Surgical Wounds, Drains, Hemostasis & Sponges
The surgical wound classification for a total abdominal hysterectomy
What is class II Clean-Contaminated wound classification?
To protect sensitive areas of the skin with appropriate padding is a recommended practice for this:
What is done to reduce patient's risk of intraoperative skin injury?
A potential complication of gas insufflation
What is hypercarbia?
RSI
What is Retained Surgical Item?
What is surgical conscience?
The surgical wound classification for a total knee replacement
What is Class 1 Clean Wound Classification?
This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen
What is lithotomy position?
An ETT tube or LMA is removed when:
When the patient is able to maintain their own airway
Minimum number of caregivers required to move an unconscious patient from the OR table to a stretcher
What is 4?
What type of clamp would be the most appropriate for bleeding control during an open abdominal procedure?
What is a kelly hemostat?
Pressure, hemostatic clamps and ligatures.
What are some mechancial methods used to achieve hemostasis?
Occiput, scapulae, thoracic vertebrae, olecranon process, sarum and elbows
hat are the pressure points that should be padded when a patient is in the supine position?
Diluting prep solution, allowing excess skin prep to be absorbed into positioning devices, prepping while patient is being positioned
What are incorrect ways to use skin antisepsis application?
May be the source of electromagnetic interference.
What are IED? (Implantable Electronic Device)
Bony prominences, hairy body parts, tattoos and scar tissue
Where should dispersive pad be avoided?
An area of painful skin that is abraded, blistered, has shallow craters
What is stage II of pressure injury?
The best intervention to prevent intraoperative pressure ulcer development on the patient’s heels.
What is elevating the heels off the bed?
This is the most consistent early indicator of MH crisis
What is increased end tidal CO2?
Ensuring that prep solutions do not pool under the patient.
What is a method to reduce risk of skin injury and risk of fire hazard?
A designated area on the sterile field where scrub person and surgeon place all sharp instruments
What is a neutral zone?
Hemovac drain, Jackson-Pratt drain, Chest tube drain
Time, distance and shielding
What are radiation exposure safety measure?
Administration of sedative by an anesthesia provider with supplemental medication as needed
What is monitored anesthesia care?
A procedure that reflects best practice for transferring medical vial to a sterile field
What is a transfer device?
This test result indicates that the cycle load was not sterilized, or sterilizer was malfunctioned
What is positive BI (Biological Indicator) Test?