Sterile Field
What is placed on top of the back table cover for reinforcement?
Towels
What is typically counted first on the sterile field?
Laps/Raytecs
True or False:
While performing closed gloving, fingers may be allowed to extend beyond the end of the gown cuff
False
How would you prevent the mayo stand from moving while draping?
Step on it
True or False:
The back of the gown is considered sterile
False
What is typically the first area the CST will set up on their sterile field?
Back Table
Which two members of the surgical team are responsible for performing the counts to prevent retained items?
Circulator and Surgical Technologist
The process of reducing the number of microorganisms from the hands and arms to an irreducible minimum before participating in an operative procedure is known as ___
surgical scrub
What areas of the back table are considered sterile
Tabletop level and above
True or False:
A 10 minute scrub is better than a 5 minute scrub
True
Where are sterile trash bags/suture bags placed on the sterile field?
On the mayo stand, opposite of the operative site
What should the ST do to a new pack of sponges before counting them?
Remove the paper band around the sponges
What describes "surgically clean"
The condition of the skin immediately after a surgical scrub in which transient bacterial flora has been reduced within safe limits, though resident flora is not affected.
While using the towel to dry the hands and arms, what should the ST do to ensure the towel does not become contaminated?
Bend at the waist and hold arms out
How does the ST enter the room after the surgical scrub?
By pushing the door open with their back
Where are commonly used instruments placed?
Mayo stand
If the ST and circulator have an incorrect sponge count before the patient enters the room, what should they do?
The sponges should be removed from the room by the circulator
True or False:
Sterile gowns and gloves should be lifted straight up and away from the wrapper when gowning and/or gloving, ensuring no part of the gown or glove has contact with the wrapper edge.
True
What does the circulator verify before the surgical technologist places the basket of instruments on the back table?
The filters on the bottom of the container are intact and the container is dry.
When turning the sterile gown, what is handed to the circulator that completes the gowning process?
Gown tab or card
How many times should items on the sterile field be moved during setup?
Once
What is the purpose of a radiofrequency tracking system in the operating room?
Reduce possibility of retained foreign objects.
What areas on the gown are considered sterile?
Mid chest to waist and both arms circumferentially up to 2 inches above the elbows
Radiation, convection, conduction, and evaporation are examples of:
Mechanisms of intraoperative heat loss
Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which basic position?
Supine