Ch 12
Removed from patient to facilitate oxygen blood level assessment
Nail polish
Shown the ability to decrease disease transmission from needle punctures?
Double Gloving
Describes the configuration of a Mayo stand cover
cylindrical
Radiofrequency tracking system in the operating room helps:
reduces the possibility of retained foreign objects.
When setting up the sterile field how many times should an item be touched?
Move items only once if possible
During skin prep, areas considered contaminated should:
be scrubbed separately or last
Main purpose of the surgical skin prep
reduce the microbial count on the skin to an irreducible minimum.
Patient undergoing laparotomy should be prepped
From incision site outward toward the periphery in a circular motion.
Hair removal facts (3):
1. Hair removal should be performed as close to the time of the procedure as possible, (2) is dependent upon surgeon’s preference, patient factors, and surgical site, (3) Hair removal using a razor can result in microabrasions and increased microbial count.
position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher?
Sims'
An assistant may be needed to properly perform this type of surgical skin prep:
Circumferential Extremity
Term of a surgical technologist’s skin following the surgical scrub:
Surgically Clean
Delivering a sterile item to the back table from a peel package is to:
open package laterally and completely and gently toss item without touching glued edge or going over back table.
surgical technologist scrubs the area of the arms up to:
2 inches above the elbow
Three ways that are appropriate when performing a surgical scrub/skin preparation
anatomical timed
brushless/waterless
counted strokes
Gloving method performed by the surgical technologist after donning a sterile gown and before setting up the back table?
Closed Gloving
Best practice of counting sponges on the sterile field is:
Remove paper bands around sponges and separate each sponge into separate piles while counting aloud with the circulator
Considered not countable and should not be opened until the end of the procedure
Dressings
Gloving appropriate for placement of a urinary catheter as part of the skin prep?
Open Gloving
Safety belt or strap is placed on a patient in supine position on the OR table:
two inches proximal to the knees
If patient’s arms on armboards are greater than 90° angle it can result in:
hyperextension nerve damage
The sitting position is a modification of this position:
Fowler's
Which position would the head of the OR table be moved to the foot before the patient is placed on the table?
Lithotomy
position requires anesthesia administration and intubation to be performed on the patient’s stretcher prior to final positioning?
Prone
Three facts about lateral kidney positioning are:
The lower leg is flexed, the upper leg is straight, and a pillow is between both legs, (2) A small roll is placed under the nonoperative side axillary area to facilitate respiration, (3) The patient’s flank is positioned over the kidney lift to provide greater exposure of the operative area.