Wound Classification + Asepsis
Surgical case involving the GI tract under controlled conditions.
What is clean-contaminated?
What is a mosquito hemostat?
The gas used to insufflate the abdomen during laparoscopy.
What is carbon dioxide (CO2)?
The count performed before the incision is made.
What is the initial count?
Removal of the appendix.
What is an appendectomy?
Surgery with no inflammation and no entry into respiratory/GI/GU tracts.
What is a clean wound?
This instrument is used to hold tissue and is typically "toothed".
What is a Kocher (Ochsner) clamp?
The purpose of insufflation during lap surgery.
What is create working space/visualization/pneumoperitoneum in the abdomen?
The count performed when closing a cavity (like peritoneum).
What is the first closing count (cavity count)?
Surgical removal of the gallbladder.
What is a cholecystectomy?
Surgery involving gross spillage from the GI tract or major break in sterile technique.
What is a contaminated wound?
This instrument is used to cut sutures and can have two names.
What are suture scissors?
A common device used to close off small tubular structures (like during lap chole).
What is a clip applier (clip applier system)?
If counts are incorrect, this is the first CST action.
What is to notify the team and immediately begin a recount/search?
Visualization of the colon using an endoscope.
What is a colonoscopy?
Old traumatic wound with devitalized tissue or existing clinical infection.
What is a dirty/infected wound?
This device provides illumination and transmits the image during laparoscopy.
What is the laparoscope/camera system?
A major risk during initial abdominal entry for laparoscopy.
What is injury to bowel or blood vessels?
A key reason specimen labeling must be done immediately and correctly.
What is to prevent wrong patient/wrong site/wrong diagnosis errors?
Upper endoscopy to view esophagus, stomach, duodenum.
What is an EGD (esophagogastroduodenoscopy)?
The CST's most important response if sterile technique is broken during a case.
What is to correct it immediately (announce contamination and replace the contaminated item/field)?
Instrument used to suction and irrigate in laparoscopic procedures.
What is a suction-irrigator?
What the CST should do before the surgeon asks if the case is going laparoscopic.
What is confirm tower/insufflator readiness and have trocars/camera/cords ready and connected?
If an incorrect count cannot be resolved, the next step in the room is typically...
What is obtaining intraoperative imaging per policy (X-ray) before the patient leaves the OR?
Opening the abdomen to explore and identify the cause of acute abdominal symptoms.
What is an exploratory laparotomy?