Ch 12
Before opening any supplies for delivery to the sterile field, the following must be confirmed:
that the package integrity is intact and not violated.
The normal resident microbial populations found on human skin are termed:
Flora (normal flora)
In preparation for donning after scrubbing, the surgical technologist should:
open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown.
How to properly open a small sterile wrapped item and deliver to sterile field
First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field.
term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub?
subungual
term is the name of the common disposable surgical gown style?
Wraparound
pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table:
hand off the pack to the circulator who will bag it, label it as incorrect, and isolate off field until case completion
Correct statement regarding instrument counts:
They should be counted while all still on back table.
When transporting a patient on a stretcher through the OR suite corridors, the correct method is to:
push the stretcher with the patient facing feet first in the position most comfortable for the patient.
What are the 4 mechanisms of intraoperative heat loss.
Radiation, convection, conduction, and evaporation
How many individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher?
4
Which of the following members of the surgical team gives permission for the patient to be positioned or transferred?
anesthesia provider
When turning the sterile gown, _____ is handed to the circulator, completing the gowning process.
gown tab or card
To secure the Mayo stand from moving during draping:
step on one leg of the Mayo stand.
Which of the following members of the surgical team are responsible for performing the counts to prevent retained items?
circulator and surgical technologist
description of how to pour liquids into a container on the sterile properly is:
Hold the bottle twelve inches above and with only the lip of the bottle over the basin.
Before the surgical technologist places the basket of instruments on the back table, the circulator verifies that:
the filters on the bottom of the container are intact and the container is dry.
Three facts regarding transfer of an awake, mobile patient from stretcher to OR table are:
Both table and stretcher must be locked to prevent movement during transfer, (2) one staff member is positioned on table side to receive patient and one on stretcher side to stabilize, (3) Instruct patient to keep the blanket on during transfer, for preventing hypothermia and for privacy.
device used to manually assess blood pressure is:
sphygmomanometer
Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which of the following basic positions?
Supine
Which of the following table attachments is required to safely maintain a patient in the reverse Trendelenburg position?
padded footboard
Which of the following positions would facilitate exposure of the operative area during a laparoscopic cholecystectomy?
reverse Trendelenburg with slight tilt to the left
If drapes are misplaced during draping procedure:
remove and discard them.
method used for the one-piece C-arm drape being placed over the upper image intensifier
Let it unfold as it is placed over the intensifier.
purpose of the magnets of the metal discs in draping the surgical robot is:
to assist in securing the drapes in place.