1
Name that Wound Class:
transurethral resection of bladder tumor
Class II: Clean-Contaminated
Number of air exchanges per hour in an OR room
20
The primary purpose of a surgical count is to:
Reconcile items delivered to the sterile field throughout a procedure with what remains at the end of surgery
Scrubbed personnel changing position within the sterile field should turn
Front to Front
or
Back to Back
What does ESU stand for?
Electrosurgical unit ( Bovie(
What is the main reason to keep the doors closed to the OR?
Maintain positive pressure
Personal commitment to adhere strictly to aseptic practices by speaking up when there has been a break in technique
surgical conscience
Minimum # of individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher?
4
This medication solution is often used in vascular surgery to irrigate blood vessels during anastomosis:
heparinized saline
Where is the optimal location to place the dispersive electrode (bovie) pad for use with an ESU?
Over large muscle mass
Surgical removal of tonsils
tonsillectomy
At the point of decontamination all instruments should be wiped down and all items with lumens must be flushed with
Sterile water
This type of suture is made up if several strands of suture that are braided together?
Multifilament
What is the proper action to be taken when a sponge package contains the incorrect number of sponges?
Hand off to RN circulator to remove package from the operating room
Name that wound class:
open reduction, external fixation of pelvic fracture and right femur fracture, status post poly- trauma motor vehicle accident 2 hours ago; open-fresh traumatic wounds are visible
Class III – Contaminated
What information is needed when performing a surgical specimen timeout?
Name of specimen, location, and delivery route ( fresh, frozen, or permanent)
Surgeon aligns a broken bone using manual traction and then applies a cast. Pt was sedated but no incision was made. What type of surgery was performed?
Closed Reduction
Best way to prevent burn injuries resulting from the use of the electrosurgical unit (ESU)?
Placing the Bovie in the manufacturer’s holster when it is not in use
The proper sequence of performing intra-operative or closing counts:
1. Operative site,
2. Mayo,
3. back table,
4. basins,
5. kick bucket/ off field.
How are the legs of the patient managed in lithotomy position to prevent hip dislocation and muscle strains?
Legs are raised and lowered simultaneously
Where is the optimal location to place the dispersive electrode pad for use with ESU?
over large muscle mass
Name that wound class:
exploratory laparotomy with abdominal washout; upon entry, surgeon noted gross amount of spillage of gastrointestinal contents into the abdomen
Class III – Contaminated
Optimal position for bariatric surgery
Reverse trendelenburg
The optimal position for bariatric patients that enhances lung volume and allows abdominal viscera shift away from targeted tissues would be:
Reverse Trendelenburg
When should a Surgical Tech apply a label to a medication container after receiving it on the sterile field from the RN circulator?
Immediately before any additional medications are received from the RN circulator