Deck 20: Case Planning and Intraoperative Procedures

Question 1

A tissue implant derived from another person, animal, or the patient is called a(n) ____________.

A) graft
B) implant
C) dissection
D) section

Answer 1

A

Question 2

All sharps should be passed with ____________________. If hospital policy or an individual surgeon has not implemented this technique, the scrub must pass sharps in the traditional manner.

A) the technique requested on surgeon's preference card
B) care
C) the left hand
D) a neutral zone (no-hands) technique

Answer 2

D

Question 3

___________________ are not brought to the Mayo stand until the superficial wound layers are closed and the final sponge counts have been completed.

A) Dressings
B) Moist Raytecs
C) Implants
D) Sharps

Answer 3

A

Question 4

A method used for gathering supplies for a case is referred to as a(n) _________ system.

A) assignment board
B) case cart
C) protocol
D) event related

Question 5

Avoid shifting items around from one place to another during setup. Try to handle an item only once. Shifting items from one location to another without purpose increases the chance of ________________ and is not productive.

A) injury
B) confusion
C) contamination
D) missing items

Question 6

Removal of a sample of tissue for pathological analysis is called a _________________.

A) culture
B) biopsy
C) prep
D) diagnosis

Question 7

Two types of ______________ are commonly taken during surgery. These are aerobic and anaerobic.

A) biopsies
B) x-rays
C) images
D) bacterial cultures

Question 8

Inadequate lighting increases ____________. The surgical technologist adjusts lights as needed.

A) the procedure length
B) tension in the surgical suite
C) the risk of error
D) patient's time under anesthesia

Question 9

Any tissue or item removed from the patient's body during surgery is _______ and is maintained in a specific way on the surgical field to prevent loss or damage.

A) always saved for the patient
B) counted
C) biohazard waste
D) a specimen

Question 10

Using a(n) _____________ approach to all setups improves efficiency.

A) nonstressful
B) educated
C) surgical
D) methodical

Question 11

The surgical technologist must keep track of the amount of _____________ used in the wound so that estimated blood loss can be calculated.

A) lap sponges
B) Raytec
C) irrigation fluid
D) local anesthetic

Question 12

The count is performed by two people. Professional standard for counts as published by AORN requires a _____________ and another health care worker such as the surgical technologist to perform the count.

A) circulator
B) surgeon
C) surgical assistant
D) licensed practical nurse

Question 13

The process preceded by patient verification process detailed by The Joint Commission is called ______.

A) assignment board
B) TIMEOUT
C) sentinel event
D) assessment

Question 14

_________________ is/are responsible for ensuring that no item is left in a patient.

A) Licensed professionals only
B) The certified surgical technologist
C) The surgeon
D) All team members

Question 15

Before organizing and preparing supplies during setup, ___________ the sterile area.

A) dry top
B) increase the size of
C) decrease the size of
D) remove supplies from

Question 16

You may have up to 10 trays on a complex case. This is why it is important to think about what you need, locate it among all the supplies, and then put it in a specific place. If instrument trays must be stacked, place the ___________ ones on the bottom.

A) least-used
B) heavier
C) empty
D) large

Question 17

The ____________ is responsible for maintaining an organized and safe surgical field.

A) surgical technologist
B) CST-CFA certified first assistant
C) surgeon
D) anesthesia provider

Question 18

A(n) __________________________ is a database containing each surgeon's particular routines for specific instruments for a particular surgery.

A) surgeon's preference card
B) assignment board
C) case plan
D) Universal Protocol

Question 19

Gathering needed diagnostic studies, such as radiographs, magnetic resonance images, or other data the surgeon needs during the case is part of _______________________.

A) preparing the room
B) terminal cleaning
C) sterile setup
D) Universal Protocol

Question 20

The ____________ containing towels, drapes, and gowns is centered on the back table and opened using aseptic technique.

A) wrapped basin
B) instrument tray
C) basic pack
D) surgical drape

Question 21

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
Handling and passing instruments are important tasks of this person.

Question 22

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
The scrub person performs hand antisepsis or scrub

Question 23

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
The anesthesia care provider and this person focus on preparing the patient for anesthesia.

Question 24

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
The wound is then closed according to his or her protocol.

Question 25

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
The patient arrives from the holding area and is transferred to the operating bed

Question 26

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
Specimens are documented and transported to a designated area for pickup

Question 27

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
Responsible for maintaining an organized and safe surgical field.

Question 28

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
If the count is incorrect, this person is notified and the count repeated.

Question 29

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
Receives the specimen from the sterile field in a designated container.

Question 30

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
The patient is transferred to PACU (postanesthesia recovery unit)

Question 31

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
When blood loss must be estimated, he or she may be required to weigh each sponge.

Question 32

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
The circulator continues to distribute sterile supplies as needed

Question 33

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
The surgical suite is cleaned and decontaminated for the next case

Question 34

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
Sharps are opened during the setup. This person opens the outer package and the scrubbed technologist removes them and places them in a sharps holder.

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
Anesthesia begins only after he or she has arrived and is ready to scrub.

Question 36

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Surgical technologist
b.Circulator/registered nurse
c.Surgeon
Must keep track of all counted items throughout a surgical procedure. He or she must know what kind and how many items are inside the patient at any point during the procedure.

Question 37

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Preoperative
b.Postoperative
c.Intraoperative
The scrub and the circulator open the case