What is the proper way to open a small sterile wrapped item for delivery to the sterile field?
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All tables set up as part of the sterile field should be placed how many inches from the wall? Show 10-12 While the CST is passing instruments, the surgeon is focused on the... Exchange Patient possessions should be.... Collected and placed in patients room If your pack comes with dressings inside when opening, you should... Save them because
you'll need them Remove them from the field Is it appropriate to cut you counted dressings for a dressing sponge Yes, if the incision is small Hypothermia affects up to what percent of people? 30 What federal agency has recommendations on hair removal in the OR? AORN The mayo cover is considered what kind of drape? Wrap around In preparing a patient for surgery, which of the following should be removed to facilitate oxygen blood level assessment? Makeup What is the term used when a surgical team member who is on standby must return to the facility to do a case? Called up Which type of sterile gown uses battery-powered ventilation for the wearer? disposable fluid resistant Which component of personal protective equipment (PPE) has shown the ability to decrease disease transmission from needle punctures? a. double gloving Which of the following describes the configuration of a Mayo stand cover? a. flat What is the purpose of a radiofrequency tracking system in the operating room? a. Aid in chargeable items being input into system. Reduce possibility of retained foreign objects. During the process of setting up the sterile field, efficiency and economy of motion recommend that the surgical technologist (ST) a. move items only once if possible move items only once if possible During the surgical skin prep, areas that are considered contaminated should a. not be scrubbed at all be scrubbed separately or last The main purpose of the surgical skin prep is to a. provide a visible area of paint where the incision will be made reduce the microbial count on the skin to an irreducible minimum The patient undergoing laparotomy should be prepped a. in a side-to-side motion from bedside level to bedside
level from the incision site outward toward the periphery in a circular motion Which of the following statements regarding hair removal is INCORRECT? a. Hair must be shaved from every incisional and ECG lead site. Hair must be shaved from every incisional and ECG lead site. Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient's stretcher? a. Fowler's Which towel is placed first when squaring off the operative site? a. inferior margin same side as person applying towels An assistant may be needed to properly perform which type of surgical skin prep? a. circumferential extremity circumferential extremity Which term describes the condition of a surgical technologist's skin following skin prep? a. debrided What is the appropriate method for delivering a sterile item to the back table from a peel package? a. Open peel pack away from self, using top flap to cover hand and
arm, open item over center of back table. Open package laterally and completely, gently toss item without touching glued edge or going over back table. Up to what area of the arms does a surgical technologist scrub? a. 1 inch below the elbows 2 inches above the elbows Which of the following would NOT be an appropriate method of performing a surgical scrub/skin preparation? a. anatomical timed Which gloving method should be performed by the surgical technologist after donning a sterile gown and before setting up the back table? a. assisted gloving Which of the following techniques of counting sponges on the sterile field is an example of best practice? a. Count packages, leaving paper bands around and intact to prevent mixing of sponges before use. Remove paper bands around sponges, separate each sponge into separate piles while counting aloud with the circulator Which of the following are NOT considered countable items for potential of retained foreign objects? a. dressings Which method of gloving is appropriate for placement of a urinary catheter as part of the skin prep? a. closed
gloving Where is the safety belt or strap placed on a patient in supine position on the OR table? a. 2 inches proximal to the ankles 2 inches proximal to the knees What would be the likely result of positioning the patient's arms on armboards at a greater than 90° angle from the torso? a. hyperextension nerve damage hyperextension nerve damage What is the temporary position for a female patient for placement of urinary catheter prior to abdominal hysterectomy? a. frog-legged The sitting position is a modification of which position? a. Trendelenburg For which position would the head of the OR table be moved to the foot before the patient is placed on the table? a. Trendelenburg Which position requires anesthesia administration and intubation to be performed on the patient's stretcher prior to final positioning? a. lateral Which of the following statements about lateral kidney positioning is INCORRECT? a. The lower leg is flexed, the upper leg is straight, and a pillow is between them. The lower leg is straight, and the upper leg is flexed, with a pillow under the lower leg. Before opening any supplies for delivery to the sterile field, what must be verified? a. Removal of charge sticker Package integrity being intact and not violated What is the term for the normal resident microbial populations found on human skin? a. bioburden What should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing? a. Open and toss gown and gloves into the basin set. Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown. What is the proper way to open a small, sterilely wrapped item for delivery to the sterile field? a. First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field. First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field. What is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub? a. subacromial What is the name of the common disposable surgical gown style? a. cylindrical 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? a.
Discard the sponge pack into a trash hamper. Hand off the pack to the circulator who will bag, label as incorrect, and isolate off field until case completion. Which statement regarding instrument counts is CORRECT? a. They should be counted while all still on back table. They should be counted while all still on back table. When transporting a patient on a stretcher through the OR suite corridors, which method should be followed? a. Pull the stretcher with the patient facing feet first and the
patient flat and restrained. Push the stretcher with the patient facing feet first in the position most comfortable for the patient. Radiation, convection, conduction, and evaporation are examples of a. instrument sterilization methods mechanisms of intraoperative heat loss How many individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher? a. None--wait until patient can move him- or herself. Which of the following is NOT an example of blunt dissection of tissue? a. Gloved finger against tissue. Endo Shears are used through laparoscopic trocar to separate tissue. Best practice states that all of the following items remain sterile until the patient leaves the room, EXCEPT the a. back table Which member of the surgical team gives permission for the patient to be positioned or transferred? a. Anesthesia provider When turning the sterile gown, what is handed to the circulator that completes the gowning process? a. gloved hand To secure the Mayo stand from moving during draping, what should be done? a. Push the Mayo stand against the
wall. Step on one leg of the Mayo stand. Which two members of the surgical team are responsible for performing the counts to prevent retained items? a. circulator and surgeon circulator and surgical technologist Which of the following descriptions of how to pour liquids into a container on the sterile field is correct? a. Hold the bottle 6 inches above and over the basin. Hold the bottle 12 inches above and with only the lip of the bottle over the basin. What does the circulator verify before the surgical technologist places the basket of instruments on the back table? a. The internal indicator has changed color. The numbers of instruments in the tray are correct on the count sheet from CSPD. Which of the following statements regarding transfer of an awake, mobile patient from stretcher to OR table is INCORRECT? a. Both table and
stretcher must be locked to prevent movement during transfer. The safety strap is secured tightly across patient's waist to prevent possible fall due to narrow OR table. Which of the following is/are NOT included in operative vital sign measurements? a. Pulse All of the above are considered operative vital sign measurements What is the name of the device used to manually assess blood pressure? a. electrocardiograph With what amount and which fluid is a 16 Fr., two-way Foley catheter with 5 cc balloon filled? a. 5 mL of sterile water Trendelenburg, reverse Trendelenburg, Fowler's, and lithotomy are variations of which basic position? a. decubitus Which table attachment is required to safely maintain a patient in the reverse Trendelenburg position? a. anesthesia screen Which position would facilitate exposure of the operative area during a laparoscopic cholecystectomy? a.
Trendelenburg with slight tilt to the left reverse Trendelenburg with slight tilt to the left What is the proper way to open a small sterile wrapped item for delivery to the sterile field quizlet?33. What is the proper way to open a small, sterilely wrapped item for delivery to the sterile field? a. First flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self and secured before tossing item onto field.
In what order do you open a sterile wrapped package to set it up as your sterile field?Open the top flap of the package first; open it away from you. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. This is to keep you from reaching over the sterile field. Open the last flap toward your body.
When opening a sterile packet you should open the top flap towards you?Open sterile kits away from your body first, touching only the very edge of the opening flap. Using the same technique, open each of the side flaps one at a time using only one hand, being careful not to allow your body or arms to be directly above the opened drape.
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