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ST230 T4

QuestionAnswer
1. T/F - All instruments, equipment, and supplies must be returned to their original state or readiness and cleanliness for the next pt and this must occur without cross-contamination. True
2. T/F - The sterile field must not be compromised until the pt enters the PACU. False
3. T/F - The 3 key elements of the sterile field that must be kept sterile during initial postoperative case management are the back table, Mayo stand, and basin set. True
4. T/F - Keeping the sterile field sterile during initial postoperative case managment is considered best practice. True
5. T/F - While keeping the sterile field sterile during initial postoperative case management, the STSR should have a min 2-4 hemostats and a scalpel left on the Mayo stand. True
6. T/F - ASA necessary items are moved away from the operative field to maintain their sterile integrity, the STSR should remove his outer gloves and return to the OR table to assist in drape removal. True
7. T/F - In some cases, the STSR may be required to remain sterile while other team members remove the drapes from the Pt. True
8. T/F - The STSR may remove her gown and gloves following drape removal in order to assist with postop Pt care. True
9. T/F - Careful removal of the gown is necessary to prevent cross contamination. True
10. T/F - When performing gown removal, the STSR should avoid touching areas of the gown that are not visible. True
11. T/F - During gown removal it is OK to touch the inside the gown without gloved hands. False
12. T/F - When removing surgical gloves, double-gloved team members may remove both layers simultaneously. True
13. Maintaining the integrity of the sterile field during intial postop case management is critical especially in case involving ___. Possible respiratory complication
14. Before removing the drape, the STSR should ___ Place the ESU tip in the sharps container
15. Dressings are secured onto the sterile field dollowing ___ The Final Count
16. Immediately following drape removal the ___ STSR removed prep solution and debris from the Pt's skin
17. Immediately following removal of the STSRs surgical gown ___ Her gloves ar removed
18. Careful glove removal is necessary to prevent ___ Splash injuries
19. Immediately following removal of the Pt dispersive eletrode ___ Check the integrity of the Pt's skin
20. Instruments may be soaked in ___ prior to to decontamination. Water OR Enzymatic solution (Either A or C)
21. A powdery substance made of 100% collagen and available in powder, sheets, preloaded applicators, and via a powdered dispenser is ___ Avitene
22. A popular pharmacological hemostatic agent composed of oxidized collalase is ___ Surgi-Cel
23. ___ is composed of collagen and available in pads that can be soaked in thrombin, epinephrine, or saline. Gelfoam
24. Which surgical team member is primarily responsible for monitoring EBL? Anesthesia Provider
25. Antibodies that work against A & B antigens are known as ___ Agglutinins
26. ___ is the universal blood donor type. O neg
27. If not used immediately, blood products should be stored at ___ degrees Celsius. 1-6 d C
28. The survival rate for out-of-hospital SCA victims averages approx. ___ in the US and Canada. 6.4
29. An ex of an acute pharmacogenic reaction developing during or after anesthesia administration is ___ Malignant hyperthermia
30. ___ is a known triggering agent her malignant hyperthermia. Halothane
31. MH triggering agents cause the release of ___ from muscles which accelerates cellular metabolism and drastically raises body temp. Calcium
32. The first clinical sign of MH crisis is an unanticipated rise in ___ End-tidal CO2
33. The most obvious sign of MH crisis to the surgical technologist will be ___ Rigidity
34. The strongest preventative method in reducing the likelihood of MH crisis is the use of a non-triggering anesthetic agent such as ___ Vecuronium
35. When treating MH crisis, the anesthesia provider will administer ___ as the drug of the choice. Dantrium Sodium
36. The most common type of seizure is the ___ seizure. Grand mal
37. ___ is the first-line drug for the treatment of severe anaphylactic reaction. Epinephrine
38. The most toxic known chemical agents are ___ Nerve agents
39. Mustard gas is an ex of a ___ Vesicant
40. ___ is a biological agent used in terrorist threats that manifest in either cutaneous, inhaltion, or gastrointestinal form. Anthrax
41. Diff between Monopolar and Bipolar Electrosurgery. Monopolar cauterizes. Bipolar coagulates.
42. Describe the process recommended for transfer of an anesthetized pt. LIZ - Pt Transfer and Trasportation. Min of 4 nonsterile team members. Pos the stretcher next to OR table. 1 prsn @ side of stretcher, another @ side of OR table, AP @ head, & another at ft of stretcher. Brace your body against beds. Pg 351
43. Describe the process for correct removal of surgical gloves following gown removal. Grasp the outer cuff of the glove w/ the thumb & middle finger of the opp hand. Pull hand outward, removing the glove. Repeat for other glove. Glove to glove. Skin to skin. Pg 392
44. Describe the procedure for handling the specimen during postop case mngmnt. Receive orders/requisition from the surgeon. Handle safely, do not damage or lose. Place appropriate container and/or fixative. May be placed in special biohazard bag or other container. Labeled w/ approp pt info. Sent to pathology with paperwork.
45. How are sharps cared for during breakdown of the sterile field. All sharps are placed in the sharps container on the back table. Container is closed and placed in lg puncture-proof biohazardous sharps container. Pg 393
46. Explain the steps of a cholecystectomy (pg 476) Dr inserts local. Umbilical incision. Hussan trocar inserted. Insufflator tubing attached to Hussan & abd is inflated. Camera inserted into Hussan. Dr repeats local, incisions, & inserts #11, #5, and #5 trocars. Cystic duct & artery
Created by: elizabeth-mcw