Intraoperative Care and Preparation

Suture and Needles

100

Cutting needles are used for what?

Penetrating the skin (skin closure)

200

What are tapered needles used for?

Subcutaneous tissues

300

Give me one example of a nonabsorbable suture

Nylon (Ethilon)

Polypropylene (Prolene)

400

Give me one example of absorbable suture

Monocryl

Vicryl (Polyglactin)

Decon

Chromic and Plain Gut

500

Non-braided suture is also known as ______. Give me an example of one of those sutures

Monofilament

Nylon, PDS, Prolene, Monocryl

Suture

100

When organizing suture, how would you arrange them?

In order of use- First to use on top or in the front

200

When discussing suture sizes is 7-0 smaller or bigger in diameter compared to 4-0

Smaller

300

Name a multifilament absorbable suture

Vicryl

400

Name a monofilament absorbable suture

Monocryl, Chromic and Plain gut

500

Name a multifilament nonabsorbable suture

Silk, Ethibond

Implants

100

If an implant is opened and unused, can it be resterilized?

No

(screw sets are the exception)

200

Give an example of a implantable device

Cardiac pacemaker, hip replacement, cochlear implant, stimulation devices, fracture rods/plates/screws

300

If an implant can not be used or is damaged, what should happen to it?

It should be returned to the manufacturer

400

As a scrub tech, what do we need to check before an implant is opened onto our field?

Expiration date/s, size

500

True or False: When implants are used, there is no documentation needed.

False

EVERY implant needs to be documented. If you are using plates and screws it is important to keep track 

Surgeon Support

100

Where are dirty/soiled sponges discarded intraoperatively?

Kick bucket

200

Name one item you may need for an open case and one item you may need for a laparoscopic case, that you would not use for both cases.

Open case- laparotomy sponges, deep instruments

Laparoscopic case- camera/light cord, scopes, scope warmer, laparoscopic tower, laparoscopic instruments

300

Name one supply or instrument you may use in case of a bleeder.

Hemostat, hemoclip, bovie, ligasure, ligature

Hemostatic agent- Surgicel, gelfoam

400

Why do we keep our instruments clean intraoperatively?

So that they don't stick, become hard to use, and to prevent difficult cleaning postop

500

If converting from a laparoscopic case to an open case, what may need to be opened onto the sterile field?

List two.

Laparoscopic sponges, #10 blade, deep instruments, large self-retaining retractors (Bookwalter), Suture