Chapter 12: Surgical Case Management; Short Answer: Preoperative OR Setup in the Room, Preference Card

The doors to the OR should be kept open until you get ready to open the sterile supplies, then they should be closed to prevent air currents and flies or flying insects from entering the room. Is this a true to false statement? Why?

False, the doors should remain closed to prevent the spread of microbes and to keep the laminar air flow between the OR and the hallway.

The initial incision has been made; the surgeon asks for suction, which suction will you pass to the surgeon?

Poole

What equipment is routinely checked prior to the case to be sure it is functional?

Saw/drill, tubing, light sources, ant screws on an instrument, anything with a mechanism.

What antibiotic will be used?

Bacitracin

What items will be available in the room, but not necessarily opened or used during the initial setup of the case?

Dressings, control syringe, 25 gauge 1/2" needle, 3-0 nylon

When arranging furniture for the case, you must position your back table and Mayo(s) for the sterile field setup. Describe the basic concepts used when positioning the sterile field for setup.

12 inches from the walls, OR table in the center of the room underneath the OR lights, Mayo and back table positioned furthest from the door.

When the circulator returns with the patient, you note that the patient is approximately 300 lbs. Which item will be opened due to this information?

3-0 Vicryl CT-1 for sub-q

Once the appendix has been grasped with a Babcock, you note material seeping from a hole in the side of the appendix. You can now anticipate what the surgeon will need to close the skin. What will you ask for?

3-0 nylon