Gowning and Gloving
This part of the gown is considered sterile after donning:
What is the front of the gown from chest to waiste level.
A laparoscopic cholecystectomy is performed for symptomatic gallstones. The gallbladder is removed without entering the gastrointestinal tract and without evidence of infection.
What is Class II — Clean-Contaminated?
A scrubbed person hands should remain in this area while sterile:
What is above the waiste, sterile field, in view sight.
During a Whipple procedure, which portion of the pancreas is typically removed along with the duodenum:
What is the head of the pancreas?
This instrument has teeth at its tip and is commonly used to grasp tough tissue such as fascia:
What are Allis tissue forceps?
When picking up a sterile gown, you should grasp it by this area:
What is the Neckline / collar area?
A patient undergoes an elective inguinal hernia repair. There is no inflammation, no break in sterile technique, and no entry into the respiratory, GI, or GU tract.
What is Class I — Clean?
A scrubbed team member turns their back toward the sterile field while waiting for the surgeon to enter. This problematic because:
What is the sterile gown's back is not considered sterile, and the scrubbed person should maintain awareness of the sterile field?
During a thyroidectomy, which major structure must the surgeon identify and preserve because injury can significantly affect the patient's voice:
What are the recurrent laryngeal nerves?
This hemostatic instrument has straight or curved serrated jaws and is commonly used to clamp blood vessels:
What is a Kelly clamp?
During open gloving, you should only touch this surface of the first glove with your ungloved hand:
What is the inside/folded cuff of the glove?
During an abdominal procedure, the surgeon accidentally enters the colon and spills a small amount of bowel contents:
What is What is Class III — Contaminated?
A scrubbed CST reaches across an unsterile anesthesia machine to retrieve a sterile item. The primary concern is:
What is reaching over an unsterile area and potentially compromising the sterile field?
A patient is undergoing a total hip arthroplasty. Which surgical approach involves accessing the hip joint through the posterior musculature:
What is the posterior approach?
This atraumatic forceps has fine, longitudinal serrations and is commonly used to handle delicate vascular tissue:
What are DeBakey forceps?
During closed gloving, which part of the glove should ultimately be the first surface to contact the sterile gown:
What is the sterile exterior of the glove contacting the sterile gown/glove interface without exposing the bare hand?
A surgical wound that enters the respiratory, alimentary, genital, or urinary tract under controlled conditions without unusual contamination is classified as what:
What is a Class II (Clean-Contaminated) wound?
A CST's sterile gown becomes visibly wet near the abdomen after irrigation fluid splashes onto it. What phenomenon creates the concern:
What is strike-through, which can allow microorganisms to pass through the wet material and compromise sterility?
During a laparoscopic procedure, this gas is commonly insufflated into the peritoneal cavity to create working space and improve visualization:
What is carbon dioxide (COâ‚‚)?
This ring-handled instrument has long, narrow jaws designed to grasp and manipulate delicate tissue, making it commonly used in procedures involving the bowel:
What are Babcock forceps?
A CST has successfully donned the first glove using closed technique. While donning the second glove, the first glove contacts the bare wrist area. The CST should recognize:
What is the possibility of contamination and the need to correct the technique or replace the glove according to sterile technique principles?
A wound involving a perforated viscus, established infection, devitalized tissue, or an old traumatic wound with retained contamination is classified as what:
What is a Class IV (Dirty/Infected) wound?
A CST's glove becomes contaminated during a procedure, but the gown sleeve underneath remains apparently clean. ____should be replaced:
What is it depends on the nature/location of the contamination; the gown cuff and surrounding sterile field must also be assessed for contamination?
During a total abdominal hysterectomy with bilateral salpingo-oophorectomy, which reproductive organs are removed:
What are the uterus, cervix, both fallopian tubes, and both ovaries?
This self-retaining retractor is commonly used during abdominal procedures and has adjustable blades attached to a frame:
What is a Balfour retractor?