characteristic of surgical overhead lights allows the surgeon to differentiate between the colors of arterial and venous blood or subtle color changes in tissues?

A

lightbulbs that approximate sunlight

96
Q

What is the chemical name of the powder and liquid mixture used as bone cement for the placement of prostheses?

A

polymethyl methacrylate

97
Q

What is the term used for the process of cleaning an OR after one procedure and preparing for a subsequent one?

A

turnover

98
Q

All of the following are ways to reduce personnel radiological exposure EXCEPT:

A

amplification

99
Q

Which generation of robots does NOT have any degree of artificial intelligence (AI) and requires consistent oversight?

A

first

100
Q

Which governmental agency mandates that operating rooms have a biohazard exposure control plan and make personal protective equipment available for personnel at risk?

A

OSHA (Occupational Safety and Health Administration)

101
Q

Which of the following terms related to electricity defines electrical potential (electrical charge)?

A

volts

102
Q

A strategy to avoid intraoperative sharps injuries is to establish and use which type of a zone?

A

neutral

103
Q

What diagnostic studies emit ionizing radiation?

A

Fluoroscopy

104
Q

What mode or setting of the electrosurgical unit (ESU) would NOT require use of a patient return electrode (ground pad)?

A

bipolar

105
Q

Dielectric breakdown are example of:

A

electrosurgery burns to personnel

106
Q

Unless the patient is at abnormal risk of hypothermia, the temperature range in the OR should be between:

A

68°F and 73°F

107
Q

What distance from the portable x-ray unit should sterile members of the surgical team stand to reduce their exposure while the image is being taken?

A

as far as possible

108
Q

What is NOT a category of hazard for OR personnel or surgical patients?

A

physiological

109
Q

What is the acronym for the treatment administered to a surgical technologist within 2 hours following a needle stick during a procedure on a patient with HIV?

A

PEP (Post exposure prophylaxis)

110
Q

Harvey Cushing, M.D., and William Bovie, Ph.D., collaborated in the 1926 to create the first:

A

electrosurgical unit

111
Q

What is the term for the developing technology of performing a surgical procedure in real time but from a distant location?

A

telesurgery

112
Q

What term describes an item that enhances or allows for the flow of alternating or direct electrical current?

A

conductor

113
Q

What distance from the impact site of a Bovie pencil tip on tissue should the smoke evacuator or Suction tip be positioned to capture 98% of the plume?

A

1 cm

114
Q

Specialized equipment in the OR, such as portable x-ray units or laser generators, may require which type of wall outlet that can handle the increased load necessary to power the equipment?

A

220 V

115
Q

Electricity is dependent upon the free flow of which subatomic particles?

A

electrons

116
Q

What is the property of the gel portion of the patient return electrode (ground pad) that completes the ESU circuit?

A

conductivity

117
Q

To prevent inadvertent activation of the ESU resulting in possible ignition of draping materials, the pencil should be placed in which of the following when NOT in use?

A

rigid holster

118
Q

Which type of natural immunoglobulins are responsible for the type I serious allergic reactions to rubber-containing items?

A

IgE

119
Q

The part of the complete ESU circuit that delivers excess electrical current back from exposed tissue (patient body) to the ESU generator is the:

A

patient return electrode (grounding pad)

120
Q

All doors into a restricted area such as an operating room must remain closed during an operation to:

A

preserve positive air pressure

121
Q

What is the name of the complex robotic operating system created and marketed by Intuitive Surgical®?

A

da Vinci

122
Q

What does NBSTSA stand for?

A

National Board of Surgical Technology and Surgical Assisting

123
Q

What is HIPPA and what does it stand for?

A

Health Insurance Portability and Accountability Act protects patients.

Surg Tech (4 decks)

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