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Surgical Nursing

Review Questions

Define Capillarity: The extent to which fluid is attracted along the suture
Define Monofilament: A single thread of fibre
Define Multifilament: Multiple threads of fibre
Define Knot security: Surface frictional characteristics of a suture material
Define Tissue Drag Degree of frictional force developed as suture material is pulled through suture
Tensile strength: The breaking strength of suture material 
What is meant by the term " Synthetic suture material" Made by chemical synthesis, especially to imitate a natural product.
What is meant by the term " Natural suture material" Existing in or derived from nature; not made or caused by humankind
Give two ideal properties of surgical scrub solutions: Broad spectrum antimicrobial activity,Decrease microbial count quickly, Quick application, Long residual lethal effect against microorganisms, Remain active and effective in the presence of organic matter, Safe to use, Practical , Economical
A surgical wound made under aseptic conditions, that does not enter any contaminated viscus & there is no break in sterile technique (neutering) can be classed as a) clean b) clean- contaminated c)contaminated d) dirty a) Clean
Was it the sterile zone The surgical site and sterile drapes, The draped tray, the sterile area of scrubbed personnel – the area in front of the scrubbed/gowned person above the waist and below the shoulders,The airspace above the surgical site and the sterile fields
Give four protocols for personnel to maintain asepsis: Hold hands above waist, below shoulders and in front of the gown. Gently clasp hands but don’t fold arms, Remain close and face the surgical field, Pass sterile personnel back to back, Pass non-sterile personnel facing away
What is pathological waste? Tissue and material contaminated by anything considered to be potentially zoonotic should be placed in red bags and sealed with biohazard tape.
What is clinical waste? Anything contaminated by blood, body fluids and tissue is clinical waste. It should be placed in a yellow biohazard bag and incinerated.
What is the role of the scrubbed in surgical nurse? Know what instruments are on the trolley and any preferred layouts , Count in and out of swabs and needles, Knowledgeable of surgical procedure being undertaken, Pass instruments to the surgeon,Assist with surgery (hold an instrument, tissue irrigation)
What is the role of the circulating nurse? • Assist with theatre setup,Tying surgical team into gowns, Patient positioning, Surgical site preparation, Monitoring anaesthesia, Opening instrument packs, Cleaning of theatre after surgery, Monitoring and adjusting fluid therapy, Pre-operative dx,
List 2 factors affecting infection rates: Operative techniques, Impaired resistance, contamination of the wound
Define Endogenous: originate within the body of the patient (ie. resident flora) the most important source of infection at surgery (poorly removed by patient prep procedure)
Define Exogenous: found outside the body of the patient (more easily removed by patient prep procedures) and in the environment (ie. equipment, the surgeon, the support staff, the air)
List two ways we can reduce infection pre-operatively: preparation of the surgical personnel: scrubbed in, sterilisation of the surgical equipment and materials,maintenance and hygiene in the theatre,proper selection and preparation of the surgical patient
Created by: stormygrey