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