Surgical Procedures Flashcards
What are the 2 classifications of people in the OR?
Sterile and nonsterile
Who is part of the sterile team?
Surgeon, surgical assistant, physician assistant, scrub nurse, CST(Certified surgical tech)
Who is part of the non sterile team?
Anesthesia provider, circulator, radiographer, others
What clothing/items may be worn in surgery?
protective eyewear, masks, shoe covers, caps, gloves, radiation and ID badges, lead aprons
What is the purpose of wearing specific things in surgery?
To maintain a sterile environment
When a person is sterile there are parts of them that are sterile and parts that are not. You need to be able to describe these parts.
Their back, shoes, everything waist down is nonsterile
What are some rukes you should follow in the OR if you are not sterile to keep from breaking sterile field?
Don’t reach over a sterile field, cover nonsterile items, move back to back with sterile persons, watch front of clothing don’t lean over and let it get close to anything sterile
What must be done if a sterile field is broken?
The field will have to be made sterile again. Basically start the process over
What are the steps of making an IR sterile and unsterile?
To make an IR sterile:
Step 1: A sterile person (CST) will open a sterile bag.
Step 2: You (a non-sterile person) will carefully place the IR in the bag. DO NOT touch any part of the bag with the exception of the inside!!!
Step 3: The CST will carefully wrap the bag around the IR.
Getting the exposed IR back:
Step 1: The radiographer puts on gloves!
Step 2: The radiographer carefully takes the IR in the bag.
Step 3: The radiographer carefully removes the IR so as not to get body fluids/blood on themselves or the equipment.
Step 4: Properly dispose of the contaminated bag.
Step 5: Use a hospital approved disinfectant to wipe down the outside of the IR before leaving the OR.
Be able to name some things that increase the risk of a sterile field becoming contaminated
long procedure, crowded room, poor lighting, staffing levels(too high or too low), don’t place anything sterile on the floor
Why should a radiographer be familiar with the equipment they will use in the OR?
Smoother flow and less mistakes
What are some types of equipment used in surgery?
C_arms, portable, In room urologic equipment (not mobile), Stereotactic equipment (not mobile)
What do you clean the surgery equipment used in surgery?
hospital approved cleaner
How often should surgical equipment be cleaned
after each surgical case
How far should the radiographer stand from the radiation source?
As far as possible. Minimum of 6ft
Where should the tube of the C arm be placed in respect of the patient?
Under the patient
Who in the surgical suite should wear lead and radiation doses
Everyone other than the patient
Where in respect to the primary beam is there less scatter radiation?
right angle
What are the 2 parts of the digestive system?
Accessory glands and alimentary canal
What are the accessory glands?
Liver and gall bladder, pancreas, salivary glands
The alimentary canal extends between what two structures
Mouth and anus
What are the 4 layers of the alimentary canal?
fibrous, muscular, submucosal, mucosal
The junction where the esophagus meets the stomach is termed as
cardiac sphincter
What is the cardiac antrum?
terminal end of the esophagus
The esophagus is ____ the spine.
Anterior
What are the four parts of the stomach
cardia, fundus, body, pylorus
What is ruggae?
folds
What is the lesser curvature?
right border of stomach
What’s the greater curvature?
left border of the stomach
What is chyme?
food after the stomach has processed it
What is the pyloric sphincter?
Between the stomach and small intestine
What is the cardiac sphincter?
Between esophagus and stomach
The small intestine extends from what two points?
Pyloric sphincter to ileocecal valve
Absorption of nutrients occurs in what part of the alimentary canal?
Small intestine
what’s the length of the small intestine is?
22 feet
What are villi??
finger-like projections
What are the three parts of small intestine?
Duodenum, jejunum, ileum
What are gyri?
free moving loops in the jejunum and ileum
The head of the pancreas is cradled in the ____ of the duodenum.
C loop or 2nd portion
The duodenal bulb is what part of the duodenum?
first of the four parts