Everyone
SPD
Circulator
Scrub
Everyone Again
100
What is a chromic gut suture derived from?
Beef intestine (bovine).
100
What is the purpose of enzymatic solution?
Prevents biological exudates from sticking and caking onto surgical instruments, making it easier to clean and sterilize properly.
100
How do you properly insert the camera cord into the Stryker tower machine?
Line up the arrow on the machine to the arrow on the cord, push straight in without an angle, do not twist, make sure the cord is completely inserted and there is no gap.
100
What part of your reusable camera cord is not sterile?
Inside of the screw cap. The cap should not be unscrewed until it is thrown off of the field to be plugged in by the circulator.
100
What is the name of the drug used as the loading dose for the treatment of malignant hyperthermia?
Ryanodex
200
What is the purpose of cricoid pressure?
It helps occlude the esophagus, preventing regurgitation and aspiration of stomach contents into the trachea during intubation.
200
How do we send our instruments back to SPD after a case?
Open all ratchets and chambers, take apart anything that you had to put together, put unused instruments in the basket and cover with a blue towel, put used instruments on top of the blue towel, spray with enzymatic solution thoroughly.
200
What special consideration is there when the Stryker picture printer alarms for low paper or ink?
The paper and colour reams must both be changed at the same time, even if one looks full.
200
What must you be mindful of when putting your mayo-stand over the patient?
Avoid pressure injuries by making sure the mayo-stand is not leaning against or resting on the patient.
200
What should you immediately do when you notice a countable item has fallen onto the floor.
Scrub- Announce to your circulator what has dropped and kick it away from the sterile area so they can retrieve it promptly.
Circulator- Retrieve the item promptly, notify you scrub, and isolate it. Keep it in the counts and do not throw it away.
300
What two cardiac rhythms can be defibrillated?
Pulseless V-tac and V-fib.
300
Name 3 things you would do if the indicators in your tray did not change colours?
Do not use the instruments in that tray, change your gloves and gown if the instruments touched them, grade the tray in SPM with a frowny face and explanation, and write a pass report.
300
How do we prevent skin injury when applying tape to a patient during the positioning phase?
Do not apply tape directly to the patient's skin. Put a blanket or other barrier over the patient and then apply tape.
300
How are surgical patties counted?
Separate them out and count the actual patties, not just the strings.
300
Where is the handheld metal detector kept?
Hanging in the soiled utility room next to the door.
400
Which anesthetic agents can trigger malignant hyperthermia?
Succinylcholine
Anesthetic gases ending in -ane (ex., sevoflurane, halothane).
400
What are some of the most common instruments or accessories that get thrown away by us? Name 3.
Sonicision generators and batteries, cysto-tubing luer-locks, clamps used on drapes, bugbees, robotic obturators.
400
How long can a pneumatic tourniquet be inflated before it should be deflated for tissue reperfusion?
Two hours.
400
What is the purpose of a closure tray?
To prevent as much cross-contamination as possible and to cut down on the risk of surgical site infections during contaminated procedures.
400
Name this rhythm.
Ventricular Fibrillation (V-fib).
500
DOUBLE JEOPARDY!!!
How would a pregnant patient be positioned differently during their supine surgery? And why?
Put a wedge or roll under the right hip so the patient is slightly tilted left.
This prevents compression of the vena cava, ultimately preventing supine hypotension.
500
What are the two most important things we can do to any type of surgical scope that is being taken to SPD to prevent instrument damage?
Slide the protective sheath over the scope and lock into place. Do not allow anything to rest on top of the scope.
500
Name 3 things we can do to prevent patient hypothermia in an extensive open-belly case.
Upper and lower bair hugger
Blankets
Warm saline irrigation
Increase room temperature
Utilize IV fluid/blood warmer
500
What do you do to your case cart before putting dirty/used instruments on it or inside?
Remove all clean/sterile items from the cart before placing dirty items in the same area, even if they are not on the same level of the cart.
500
Who must interpret an X-ray for a miscount?
The attending surgeon and the radiologist together.