Positioning,Prepping and Draping test review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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used to achieve any desired postion thru manual/electrical controls; accepts attachments | operating room table
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holds drapes off pt's face and separates nonsterile area from sterile field | anesthesia screen
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used as an arm restraint and used to support/lift the body during transfer to a stretcher | drawsheet
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used to secure the pt during all induction and most positions except lithotomy | safety beld(knee strap)
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used for additional immobilization/support | all of the above
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raise and support the legs in lithotomy position | stirrups
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used to support the arm when giving IV's | armboard
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used to stabilize the body in lateral kidney positions | padded body and kidney rest
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used for neurosurgical/some otorhinology procedures | sitting
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used for thoracic procedures when a lateral approach is desired by surgeon | lateral chest
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used for rectal procedures | Kraske
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used for lower abdominal/pelvic procedures when surgeon want abdominal contents to be separated from pelvic contents | Trendelenburg
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used for procedures on the posterior surface of the body | prone
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used for vaginal,perineal and rectal procedures | lithotomy
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who decides on the position to be used | surgeon
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who is primarily responsible for positioning the pt | circulator
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pillows/other padding are used in strategic places to prevent pressureon nerves and | blood vessels
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pt's who are anesthetized must be positioned | slowly
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avoid excessive pressure on this to avoid respiratory issues. | chest
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pt's legs must not be crossed due impairment of what | circulation
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extreme/embrassing positioning should be done when | after pt is anesthetized
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purpose of draping | all of the above
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are flammable; therefore must not be used | alcohols
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develops a cumulative action after a period of frequent use; neutralized by alcohol | hexachlorophene
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radial,median or ulnar nerve damage can occur if what is not supported | elbow
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extreme positions of the head/arm can cause injury to | brachial plexus
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to avoid hyperextension of the arm, move it no more than | 90 degrees
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movement of joints must be gentle and must be moved | within their limited range
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types of draping material | all of the above
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sterile technique is used thru out the entire draping procedure | true
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excessive handling of the drapes should be avoided | true
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circulator should observe for breaks in technique during draping | true
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the anesthesiologist usally places the towels/clips to outline incision site | false
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skin prep should be carried out for at least 5 min | true
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when pt is in lithotomy position the butt/chest should be even w/table edge | true
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what or table attachment is used in trendelenburg position | shoulder braces
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position on table for kidney | lateral on uninvolved side
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another name for jackknife position | kraske
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good positioning | allows maximum safety and comfort to pt
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which prep solution can cause breakdown of mucous membranes | alchol
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what surgical procedure has a prep time of longer than 5 min | ortho/cardio
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how far is a drape/gown folded back to expose the incision site | 1 inch
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what is the major cause of foot drop | damage to perineal nerve caused by not enough support
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stirrups misplaced/bad padding damages what nerve | perioneal
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legs in lateral | lower leg is flexed, upper leg is straight w/large pillow under them
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pt is on back face up | supine
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why would the surgeon want painting instead of scrubbing on a cancer site | can spread cancer cells
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when prep agent is effective from neg to pos | betadine
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