Surgical Instrument Handling and Biosafety

Question 1

Mayo-Hegar needle drivers are the ones ________

Olsen-Hegar needle drivers are the ones _______

Answer 1

without scissors

with scissors

Question 2

a size 3 scalpel handle will accept what blade sizes?

what about a size 4 scalpel?

Answer 2

10,11,12 or 15

20,21,22, and 24

Question 3

what are the following blades for? 10, 11, 12 and 15?

Answer 3

10: skin incisions
15: skin incisions, a smaller cutting area so can be used for stab incisions too
11: stab incisions
12: curved, used for circumferential incisions

Question 4

what are scissors used for?

Answer 4

butting tissues below the level of skin, but NOT the skin

Question 5

what kind of scissors are these?

Answer 5

Metzenbaum scissors used for more delicate tissue like GI tract wall and bladder tissue

Question 6

what kind of scissors are these?

Answer 6

mayo scissors, used to cut through dense tissue like muscle fascia or muscle

Question 7

what are Debakey forceps used for?

Answer 7

grasping delicate or vascular tissues since they are atraumatic

Question 8

when do you use rat tooth forceps?

Answer 8

for thick, tough tissues, but NEVER in small animal

Question 9

brown-adsons are used for what?

Answer 9

holding the skin when suturing

Question 10

describe when you would use the following scalpel grips: pencil grip,fingertip grip, palm grip

Answer 10

pencil grip: precision and short inscicisons, movement from wrist

fingertip grip: used for longer incisions, movement from shoulder

palm grip: used in large animal flank incisions, movement from shoulder

Question 11

define the terms cleaning, disinfecting, sanitizing, and sterilizing

Answer 11

cleaning: physical removal of material
sanitizing: lowers the number or germs to a safe level

Disinfecting: kills germs without physically removing them

Sterilizing: kills all microorganisms on a surface

Question 12

when donning and doffing a mask, gloves, and goggles, what is the proper procedure?

Answer 12

first, sanitize or wash your hands

then put on your mask

put on your gloves

put on your googles

TAKING OFF

take off your gloves

sanitize hands

remove mask

sanitize hands again

Question 13

donning and doffing isolation room equipment procedure:

Answer 13

take off lab coat or anything else

enter the boot dip into the anti room

sanitize hands

put on gloves

put on booties

put on mask, then googles

put on isolation suit

take off one bootie, throw in trash, step into boot dip, then take off the other bootie, throw in trash, and step into boot dip

take off hood of suit

take of goggles

take off mask

take off suit by turning inside out

take off gloves

sanitize hands

enter boot dip back into clean area