wk 5- operating theatre protocols

Question 1

types of errors in surgical procedures

Answer 1

1. errors of ignorance- you dont know
2. errors of ineptitude- you know but you dont make the correct use of knowledge

Question 2

purpose of protocols

Answer 2

maintaining a sterile field/environment

ensure correct patient, procedure and site

Question 3

World Health Organisation has what for surgery procedures

Answer 3

a checklist that most pods follow or adapt their checklst from

10 objectives in WHO checklist

Question 4

how long should a tornique be on for a digit

Answer 4

max 20 mins if used

Question 5

important first step to surgery (patient verification)

Answer 5

-confirm name
-DOB
-procedure
(should match consent and procedure forms)

done in pre operative waiting room

Question 6

should you mark patient of procedure site

Answer 6

yes

Question 7

time out during pre operative checks involves

Answer 7

1. checking correct patient
2. confirmed procedure
3. site is marked
4. allergies checked
5. required equipment available

Question 8

when do u inject LA

Answer 8

ONLY AFTER final time out has been performed

Question 9

skin antiseptics you can use for a surgical scrub

Answer 9

7.5% povidone iodine

4% chlorhexidine gluconate

Question 10

which surgical scrub is better

Answer 10

chorhexidine is more effective

-lower infection rates
-lasts longer (up to 6 hours)
-more protective in superficial and deep infections

Question 11

what is scrubbing procedure

Answer 11

5 minute scrub completed in the 1st scrub of the day

3 min scrubs for subsequent cases

Question 12

preparing our bodies

Answer 12

-no jewllery below elbows
-closed in shoes, rubber boots/clogs
-hair tied back and completely covered
-sleeves above elbows
-nails short, free of nail polish/false nails
-theatre attire to be worn

Question 13

Hand scrubbing technique

Question 14

closed gloving technique

Answer 14

fingers stay within gown cuffs

first glove touch on the outside - so you dont touch ur skin with sterile hands

second glove touch on the inside

Question 15

cleaning the foot what direction?

Answer 15

distal to proximal

Question 16

forceps used for

Answer 16

application of torniquet

removal of resected nail or periunglar tissues

Question 17

scissors used for

Answer 17

cutting dressings and tournicot

Question 18

nail clippers used for

Answer 18

splitting nail for partial nail avulsion or total

-thin side of clippers is going under the nail, not on top

Question 19

when would u use a 61 or 62 blade

Answer 19

61 is the usual, thinner blade

62 for thicker nails

Question 20

beaver blade used for

Answer 20

nail matrix incision

Question 21

what is an elevator used for

Answer 21

separating nail from nail bed

used at the start to slide underneath

Question 22

curette used for

Answer 22

scraping tissue out from sulci and
applying phenol

Question 23

the nail surgery team

Answer 23

circulator
surgical assistant
surgeon
anaesthetist
carer

private practice youre all 5

Question 24

circulator

Answer 24

room set up
draping
maintain sterile field

more pre and post work

Question 25

surgical assistant

Answer 25

scrubbed in and helping the surgeon with the procedure

Question 26

agents for general anaesthesia

Answer 26

1. propofol (most common)- sedative hypnotic
2. fentanyl- short opoid
3. midazolam

Question 27

what else can you use with a general IV

Answer 27

1. IV antibiotics
2. corticosteroid
3. antiemetic (effective against nausea and vomiting)

Question 28

routes of general

Answer 28

gasseous
IV

Question 29

Patient monitoring looks at what when under general

Answer 29

-BP
-HR and rhythm
-O2 saturation