Surgical Technologist Gown & Gloves Prep Quiz

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Questions and Answers

When do you change masks?

between all cases

Duties of the surgical technologist during the preoperative case management phase include:

prepare the OR, scrub and don sterile attire, and expose the operative site with sterile drapes — NOT assess the surgeon's needs.

The correct count order for surgical counts is:

sponges, sharps, instruments

What is the reason for preoperative education?

to alleviate anxiety, promote better postoperative outcomes, and decrease the need for postoperative medications Signup and view all the answers

Prior to surgery, what is done with the patient's valuables and possessions?

they are locked in the hospital safe Signup and view all the answers

What can cause the Pulse Oximeter to not function properly?

finger nail polish Signup and view all the answers

What is the CDC's recommendation on preoperative shaving?

not to remove hair preoperatively unless it interferes with the operation Signup and view all the answers

What is the diet for a patient undergoing local or spinal anesthetic?

a light meal may be permitted prior to surgery Signup and view all the answers

Caps and hoods are what kind of PPE?

head coverings Signup and view all the answers

What part of the scrub attire is donned first?

hair covers Signup and view all the answers

Which statement is FALSE concerning how to wear a mask?

the strings of the mask should be crossed when tied Signup and view all the answers

When should you be conscious of latex gloves?

if the patient is latex sensitive or allergic Signup and view all the answers

What should be performed immediately after glove removal?

a hand wash Signup and view all the answers

Mask-shield combinations without the upper foam band should be worn ____.

with caution, because they afford little protection from splashes from above Signup and view all the answers

The front of the surgical gown from mid-chest level to the waist and sleeves circumferentially to 2 inches proximal to the elbows is considered ___.

sterile Signup and view all the answers

What part of the surgical gown is considered nonsterile?

the cuff Signup and view all the answers

Immediately after the scrub is complete, the STSR proceeds directly to the OR, and will ____.

dry, gown, and glove Signup and view all the answers

What technique is used for donning the gloves following the surgical scrub and after the sterile gown has been donned?

closed glove technique Signup and view all the answers

What provides a large sterile area for the preparation and storage of instruments, drapes, medications, and other sterile items?

the back table Signup and view all the answers

When pouring sterile water or saline, ___.

NEVER recap the fluid container for later use of the remaining solution Signup and view all the answers

Hypothermia affects up to ___% of all surgical patients.

60 Signup and view all the answers

Loss of heat from the patient's body to the environment is ___.

radiation Signup and view all the answers

What are the two major modes of heat loss to the patient and account for up to 80% of the total body heat loss intraoperatively?

radiation and convection Signup and view all the answers

Shivering may cause ___.

tachycardia Signup and view all the answers

What is the normal pulse value for adults?

60-80 bpm Signup and view all the answers

Fast, deep breaths for a period of time, followed by 20-60 seconds of apnea is ___.

Cheyne-Stokes Signup and view all the answers

What is the normal respiration rate for adults?

12-20 per minute Signup and view all the answers

What is the normal respiration rate for children?

18-30 per minute Signup and view all the answers

What method of gloving is used when a non-sterile team member does a Foley catheter insertion or surgical skin prep?

open gloving technique Signup and view all the answers

Catheters:

use the smallest size that will drain the bladder without leakage, the surgeon will order the style catheter desired, and the balloon is inflated with water — DO NOT inflate the balloon with air Signup and view all the answers

40% of all nosocomial infections are ___.

urinary tract infections Signup and view all the answers

Safe positioning of the surgical patient is the responsibility of ___.

the entire surgical team Signup and view all the answers

In the supine position, the patient lies flat on the back with the arms secured at the sides and ___.

palms facing inward Signup and view all the answers

When arm boards are used, they should be placed at no more than a ___ degree angle to the table.

90 Signup and view all the answers

In the prone position, chest rolls or axillary rolls are used to prevent ___.

pressure on abdominal contents and thoracic compression Signup and view all the answers

What type of PPE is available for high-infection-risk procedures and orthopedics?

space suits Signup and view all the answers

When are the sterile gloves applied?

immediately after donning the sterile gown Signup and view all the answers

When x-rays are expected, what is recommended to wear to protect your hands?

lead gloves Signup and view all the answers

Double gloving is recommended because ___.

fat is known to degrade latex Signup and view all the answers

Numerous studies have shown double-gloving to significantly reduce ___.

the amount of blood contamination of the hands Signup and view all the answers

When double gloving, extra comfort may be achieved by wearing ___.

an inner glove one-half to one full size larger than the normal glove size, and wearing an outer glove of normal size Signup and view all the answers

The back table, mayo stand, and ring stands should be positioned ___.

in the area furthest from the door Signup and view all the answers

The back table, mayo stand, ring stand, and other sterile items must be placed ___.

at least 12-18 inches away from the walls Signup and view all the answers

The anesthesia machine is usually placed ___.

at the head of the OR table Signup and view all the answers

Before opening any sterile item, ___.

examine the integrity, contents and expiration of the package Signup and view all the answers

Any item that is unable to be verified of sterilization, has tears, holes, perforations, watermarks, or is expired is ___.

not used and removed from the sterile field Signup and view all the answers

It is recommended that the ___ be the first sterile area prepared by the STSR.

back table Signup and view all the answers

When opening a sterile pack, the first flap is ___.

unfolded away from you Signup and view all the answers

Once a surgical scrub is performed, you must ___.

avoid touching non-sterile items Signup and view all the answers

The surgical scrub is intended to remove as many microorganisms as possible from the hands and arms, and to render them ___.

surgically clean Signup and view all the answers

Organisms that are required by touching other contaminated objects are ___.

transient organisms Signup and view all the answers

The method when the hands and arms are scrubbed for a prescribed length of time is the ___ method.

timed Signup and view all the answers

The method that requires a measured number of brush strokes for each anatomical area to be scrubbed is the ___ method.

counted brush stroke Signup and view all the answers

The first scrub of the day is _ minutes and all subsequent scrubs are _ minutes long.

10; 5 Signup and view all the answers

When passing drapes to the surgeon, ___.

pass from the same side with the drape in the folded position Signup and view all the answers

What instrument is placed into the surgeon's hand 'pencil' style?

scalpel Signup and view all the answers

The surgeon's main focus during an operation is the ___.

procedure Signup and view all the answers

Once the surgical procedure is over, ___.

the gown is removed prior to glove removal Signup and view all the answers

A common method of glove removal is to grasp the outer cuff of both gloves with the thumb and middle finger of the opposite hand and then pull both hands outward at the same time, removing both gloves. This prevents ___.

the wearer from having to touch contaminated areas of the gloves with bare hands Signup and view all the answers

The final step of gowning is ___.

turning Signup and view all the answers

The respiratory control area of the brain is the ___.

medulla oblongata Signup and view all the answers

Why is the axilla padded in the lateral position?

to help circulation of the arm and to allow the lungs to expand Signup and view all the answers

Occurs prior to skin incision

Preoperative case management Signup and view all the answers

Step 1 of preoperative case management (PCM)

Don PPE, perform basic handwash Signup and view all the answers

Step 2 of PCM

Prepare OR, position furniture and equipment for best use away from entryway Signup and view all the answers

Step 3 of PCM

Gather equipment and supplies Signup and view all the answers

Step 4 of PCM

Scrub, gown and glove Signup and view all the answers

Step 5 of PCM

Prepare and organize sterile field (ie: back table, basin, mayo) Signup and view all the answers

Step 6 of PCM

Counts (sponges, sharps, & instruments) Signup and view all the answers

Step 7 of PCM

Gown and glove sterile team members Signup and view all the answers

Step 8 of PCM

Assist with draping patient Signup and view all the answers

Time during which surgical procedure is being performed

Intraoperative Case Management (ICM) Signup and view all the answers

Duties of ST in ICM

*maintain sterile field *pass instruments, equipment as needed *anticipate needs of surgeon and patient *prepare and handle medications *counts *care for specimen(s) *apply sterile dressings Signup and view all the answers

Begins when sterile dressing is applied or with extraction of endoscope

Postoperative Case Management (POCM) Signup and view all the answers

Step 1 of POCM

Maintain sterile field until patient is transported to PACU Signup and view all the answers

Step 2 of POCM

Remove used equipment instruments and supplies from OR Signup and view all the answers

Step 3 of POCM

Care for and maintain instruments and equipment for following use Signup and view all the answers

Step 4 of POCM

Prepare OR for next patient (turnover) Signup and view all the answers

Information found in patient's chart includes:

Lab results, radiology results, consent for treatment, surgical consent form, anesthesia consent form, preoperative checklist, special consent forms, pathology reports, history and physical report (H & P), identification of allergies, handicaps or limitations. Signup and view all the answers

Commonly given by anesthesiologist 1-2 hours prior to procedure at time of preoperative visit?

Sedatives Signup and view all the answers

Patients are often asked to shower with what before day of surgery to reduce the risk of SSI?

Antiseptic wash containing chlorhexidine or povidone-iodine Signup and view all the answers

Why are patients not permitted to have food or liquid 6-8 hours prior to surgery?

Danger of aspiration while under anesthesia Signup and view all the answers

Why are hair covers donned prior to the scrub suit?

Decrease possibility of hair or dandruff being shed onto scrubs and potentially contaminating wound and aiding microbial dispersal Signup and view all the answers

A mask should never be allowed to hang ________

around the neck Signup and view all the answers

Once attired the ST does what first?

Reports to main OR desk to obtain necessary information on that day's assignments Signup and view all the answers

What is required immediately upon entering the restricted area?

Basic hand wash, and application of mask Signup and view all the answers

What is done before getting the preference card for procedure?

Wipe down all surfaces of OR with disinfectant Signup and view all the answers

How far away from walls and unsterile surfaces should furniture like the back table, mayo and ring stand be placed?

12-18 inches Signup and view all the answers

How many people are needed to transport a patient to the OR?

2 people Signup and view all the answers

For safety and to maintain control of the stretcher, what way should you transport a patient?

Slowly and feet first Signup and view all the answers

How many team members are needed to transfer a patient from the stretcher to the operating table?

4 or more depending on size and mobility of the patient Signup and view all the answers

What should be taken into consideration before positioning a patient besides type of procedure?

Preoperative neuropathies, preexisting conditions, diseases, age, physical limitations, skin condition and height & weight Signup and view all the answers

Why is maintenance of normal core temperature so important?

Reduces incidents of wound infection, reduces blood loss, shortens hospital stay, and decreases the occurrence of fatal cardiac events Signup and view all the answers

Where should the safety strap be positioned on the patient?

2 inches proximal to the knees Signup and view all the answers

What are baseline vital signs?

Height, weight, blood pressure, pulse, and temperature Signup and view all the answers

Normal (average) temperatures:

Oral: 98.6° Axillary: 97.6° Rectal: 99.6° Signup and view all the answers

Normal pulse rate for infants; children 1-7 yrs; 7-17 yrs, and adults.

Infants: 110-130 bpm Children (ages 1-7): 80-120 bpm Children (ages 7-17): 80-90 bpm Adults: 60-80 bpm Signup and view all the answers

The goal of proper patient positioning is?

Best possible access and visualization of the surgical site while causing the least possible compromise to physiological function and stress for patient safety Signup and view all the answers

What patients are at higher risk during positioning?

Those with arthritis, demineralizing bone diseases, and compromised cardiovascular ability Signup and view all the answers

Why is the patient lifted as opposed to slid onto the operating table during transfer?

To prevent friction and shearing injuries Signup and view all the answers

Study Notes

Surgical Case Management Overview

Surgical masks must be changed between all cases to maintain sterility.
Duties of surgical technologists during preoperative management include preparing the OR, scrubbing and donning sterile attire, and exposing the operative site; they do not assess the surgeon's needs.
Correct instrument count order is sponges, sharps, and then instruments.

Preoperative Patient Care

Preoperative education alleviates anxiety, promotes better outcomes, and decreases need for medication post-surgery.
Patient valuables are secured in the hospital safe before surgery.
Pulse oximeters may not function properly if the patient has nail polish.

Guidelines and Recommendations

The CDC does not recommend preoperative shaving unless hair interferes with the operative site.
Patients undergoing local or spinal anesthesia may have a light meal before surgery.
Head coverings like caps and hoods are part of personal protective equipment (PPE).

Surgical Attire and Hygiene

Hair covers are donned first in surgical attire.
Falsely wearing a mask involves crossing its strings, which is incorrect advice.
Awareness of latex gloves is crucial for patients with latex sensitivities or allergies.
Handwashing is mandatory immediately after glove removal.

Sterility and Instrumentation

Mask-shield combinations without foam bands offer limited splash protection.
The sterile area is defined as the front of surgical gowns from mid-chest to waist and sleeves up to 2 inches proximal to the elbows.
The cuff of the gown is considered non-sterile and should not touch sterile items.

Intraoperative Management

Immediately post-scrub, surgical technologists (STSR) dry, gown, and glove themselves.
Closed glove technique is used to don gloves after scrubbing and putting on a sterile gown.
Back tables provide a large sterile area for surgical preparations and should be kept at proper distances from walls to prevent contamination.

Patient Positioning and Safety

Hypothermia affects up to 60% of surgical patients due to heat loss methods such as radiation and convection.
Precautions must be taken in all patient positions to avoid pressure points and ensure circulation.
Space suits for high-infection-risk procedures provide added protection for healthcare workers.

Postoperative Procedures

Responsibilities after a procedure include maintaining the sterile field until the patient is transported to PACU and disposing of used equipment properly.
Local anesthetic patients may be given antiseptic washes prior to surgery to reduce the risk of surgical site infections (SSI).
Patients are not permitted food or liquids 6-8 hours before surgery to prevent aspiration during anesthesia.

Vital Signs and Patient Monitoring

Normal adult pulse rate ranges from 60-80 bpm, while infants range from 110-130 bpm.
Baseline vital signs consist of height, weight, blood pressure, pulse, and temperature.
Normal body temperatures vary by method: Oral - 98.6°F, Axillary - 97.6°F, Rectal - 99.6°F.

Key Takeaways

Proper surgical and patient care practices are essential for successful outcomes.
Strategic preparation and adherence to protocols help in minimizing complications.
Continuous monitoring of vital signs during the surgical process ensures patient safety and wellbeing.

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Test your knowledge on surgical case management with flashcards from Chapter 12. This quiz covers essential duties of surgical technologists, infection control measures, and the correct procedures to follow in the operating room. Perfect for students in healthcare or surgical technology courses.

Surgical Case Management Chapter 12 Quiz

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