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clinical 1 ch23&24
preparing for and assisting with minor surgery
| Question | Answer |
|---|---|
| What is the medical assistants role in minor office surgery? | scheduling;educate pt about pre op care;prepare room and equipment;assist |
| instruments should be soaked in what kind of solution to break down blood and body fluids? | soaking solution that contains a special protien |
| instruments used for cutting and disecting | scissors,scalpels,curettes |
| used specifically to cut tissue | operating scissors |
| instruments used for clamping and grasping | hemostats, forceps, needle holders |
| instruments used for dialting,probing and visualizing | retractors,scopes,speculum,probes,dialators |
| type of tray used for setting up instruments | mayo tray |
| before setting up the tray you should | clean the tray and adjust the height to waist level |
| when preparing a sterile tray you should never | reach over the drape |
| reaching over a sterile drape could result in | contamination |
| decreases the number of microbes associated with disease | medical asepsis |
| the total removal of all microbe associated diseases | surgical asepsis |
| process of destroying all disease causing organisms | sterilization |
| strilization can be achieved by which methods | autoclave,dry heat, gas |
| surgical scrub is done for how long | 2-6minutes |
| before scrubbing you need to remove all | jewlery |
| anyone assiting in a procedure needs to wear | gown and gloves |
| most common patient position for surgery are | supine,prone,sims,fowlers,knee-chet,lithotomy,dorsal recumbant,proctological |
| what needs to be done to prepare the skin for surgery | apply antiseptic to skin to reduce microbial growth |
| before phelbotomy or accupuncture what is used to clean the skin | alcohol |
| patients are instructed not to eat before a procedure to reduced the risk of | nausea and vomiting |
| closing of a wound with sutures or staples | laceration repair |
| excision of small sac with buildup of sebum | removal of sebacious cyst |
| excision of small amount of tissue for microscopic examination | biopsy |
| fluid or tissue cells aspirated by needle | needle aspiration |
| destruction of tissue or skin lesions using extremely cold temperatures | cryosurgery |
| most common substance used in cryosurgery | liquid nitrogen |
| removal of benign skin lesions using and electrical current | electrocautery |
| electrocautery is also used to control | bleeding |
| tissue os destroyed using silver nitrate | chemical destruction |
| laser beam used to destroy a certain area without causing harm to surrounding tissue | laser |
| thin low voltage electric wire loop that removes abnormal cervical tissue | LEEP |
| removal of the foreskin from the penis | circumcision |
| excision of lacerated, dead or contaminated tissue from a wound | debridement |
| what is used to preserve a tissue sample that is being sent to the lab for examination | formalin |
| most common local anesthetics used in the office? | lidocaine(xylocaine) and novocaine(procaine) |
| who is the only one who can inject local anesthetics? | MD |
| how long does it take a local anesthetic to work? | 5-15 minutes |
| if a patient disclosing any significant medical history or abnormality it should be marked on the chart in what color? | red ink |
| what is used to collect a specimen from an infected wound? | a sterile swab |
| what area should you collect the specimen from | the exudate or drainage only |
| when assisting with a surgical procedure, excessive blood should be mopped up with | gauze sponges |
| type of thread that joins the skin of a wound | suture |
| type of suture that is absorbed by the body and made of sheep intestines | catgut |
| after a procedure is complete, contaminated gloves and gowns are disposed of in | biohazard bags |
| who usually removes sutures or staples | general practitioner |
| sutures that are not removed can become | infected |
| suture removal kit contains | forceps and curved scissors |
| removing staples is done with a | staple remover |
| what immunization needs to be up to date with a laceration? | tetanus |
| after sutures are removed the bandage should be kept clean and dry for | 24-48 hours |
| adhesive sutureless material can be used to close | small lacerations |
| after any procedure is complete you should do what in the chart? | document |
Created by:
clarevoyant1019
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