Assisting with Minor Surgery

Betadine solution

All of the following would be placed on the Mayo stand EXCEPT: gauze sponges. fenestrated drape. thumb dressing forceps. Betadine® solution.

clean instruments

An ultrasonic cleaner is used to: a. sterilize instruments. b. deodorize. c. clean instruments. d. disinfect instruments.

prongs, hooks, and loops

Other features of instruments include

touching the rim of the bottle and without splashing the solution onto the sterile field

Sterile solutions in bottles should be poured into sterile basins or cups on the sterile field without

To reduce blood flow in the operative site through vasoconstriction

What is the purpose of adding epinephrine to the local anesthetic?

Incise and drain the cyst

Which of the following actions might the provider take if a sebaceous cyst were infected?

Vicryl

Which of the following is an example of absorbable suture material? Silk Nylon Vicryl Cotton Nurolon

0 silk

Which of the following is the gauge of the largest suture material? 0 silk 4-0 silk 5-0 silk 2-0 silk 3-0 silk

4-0

Which of the following is the smallest size suture material? 4-0 1 2-0 0

caustic

corrosive & burning; destructive to living tissue

Handles

designed to be squeezed between the thumb and fingers

cautery

destruction if tissue by burning

volatile

easily evaporated

Hibiclens

effective antiseptic and it does not have the staining tendencies of iodine

forceps

grasping tissue

avascularized

lacking blood or lymphatic vessels

nevi

plural of the medical term nevus, meaning mole

Hand cleansing for medical asepsis

removing pathogenic microorganisms from the hands after they become contaminated

Dry Heat Sterilization

requires higher temperatures than steam and requires longer exposure times

Dressings

sterile material applied directly onto the surface of a wound or surgical site

Bandages

supportive material applied over the top of dressing and are not sterile

suture

surgical material or thread; may describe the act of sewing with surgical thread and needle

approximate

to bring together the edges of the wound

ligature

when suture material is used for tying off the ends of tubular structures during surgery

water

All of the following are methods of sterilization EXCEPT: chemical gas water steam

needles and syringes for anesthesia

All of the following would be placed on the side table (unsterile field) EXCEPT: anesthesia vial. biohazard container. needles and syringes for anesthesia. alcohol wipes.

Operating scissors always have straight, sharp blades

All of these statements regarding surgical, operating scissors are accurate

surgical incision, suturing a laceration, giving an injection or inserting a sterile catheter

Examples of invasive procedures include

isopropyl alcohol

The 70% alcohol solution that is commonly used as a disinfectant is known as

cauterization

The burning of tissues, either chemically or electrically, is known as: sterilization. cryosurgery. chemical tissue destruction. cauterization.

ratchets

The locking mechanisms on the handles of some surgical instruments

All the above

What is the purpose(s) of provider preference cards? a. Make setup for a procedure less difficult b. Make sure that the practitioner has the instruments needed c. Standardize procedures no matter which staff member sets up

Give the provider a separate container for contaminated instruments.

Which is true of the rule protecting sterile items?

All of these

Which of the following are key methods to protect a sterile object? a. Sterile objects must not touch unsterile objects b. Never turn your back on a sterile field c. Anything below the waist is considered unsterile d. All of these

Betadine

Which of the following is a well-known antiseptic and is available as a surgical soap called a "scrub" and as a nonsoap solution for preoperative skin preparation/ paint? isopropyl alcohol iodine hydrogen peroxide Betadine

informed consent form

Which of the following provides the patient with information on the medical or surgical procedure to be performed, describes the actual procedure in lay terms, cites alternative treatments, and lists the possible undesirable outcomes and risks involved in the procedure? surgical consent form informed consent form surgical history form HIPAA form

serrations

Which of the following refers to the crevices etched into the surfaces of the jaws of hemostats, some forceps, and needle holders? handles ratchets serrations teeth

Barrier gloves are applied before beginning cleanup.

Which statement is accurate regarding room and equipment cleanup?

Surgical hand washing should last from three to six minutes

Which statement is accurate regarding surgical hand washing?

Sodium hydroxide

a chemical used in a liquid state to chemically burn and destroy tissue in minor surgery

preference cards

a method of noting a provider's preferred method of conductinga a procedure that includes positioning, med(s), instrumentation, room set up and so on

swaged

a surgical needle that has been attached during manufacturing, to a length of suture material

sitz bath

a warm water bath, in which only the hips & buttocks are immersed

exudate

accumulated fluid in a cavity

dry sterile transfer forceps

allows sterile items to be applied or sterile items on the tray to be rearranged without the application of another pair of sterile gloves.

suppurant

an agent causing pus formation

sterile field

an area that is considered sterile, usually designated by a sterile drape; the area contains sterile supplies and instruments needed for a particular sterile procedure or surgery

antibacterial solution

capable of destroying bacteria and is often applied to a wound in the form of an ointment or cream

Silver nitrate

caustic astringent antiseptic.

friable

easily broken

infection

invasion of pathogens into living tissue

Steam sterilization

is the most widely used method of sterilization used in the medical clinic.

inflammation

localized response to injury or the destruction of tissue

anesthesia

loss of feeling or sensation

Gas sterilization

low-temperature chemical sterilization; best utilized in a hospital or large organizational setting

epinephrine

manufactured as a chemical and is often mixed with local anesthetics; causes vasoconstriction and is reduced blood flow to the area is desired

teeth

may be numerous or few but are always sharp & should approximate tightly when closed

Chemical (Cold) Sterilization

may use the same chemical agents used to chemically disinfect instruments or fomites; items must be sanitized first

Surgical asepsis

means all microbial life is destroyed before an invasive procedure is performed.

contamination

means to make something impure, unclean, not sterile, or potentially exposed to pathogenic substances.

Mayo stand/instrument trays

portable metal tray table used for setting up small sterile fields for minor surgery and procedures

surgical asepsis

procedures that render objects sterile; techniques to maintain sterile condition during an invasive procedure

box-lock

special type of hinge found on most ring-handled instruments, especially grasping

fenestrated

specialized drape that has an opening large enough to accommodate the surgical field

Cryosurgery

the destruction of tissue by applying extreme cold, silver nitrate, and carbon dioxide.

scalpel

the knife used to cut the skin

strictures

the narrowing of a tube-like structure such as the esophagus

ecchymosis

used for describing a closed wound commonly known as a bruise.

autoclave

used to achieve sterilization; uses steam under pressure to obtain higher temperatures than can be achieved with boiling

Hemostats

used to grasp and clamp blood vessels

electrosurgery

uses electric current in a concentrated area to either cut or destroy tissue whenever pathologic exam isn't required; useful in removing benign skin tags and warts