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ST220 T5

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Question
Answer
41. Explain Surgical Conscience and what it means to you   Basis for the practice of strict adherence to sterile technique by all surgical team members. It means that you must be honest and have moral integrity to provide the greatest level of safety to the Pt.  
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42. While opening supplies to establish the sterile field, the STSR starts by opening the instrument tray. Is this okay? Why or why not?   No bc if there are holes in the sheet, and you put the instrument tray on the back table, the back table is now contaminated. Ideally start with the largest sterile area to open supplies on. Open from the center of room, outward  
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43. The STSR sets up for hernia case which is cancelled. The circulator informs STSR that it's scheduled in the OR suited next door and will begin soon. The STSR covers his back table with a sterile drape and moves it next door. Is this ok? Why/why not?   It is not allowed to cover the back table and then move it to another room bc even though it's covered with a sterile drape, removing the sterile drape will contaminate the back tabl.e  
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36. ___ are living carriers that transmit disease   Vector  
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34. A substance used on living tissue to inhibit the growth of microbes, thus preventing infection   Antseptic  
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33. The microbes that reside on the skin surface are easily removed   Transient flora  
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32.Any microbe capable of causing ds   Pathogen  
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1. What is the primary source of airborne bacteria in the OR   Surgical Team  
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2.. What should be done with the reusable instruments after being used on case with a prion infection   Destruction of all instruments  
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15. How far are tables placed from the wall   12" - 18"  
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16. Sterile field should be established   Farthest from door  
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3. What did Louis Pasteur develop   Germ theory of disease  
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4. What microscope is used when microbes cannot be stained   Dark Field Microscope  
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5. What is not a risk of SSI   Gender  
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6. When wearing sterile gown/gloves, why should the arms not be folded with the hands in the axilla   The area cannot be viewed  
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7. Sterile items and individuals may ___   Contact sterile items  
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8. Members of the sterile surgical team should pass each other within sterile field by facing one another or ___   Passing back-to-back  
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9. The basis for the practice of strict adherence to sterile technique   Surgical conscience  
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10. What is the purpose of maintaining positive-pressure airflow within the OR suite   Higher pressure than outside forces microbes out  
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11. Which is NOT considered a monitoring method of steam sterilization process   Electrical  
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12.. The order of technique for opening sterile basin set   Verify exposure to sterilization process, tear seal, open first flap away from you, pull flap closest to your body toward you, Open side flaps, pull flap closest to your body toward you  
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13. The front of a surgical gown from the waist to midchest and circumferentially to 2" above the elbows on the sleeve is considered   Sterile  
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14. Which of the following is a nonsterile portion of the gown   Cuff  
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17. Which of the following isolates and protect the operative site from contaminants   Drape  
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18. The anesthesia machine should be set up at the ___ of the operating room bed   Head  
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19. Pack containing disposable drapes, supplies, sutures, blades, and items necessary for a specific procedures   Custom packs  
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20. Who wears a mask once the sterile field has been open in a room   Everyone wears the mask  
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21. What is a systematic methods of organizing one's thoughts and activities, enabling one to make approp decisions   Critical Thinking - B  
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22. What is an advantage of using rigid container systems   Both B and C (Easy to store AND Hard to damage integrity) - D  
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23. What should the STSR do immediately following opening a hard object on the back table drape   Check to see if there is a break in the integrity of the drape - A  
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24. What is the perferred method to opening a peel pack   Visually inspect the package, slowly peel back the outer wrapper, and gently toss the item on a protected area of the back table or basin - D  
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25. In which scenario does the 1" unsterile border of the drape or sterile field not apply   When the custom pack is properly opened onto the back table - C  
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26. The back of a wraparound-style gown is not considered sterile bc   It is out of the sight of the STST - D  
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27. What is considered an option in correcting a break in sterile tech   Replace it - ANDERSON  
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28. T/F - The "power house" of the cell is the nucleolus   False - Mitochondria  
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29.. T/F - The movement of a solvent (i.e. water) through a semi-permeable membrane from an area of high concentration to low concentration is called osmosis   True  
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30. T/F - Exocytosis is the movement of particles out of a cell   True  
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31. T/F - Staphylococci are spherical bacteria arranged in chains   False - Clusters-streptococci are in chains  
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35. ___ are inanimate objects that harbor microorganisms   Fomites  
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37. Define sepsis   Infection, usually accompainied by fever, that results from the presence of pathogenic microorganism. / Spread of an infection from its initial site into the bloodstream, initiating a systemic response that adversely affects blood flow to vital organs.  
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38. List four disease a surgical technologist is exposed to in the operating room and state methods for limiting exposure   Hep B, Hep C, HIV, HBV, Viruses. Wear PPE at all times when blood is present. Stay up-to-date on vaccinations. Follow hospital policy and precautions.  
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39. Define flora   Bacteria and other microorganisms that normally inhabit a bodily organ or port  
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40. Define host   The larger of 2 organisms in a symbiotic relationship. / An organism or cell in which a parasite lives or feeds on.  
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