Welcome to the operating room

Question 1

What patient positioning is shown in the picture?

Answer 1

Beach Chair

Question 2

What patient positioning is shown in the picture?

Answer 2

Jack Knife

Question 3

What patient positioning is shown in the picture?

Answer 3

lateral

Question 4

What patient positioning is shown in the picture?

Answer 4

lithotomy

Question 5

What patient positioning is shown in the picture?

Answer 5

prone

Question 6

What patient positioning is shown in the picture?

Answer 6

Reverse Trendelenburg

Question 7

What patient positioning is shown in the picture?

Answer 7

supine

Question 8

What patient positioning is shown in the picture?

Answer 8

Trendelenburg

Question 9

what things should you do before the operation? (4)

Answer 9

Position and secure patient

Place Foley catheter if indicated

Connect sequential compression device (SCD)

Assist with prepping and draping

Question 10

for the Supine position, you should pad what areas of the patient?

Answer 10

Pad pressure points and bony prominences

Question 11

Why should you not cross patients legs in the supine position?

Answer 11

can lead to pressure ulcers

Question 12

You can not abduct the patient’s arms more than ___degrees in the supine position.

Answer 12

90

Question 13

when the patient is in the supine position where should you attach the safety strap?

Answer 13

Attach safety strap just above knees

Question 14

what are some surgical uses for placing patients in the supine position?

Answer 14

abdomen, distal extremity, anterior neck, face, cardiothoracic

Question 15

if the patient is in the prone position, you need to avoid compression on the ____

Answer 15

eyes

Question 16

how should you position the breast or penis when the patient is in the prone position?

Answer 16

Position breasts laterally and penis in downward position

Question 17

when the patient is in the lateral position, it is important to Keep C-spine in ___ position

Answer 17

neutral

Question 18

surgical uses for placing patients in the lateral position

Answer 18

retroperitoneal, flank, lateral face/neck

Question 19

surgical uses for placing patients in the prone position

Answer 19

posterior neck, spine, upper and lower back, posterior leg

Question 20

when the patient is in the prone position, you should place a roll under where?

Answer 20

ankles

Question 21

in the Trendelenburg position, you should Avoid use of _____

Answer 21

shoulder braces

Question 22

surgical uses for the trendelenburg position

Answer 22

lower abdomen, pelvis

Question 23

in the Reverse Trendelenburg position, you should use well padded _______ for thr patient

Answer 23

foot board

Question 24

what should you make sure of when the patient is in the Reverse Trendelenburg position?

Answer 24

Ensure no toes are curled under

Question 25

in the Reverse Trendelenburg position, what is there an increased risk of?

Answer 25

Increased risk of hypotension- correctable when placed back in supine position

Question 26

surgical uses for Reverse Trendelenburg

Answer 26

upper abdomen

Question 27

surgical uses for beach chair position

Answer 27

breast, shoulder

Question 28

surgica uses for the jack knife position

Answer 28

anus, buttock

Question 29

in the jack knife position, where should you align the patient's hip?

Answer 29

Align hips over the table break

Question 30

in the Lithotomy positon, what nerve is at risk of being injured?

Answer 30

peroneal nerve

Question 31

in Lithotomy position, you should do what to avoid risk of peroneal nerve injury?

Answer 31

Pad stirrups well

Question 32

when placing patient in the _____ position, you should Lift both legs into stirrups at the same time

Answer 32

lithotomy

Question 33

surgical uses for the lithotomy position?

Answer 33

perineum, genitals, cystoscopy

Question 34

what Position is thought to be highest risk for DVTs

Answer 34

lithotomy

Question 35

when prepping the patient, how should you remove hair?

Answer 35

Remove hair using electric clippers

Question 36

what can you use to prep the surgical area with?

Answer 36

Iodine Chlorhexidine With or without alcohol

Question 37

6 scrubbing tips

Answer 37

Wash hands with soap at start of day Clean under nails with first scrub Turn water off while scrubbing Clean up to 1 inch above elbow Practice scrubbing with every case Use avagard only if directed by preceptor

Question 38

Once scrubbed, gowned and gloved, touch only -\_\_\_\_above the waist

Answer 38

blue drapes

Question 39

once scrubbed in, The only sterile areas on your body are \_\_\_\_

Answer 39

hands, arms, and chest

Question 40

once scrubbed in, you should not let your hands do what?

Answer 40

Do not let hands drop below your waist

Question 41

When changing positions, keep your __ to the person with whom you are changing positions

Answer 41

back

Question 42

The Universal Protocol- Mandatory requirement of The Joint Commission of what 3 components?

Answer 42

1. Conduct a pre-procedure verification process 2. Mark the site 3. Perform Time Out

Question 43

how do you Conduct a pre-procedure verification process? (4)

Answer 43

Verify correct patient, procedure and site Confirm relevant documentation (H&P, consent) Confirm availability of labeled diagnostic/radiology tests Confirm availability of necessary blood, implants or special equipment

Question 44

how do you mark the site?

Answer 44

Performed by licensed member of the health care team who will be present when procedure performed Done before the procedure Involve patient when possible Mark as close as possible to surgical site with method sufficiently permanent to be seen after prepping and draping

Question 45

how do you Perform Time Out?

Answer 45

Immediately before procedure Involves all members of the surgical team Confirm correct patient, correct site and correct procedure Documentation of time out is required

Question 46

Electrosurgical Device: Monopolar how does it complete the circuit?

Answer 46

Uses the patient to complete the circuit

Question 47

Electrosurgical Device: Monopolar where should you place grounding pad?

Answer 47

Place grounding pad over well vascularized muscle at site free from lotion, oils or significant hair

Question 48

Electrosurgical Device: Bipolar where is current?

Answer 48

Current remains between the 2 forceps tines

Question 49

is grounding pad needed for Electrosurgical Device: Bipolar

Answer 49

No grounding pad necessary

Question 50

Electrosurgical Device: Safety (4)

Answer 50

Allow alcohol based preps to dry before using to avoid fire Consider use of bipolar in patients with pacemaker Deactivate defibrillators before use- do this by magnet Check grounding pad site after surgery

Question 51

After the Operation what things should you do? (5)

Answer 51

Remove gloves and gown using sterile technique Put on non-sterile gloves Disconnect electrosurgery grounding pad and SCDs Document skin appearance at site of grounding pad Assist with transfer of patient