Deck 12: Surgical Case Management

Question 1

The most important ability or skill of the surgical technologist is the ability to predict or the needs of the surgeon. An example of this would be that when passing the pickups, you should be ready with the ________.

Answer 1

anticipate, scissors (dissecting/Metzenbaum).

Question 2

A common sequence for the opening sequence includes the incision,________ , dissection, and exposure of the operative site, requiring the passing of the scalpel handle and then the ESU active electrode.

Answer 2

hemostasis

Question 3

The patient's safety strap is placed ________(Circle one: above or below) the knees.

Answer 3

2 inches

Question 4

The patient should be NPO for a minimum of________ to________ hours.

Question 5

According to the CDC, recommendations for hair removal should best be accomplished by _________.
.

Question 6

Match the description. (Note: There may be more than one match per term.)

-Unrestricted

A) Street clothes.
B) Corridors in a racetrack-style OR suite.
C) Masks, OR attire, eyewear.
D) Sterile processing.
E) Scrubs, hair cover, dedicated shoes and/or shoe covers.

Question 7

Match the description. (Note: There may be more than one match per term.)

-Semirestricted

A) Street clothes.
B) Corridors in a racetrack-style OR suite.
C) Masks, OR attire, eyewear.
D) Sterile processing.
E) Scrubs, hair cover, dedicated shoes and/or shoe covers.

Question 8

Match the description. (Note: There may be more than one match per term.)

-Restricted

A) Street clothes.
B) Corridors in a racetrack-style OR suite.
C) Masks, OR attire, eyewear.
D) Sterile processing.
E) Scrubs, hair cover, dedicated shoes and/or shoe covers.

Question 9

Matching: Do You Know Your Counts?

-Continue-normal

A) Returns with peritonitis, previous surgery counts charted correct, X-ray sponge identified.
B) MVA with lacerated liver.
C) Skin closure-count three on field six in kick bucket.
D) Carpal tunnel release-no instrument counts.
E) Initial count-9 Ray-Tec present.
F) Initial count-laparoscopic cholecystectomy-no counts by preceptor of instruments.

Question 10

Matching: Do You Know Your Counts?

-Negligence

A) Returns with peritonitis, previous surgery counts charted correct, X-ray sponge identified.
B) MVA with lacerated liver.
C) Skin closure-count three on field six in kick bucket.
D) Carpal tunnel release-no instrument counts.
E) Initial count-9 Ray-Tec present.
F) Initial count-laparoscopic cholecystectomy-no counts by preceptor of instruments.

Question 11

Matching: Do You Know Your Counts?

-Request count

A) Returns with peritonitis, previous surgery counts charted correct, X-ray sponge identified.
B) MVA with lacerated liver.
C) Skin closure-count three on field six in kick bucket.
D) Carpal tunnel release-no instrument counts.
E) Initial count-9 Ray-Tec present.
F) Initial count-laparoscopic cholecystectomy-no counts by preceptor of instruments.

Question 12

Matching: Do You Know Your Counts?

-Notify surgeon

A) Returns with peritonitis, previous surgery counts charted correct, X-ray sponge identified.
B) MVA with lacerated liver.
C) Skin closure-count three on field six in kick bucket.
D) Carpal tunnel release-no instrument counts.
E) Initial count-9 Ray-Tec present.
F) Initial count-laparoscopic cholecystectomy-no counts by preceptor of instruments.

Question 13

Matching: Do You Know Your Counts?

-No required count, X-ray at end of case

A) Returns with peritonitis, previous surgery counts charted correct, X-ray sponge identified.
B) MVA with lacerated liver.
C) Skin closure-count three on field six in kick bucket.
D) Carpal tunnel release-no instrument counts.
E) Initial count-9 Ray-Tec present.
F) Initial count-laparoscopic cholecystectomy-no counts by preceptor of instruments.

Question 14

Matching: Do You Know Your Counts?

-Pass off-not used-notify manufacturer

A) Returns with peritonitis, previous surgery counts charted correct, X-ray sponge identified.
B) MVA with lacerated liver.
C) Skin closure-count three on field six in kick bucket.
D) Carpal tunnel release-no instrument counts.
E) Initial count-9 Ray-Tec present.
F) Initial count-laparoscopic cholecystectomy-no counts by preceptor of instruments.

Question 15

When catheterizing the patient, use 10 mL of normal saline to inflate the balloon.

Question 16

The Kraske position is used for a pilonidal cyst or rectal procedures.

Question 17

For a thoracotomy, the upper leg is bent in the lateral position.

Question 18

A minimum of three people is needed to transfer an unconscious patient.

Question 19

When positioning the arms, ensure the arm boards are not greater than $90^\circ$ to prevent ulnar nerve damage.

Question 20

The lithotomy position requires two people, who should raise and lower legs slowly and simultaneously to prevent back strain and drops in blood pressure.

Question 21

Padding of the calf in the lateral and lithotomy positions requires careful attention to prevent peroneal injury.

Question 22

The Trendelenburg position is helpful in visualizing the upper abdominal cavity during laparoscopic surgery.

Question 23

Describe the three methods of surgical scrub techniques.

Question 24

Describe how to drape for a routine laparotomy procedure.

Question 25

Describe each technique and then describe why it is an important principle.
A. Double gloving and glove removal:
B. Neutral zone and no-hand technique:
C. Contaminated isolation (separation of clean and dirty, cancer technique, and bowel technique):