Pink
Which two members of the surgical team are responsible for performing the counts to prevent retained items?
circulator and surgical technologist
Before opening any supplies for delivery to the sterile field, what must be verified?
Package integrity being intact and not violated
The sitting position is a modification of which position?
Fowler’s
If a pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table, what should be done?
Hand off the pack to the circulator who will bag, label as incorrect, and isolate off field until case completion.
Which of the following statements about lateral kidney positioning is INCORRECT?
-The lower leg is flexed, the upper leg is straight, and a pillow is between them.
-The lower leg is straight and the upper leg is flexed, with a pillow under the lower leg.
-A small roll is placed under the nonoperative side axillary area to facilitate respiration.
-The patient’s flank is positioned over the kidney lift to provide greater exposure of the operative area.
The lower leg is straight and the upper leg is flexed, with a pillow under the lower leg.
Which table attachment is required to safely maintain a patient in the reverse Trendelenburg position?
padded footboard
Radiation, convection, conduction, and evaporation are examples of:
mechanisms of intraoperative heat loss
What is the appropriate method for delivering a sterile item to the back table from a peel package?
Open package laterally and completely; gently toss item without touching glued edge or going over back table.
Which type of sterile gown uses battery-powered ventilation for the wearer?
disposable fluid resistant
When transporting a patient on a stretcher through the OR suite corridors, which method should be followed?
Push the stretcher with the patient facing feet first in the position most comfortable for the patient.
Trendelenburg, reverse Trendelenburg, Fowler’s, and lithotomy are variations of which basic position?
supine
Which of the following is NOT an example of blunt dissection of tissue?
-Gloved finger against tissue.
-Dissection sponge (peanut)
-Surgeon and assistant pull open peritoneum bilaterally.
-Endo Shears are used through laparoscopic trocar to separate tissue.
Endo Shears are used through laparoscopic trocar to separate tissue.
An assistant may be needed to properly perform which type of surgical skin prep?
circumferential extremity
What should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing?
Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown.
Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher?
Sims
Which of the following are NOT considered countable items for potential of retained foreign objects?
-dressings
-instruments
-sharps
-sponges
dressings
What does the circulator verify before the surgical technologist places the basket of instruments on the back table?
The filters on the bottom of the container are intact and the container is dry.
During the surgical skin prep, areas that are considered contaminated should:
be scrubbed separately or last
What shape describes the configuration of a Mayo stand cover?
cylindrical
For which position would the head of the OR table be moved to the foot before the patient is placed on the table?
lithotomy
What is the proper way to open a small, sterilely wrapped item for delivery to the 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.
Best practice states that all of the following items remain sterile until the patient leaves the room, EXCEPT the:
-back table
-surgical drapes
-basin
-mayo
surgical drapes
Which of the following descriptions of how to pour liquids into a container on the sterile field is correct?
-Hold the bottle 6 inches above and over the basin.
-Hold the bottle 6 inches above but with only the lip of the bottle over the basin.
-Hold the bottle 12 inches above and over the basin.
-Hold the bottle 12 inches above and with only the lip of the bottle over the basin.
Hold the bottle 12 inches above and with only the lip of the bottle over the basin.
Which of the following statements regarding transfer of an awake, mobile patient from stretcher to OR table is INCORRECT?
-Both table and stretcher must be locked to prevent movement during transfer.
-One staff member is positioned on table side to receive patient and one on stretcher side to stabilize.
-Instruct patient to keep the blanket on during transfer, preventing hypothermia and for privacy.
-The safety strap is secured tightly across patient’s waist to prevent possible fall due to narrow OR table.
The safety strap is secured tightly across patient’s waist to prevent possible fall due to narrow OR table.
Which of the following statements regarding hair removal is INCORRECT?
-Hair must be shaved from every incisional and ECG lead site.
-Hair removal should be performed as close to the time of the procedure as possible.
-Hair removal is dependent upon surgeon’s preference, patient factors, and surgical site.
-Hair removal using a razor can result in microabrasions and increased microbial count.
Hair must be shaved from every incisional and ECG lead site.