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Clinical 1 ch 9

Instrument Identification and Surgical supplies

locking mechanism that tightens or locks the tip of the instrument ratchet
groves in the jaws of an instrument that improve gripping power serrations
used to puncture tissue teeth
instruments used for cutting and dissecting curettes, scalpels, scissors
instruments used for grasping and clamping forceps, hemostats, needle holders, towel clamps
instruments to improve visualization dilators, probes, retractors, scopes, specula
used to stop bleeding hemostat
used to grasp and hold tissue forceps
used to scrape or remove tissue from body cavities curettes
used to make incisions scalpel
used to make the opening of a constricted structure larger dilator
used to pull aside tissue to improve visualization retractor
used to hold sterile towels in place towel clamps
most common solutions used in a procedure sterile saline and sterile iodine
type of surgical drape with a hole in the middle used to expose the surgical area fenestrated drape
reversible loss of consciousness used during major surgery general anesthesia
administered by injection at the site of procedure numbing the point of injection and surrounding tissue local anesthesia
used when a large area of tissue needs to be numb ie:epidural regional anesthesia
numbing agent applied directly to the area of skin that needs to be numb topical anesthetic
most common local anesthetics lidocaine or xylocaine
type of cutting instrument that uses electricity and controls bleeding cautery or electrocautery
holds the edges of a wound together to promote faster healing and reduce scarring suture
type of suture material used internally or in difficult to reach areas, does not need to be removed absorbable
most common suture material used, designed for external structures nonabsorbable
suture sizes range from 1.0-6.0
smallest suture available is 6.0
applied to a wound with a stapler skin staples
type of closure indicated for shallow wounds, also helps reinforce sutures sterile skin closure, steri strips
used in place of sutures and staples especially in pediatrics surgical skin adhesive
closing of a wound laceration repair
procedure to remove unwanted tissue like a wart using liquid nitrogen cryosurgery
removal of buildup of sebum which can be complicated by infection sebaceous cyst removal
done on an abscess or localized infection incision and drainage, I
solution that disinfects the skin isopropyl alcohol
common skin prep used during surgery iodine
used to flush and clean open wounds sterile saline
type of soap given to patients to use pre operatively hibiclens
solution that helps enhance adhesive material tincture of benzoin
what part of the instrument will determine the use the tip
used to produce a lack of feeling during a surgical procedure anesthetic
administered by inhalation and used during dental procedures nitrous oxide
suture removal for scalp and trunk 7-10 days
suture removal for face 3-5 days
suture removal for arms and legs 10-14 days
suture removal for joints 14 days
destruction of all microorganisms prior ro a surgical procedure surgical asepsis
destruction of microorganisms after they leave the body medical asepsis
process by which contaminated instruments are washes and scrubbed to remove potentially infectious material sanitization
device that cleans instruments by transmitting sound waves through a cleaning fluid ultrasonic cleaner
this process helps prevent rust, corrosion and keeps box locks moving freely on surgical instruments lubricating solution
instruments should be inspected for the following discoloration, defects, and maneuverability
the use of a chemical agent to destroy pathogenic organisms disinfection
disinfection is performed on fomites(inanimate objects)
instruments or devices that will penetrate or enter sterile tissue and require sterilization critical items
instruments or devices that may come in contact with non intact skin or mucous membranes semi critical items
examples of semi critical items scopes: laryngoscopes ;cystoscopies ; sigmoidoscopes
instruments that only come in contact with intact skin non critical items
examples of non critical items blood pressure cuffs; stethoscopes; wheelchairs
three levels of disinfecting solutions low; intermediate, high
examples of disinfectants 10% household bleach; isopropyl alcohol; cidex
the complete destruction of all microorganisms including endospores sterilization
sterilization achieved by using steam under pressure autoclaving
autoclaves must reach a temperature of 250-254 degress F
prior to autoclaving instruments should have been sanitized, inspected, and lubricated
materials used to wrap instruments for autoclaving sterilization paper, sterilization cloth wraps; sterilization pouches
devices that help determine whether or not a package has been exposed to high heat and steam and can be considered sterile sterilization indicators
sterilized packs should be labeled with name of item; date of sterilization, initials of preparer
general shelf life for double wrapped items or items in pouches 3 months - year
Created by: clarevoyant1019
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