chapter 12 st for st

before opening any supplies for delivery to the sterile field what must be verified?

- integrity, not expired, being intact and not violated

if a pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table , what should be done?

-give to RN, RN will label it and take it off the field

examples of best practice techniques of counting sponges on the sterile field:

-remove band, separate each sponge, count out loud one by one

items considered countable for potential foreign bodies:

-sponges, blades, bovie tip, hypo needle

with what amount and which fluid is a 16 fr two way Foley catheter with 5 cc balloon filled?

10 mL of sterile water

where is the safety belt or strap placed on a patient in supine position on the OR table ?

2 in above knees

up to what area of the arms does an ST scrub?

2 inches above elbows

how many individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher?

4 people

which member of the surgical team gives permission for the patient to be positioned or transferred?

CRNA

which two members of the surgical team are responsible for performing the counts to prevent retained items?

ST and circulator RN

list true statements regarding hair removal?

- have the patient remove their own hair, do not remove unless necessary

the laparotomy surgical prep perimeters:

abdominal- performing outward circular motion

torsion

act or process of being twisted or rotated around the axis

the ability to ____ the needs of the surgeon is one of the most important skills for a surgical technologist to develop

anticipate

apical

apex of the heart, method of reading heart rate

perineum

area between the anus and scrotum (male) or vulva (female)

during the surgical skin prep areas that are considered contaminated should:

be prepped last with separate sponges

state placement of legs in the lateral kidney position:

bottom leg is flexed and the legs are separated with pillows

what would be the likely result of positioning the patient's arms on armboards at a greater than 90 degree angle from the torso?

brachial nerve damage

what is the term used when a surgical team member who is on standby must return to the facility to do a case?

called in

an assistant may be needed to properly perform which type of surgical skin prep?

circumferential extremity

which gloving method should be performed by the ST after donning a sterile gown and before setting up the back table?

closed glove

which towel is placed first when squaring off the operative site?

closest to the individual that's applying the towels

depilatory

cream used as hair removal method

the configuration of a Mayo stand cover?

cylindrical

neutral zone

designated area for sharps to prevent intraoperative injuries

what is the purpose of a radiofrequency tracking system in the operation room?

detection of sponges intraoperatively, decreases the risk of retained items

which component of ppe has shown the ability to decrease disease transmission from needle punctures?

double gloving

what does the circulator verify before the ST places the basket of instruments on the back table?

filters at the bottom of the tray, integrity inside the tray, dry, intact, sterility

what is the term for the normal resident microbial populations found on human skin?

flora

the sitting position is a modification of which position?

fowlers position

what is the temporary position for a female patient for placement of urinary catheter prior to abdominal hysterectomy?

frog legged

which type of sterile own uses battery powered ventilation for the wearer?

full coverage gown

radiation, convection, conduction, evaporation are examples of:

intraoperative heat loss

the purpose of the preoperative skin prep is to ___ the patient's skin to prevent surgical site infections

keep microbial count within sterile field to an irreducible minimum

auscultation

listening to sounds withing the body

for which position would the head of the OR table be moved to the foot before the patient is placed on the table?

lithotomy position

the proper sequence for performing intraoperative and closing counts is operative site, _____, back table,______, kick bucket or off field

mayo stand, basin

list at least 3 examples of blunt dissection of tissue?

metzenbaum, kelly, peon mayo, surgeon finger

which of the following should be removed to facilitate oxygen blood level assessment?

nail polish

suction tubing and ESU cords are attached to the sterile drape with ____ towel clips to prevent contamination

non-penatrating

during the process of setting up the sterile field, efficiency and economy of motion recommend that the ST move items only _____ if possible

once

what should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing?

open gown wrapper on mayo stand and open and toss gloves on gown

which table attachment is required to safely maintain a patient in the reverse trendelenburg position?

padded foot boards

perfusion

passage of fluid through the lymphatic system or blood vessels to an organ or tissue

when transporting a patient on a stretcher through the OR suite corridors which direction should you move the gurney and how?

patient facing forward, feet first

lateral recumbent

position in which an individual is lying on her side (decubitus)

which position requires anesthesia administration and intubation to be performed on the patient's stretcher prior to final positioning?

prone

tachypnea

rapid breathing

the main purpose of the surgical skin prep?

reduce the number of resident organisms on the patients skin to keep microbial count to an irreducible minimum

which position would facilitate exposure of the operative area during a laparoscopic cholecystectomy?

reverse trendelenburg, slight tilt to the head

which position is routinely used for flexible colonoscopy procedures and may be performed on the patient's stretcher?

sims position

the legs of a patient being placed in the lithotomy position should be raised and lowered slowly and ____by two unsterile personnel

simultaneously

what is the name of the device used to manually assess blood pressure?

sphygmomanometer

to secure the mayo stand from moving during draping what should be done?

step on the foot of the stand

what is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub?

subingual

trendelenburg, reverse trendelenburg, fowler's and lithotomy are variations of which basic position?

supine

best practice states that all of the following items remain sterile until the patient leaves the room except:

surgical drapes

which term describes the condition of a ST'S skin following skin prep?

surgically clean

list operative vital sign measurements:

temp, pulse, bp, respirations

when turning the sterile gown, what is handed to the circulator that completes the gowning process?

the gown tag ,(transfer card)

impervious

to prevent penetration of fluid thru materials resulting in contamination

what is the name of the common disposable surgical gown style?

wraparound gown #3