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Surg Tech CH. 12

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Created by: Dmercer

Question	Answer
What are the 3 Phases of Surgical Case Management?	-Preoperative -Intraoperative -Postoperative
Preoperative case management: Prepare the ___. Pull necessary _____________(s). Prepare and maintain the __________ field. _______, gown, and _______. Count. Drape. Don ___.	- OR - Supplies - PPE - Sterile - Scrub,gown,and glove
Intraoperative case management: Maintain the ________ field. ________________ team members needs. Pass __________(s) and ___________(s) as needed. Prepare and handle med_____(s). Speciman ______. Dressings.	- Maintain the STERILE field. - ANTICIPATE - Instruments and supplies - Medications - Specimen CARE
Postoperative case management: Maintain _______ field until patient is transported. Transport used instruments and equipment to _______________ area. Prepare OR for next patient. Dispose of ______(s).	- STERILE FIELD - Decontamination area - Sharps
 Maintain the sterile field  Anticipate team members needs  Pass instruments and supplies as needed  Prepare and handle medications  Specimen care  Dressings	Intraoperative case management
 Prepare the OR  Pull necessary supplies  Don PPE  Prepare and maintain the sterile field  Scrub, gown, and glove  Count  Drape	Preoperative case management
 Maintain sterile field until patient is transported  Transport used instruments and equipment to decontamination area  Prepare OR for next patient  Dispose of sharps	Postoperative case management
A POSitive CARE approach. What do the letters in CARE stand for?	C - Caring attitude A - Application R - Role E - Enviormental Concern
APOS?	A - Anatomy P - Pathology O - Operative (procedure) S - Specific (variations)
 Identifying goal or problem  Gathering and evaluating information  Use A POSitive CARE Approach  Generating one or more responses  Implementing the best response  Assessing the results	The five steps to critical thinking.
What is the first step in the five steps to critical thinking?	1. Identifying the goal or problem
What is the second step in the five steps to critical thinking?	2. Gathering and evauluating information. ( Use A POSitive CARE approach).
What is the third step in the five steps to critical thinking?	3. Generating one or more responses
What is the fourth step in the five steps to critical thinking?	4. Implementing the best response
What is the final step in the five steps to critical thinking?	5. Assesing the results
Where can you gather information about the surgeon and what he wants?	Surgeons prefrence card
NAME THREE PHYSIOLOGICAL NEEDS:	-breathing -food -water
Name three physicological needs :	-safety -belonging -love
Reminder  Never judge a patient  Condition  Behaviors that led to condition  Personal appearance  Surgical choices  Always view patients with compassion This is called :	Respect
 Laboratory results  Radiology reports  Previous pathology reports  Surgical consent (review)  History and physical report (H&P)  Preoperative checklist  Allergies, handicaps, or other limitations  Nurses notes	All of these things should be in the patient chart.
Surgical consents?	-Permission to perform an action. -permission to touch (voluntary- can be taken away at any time).
Touching without permission can be_______.	Battery
Informed Consent: Obtain for all invasive procedures  Protects patients and providers  Patient is aware of:	- Their condition - Proposed procedure - Risks - Viariables - alternatives
The responsibility for securing written, informed consent belongs with the:	Surgeon
Preoperative Patient Education reduces ____________.Significant increase in patient __________________. Proven to shorten hospital stay.	- Anxiety. - Compliance
 Patient should shower or bath the night or morning prior to surgery  Practice good oral hygiene  Hair should be washed  Preop shave  As close to the time of surgery as possible  NPO eight hours prior to surgery  Comfortable clothing	PREOPERATIVE ( before admitting to hosptial for surgery).
Nail polish should be removed to better measure blood oxygen saturation Pulse oximeter Makeup should be removed Skin tone Infection	PREOPERATIVE
All ______________ should be removed prior to surgery. Dentures, prostheses, and implants also need to be removed.	Jewelery
Jewelary, Dentures, Prostheses, etc. need to be ______________ and placed with patient possesions. This includes wigs and hairpins.	Labeled
Once patient possisions are collected:	- Give to family members - Lock in the hospital safe - Labeled and kept with patients chart
Preoperative medications are used to:	- Alleviate anxiety - Decrease nausea - Produce amnesia - Decrease saliva and gastric juices -
These medications should be taken __ to __ hours before surgery.	1 to 2
The paitent should not be left alone after administration of Pre OP meds.	True that.
Know the proper attire for the surgical technologist.	- Hat - Masks - Scrub suit - Shoe covers - Protective eyewear - radiation protection - gloves
Scrub suits are changed _____.	Daily
Shirts and drawstrings tucked __.	In
Need to change _______(s) if they become soiled.	Need to change SCRUBS if they become soiled.
Wear a cover gown or ____ ______ when leaving the O.R. environment. It looks professional and it prevents cross-contamination.	Lab coat
Hair covers are donned prior to the scrub suit to prevent shedding  Reusable hats must be washed everyday  Completely cover hair  Space helmets  Skullcap  bouffant	True
Masks are worn at all times in _________________ areas. Tied snugly to fit over mouth and nose  Strings of mask should not be crossed  On or off  Not hanging around neck  Handled with strings Minimal  Changed between all cases.	-Restricted
Shoe covers protect your _____. Remove when soiled. Remove when leaving surgical site.	Shoes
Gowns are sterile from ______ _______ to ___ ______.	Waist level to mid level.
Sleeves circumferentially to _____ inches above elbows.	two
Cuffs of the gown are considered ___ ______________,	Non sterile
_________(s) Should be worn anytime contact with broken skin or body fluids is expected.	Gloves
Always examine package and inspect ___________ of package before opening and putting on back table.	Integrity
Check the ________ date.	Expiration
Open __________ table first.	Back
____________ items to ____________ items.	Larger items to smaller items.
STSR’s gown and gloves should not be opened on the ____ _______.	Back table
During a surgical scrub hands and arms need to be __" above the elbow.	2
Surgical scrub should provide a film that lasts for several __________.	hours
There are two types of surgical scrubs:	-Timed method and -Counted brush stroke method. ( Hospital policy will dictate  Number of strokes  Required number of minutes 5-10)
Open door with back  Keep hands between waist and midchest  Avoid touching anything  Don a surgical gown  Minimize big movements  Do not turn your back on sterile field  “closed gloving”	Self drying and gloving
Keep hand in sight  Keeps hands in sterile zone  Establish a routine  Drape the mayo stand  Organize the back table  Move as little as possible  Keep body centered  Work in sections  Handle each item only once  Be aware of environment	Preperation of sterile field
Sponges. Packs of __ or __.	5 or 10
__________. sponges should not be used until after final count	Dressing sponges.
Patient Transport	 Feet first  Slowly  Elevator  Head first
Apply safety strap __” above knee  Proximal to knee. Never leave patient alone.	2 inches above knee
Normal temp values: Oral: Rectal: Axillary:	Oral: 98.6 Rectal: 99.6 Axillary: 97.6
Tempature monitoring Methods: Noninvasive: Invasive:	Noninvasive: -touch -skin sticker -ear -axilla INVASIVE: -Oral -Rectal -Esophogeal -Bladder
Normal Pulse Values: ------------------- Birth: Infants: Children ( 1 to 7): Children ( over 7): Adults:	Birth: 130-160 Infants:110-130 Children (1-7): 80-120 Children (over 7): 80-90 Adults: 60-80
Normal Respirations: Infants Children Adults	Infants: 30-60 per minute Children: 18-30 per minute Adults: 12-20 per minute
Normal BP for a newborn:	50-52 SYSTOLIC/25-30 DIASTOLIC
Normal BP for a child under six years of age:	95/62
Normal BP for a child to ten years old:	100/65
Normal BP for an adolescent:	118/75
Three basic positions:	-Supine -Prone -Lateral
Patient Positionins:	Supine  Prone  Fowler’s  Trendelenburg  Reverse Trendelenburg  Lithotomy  Kraske  Lateral