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Surgical Technology, Clinical Orientation,Extra Study Questions(proctored practice)

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Surgical Technology, Clinical Orientation,Extra Study Questions(proctored practice)

Question 1 of 34

1

Check the boxes of which are the goals of surgical "time out"?

Select one or more of the following:

  • prevent wrong site of surgery

  • prevent contamination

  • prevent wrong person surgery

  • prevent aseptic breaks

  • prevent wrong procedure

Explanation

Question 2 of 34

1

Who usually reads the "time out"?

Select one of the following:

  • ST

  • circulator

  • surgeon

  • first assistant

Explanation

Question 3 of 34

1

What is the surgical "fire risk assesment"?

Select one of the following:

  • Is an assessment that is given a score for risk of fire done as part of the time out.

  • is an assessment that is given a score for risk of fire done directly after the time out

  • is pre-operative paperwork that states the risk of fire in each procedure that the surgical technologist should know

Explanation

Question 4 of 34

1

Check the boxes of which potential fire risk are taken into consideration when coming up with the "fire risk assesment" score.

Select one or more of the following:

  • surgical site above the xiphoid

  • lights on in the operating room

  • available ignition source

  • open oxygen source

  • if more then one medication is being used

Explanation

Question 5 of 34

1

The "fire risk assesment" score ranges from what?

Select one of the following:

  • 0-4

  • 0-5

  • 0-3

  • 0-2

Explanation

Question 6 of 34

1

Check the boxes for routine fire safety protocol used in the O.R..

Select one or more of the following:

  • allowing sufficient drying of prep

  • always drape right after prep is applied

  • do not allow pooling of prep solution

  • always leave flammable bottles a little open to prevent pressure build up

  • close open bottles of flammable agents

Explanation

Question 7 of 34

1

Check which boxes determine where the sterile field should be established.

Select one or more of the following:

  • sterile field should be set up furthest away from the doors.

  • sterile field should be set up closest to the doors

Explanation

Question 8 of 34

1

What is a custom pack?

Select one of the following:

  • pack that contains most of the procedures supplies that will be used during the case.

  • pack that contains the instruments

  • pack that contains drapes

Explanation

Question 9 of 34

1

how is the basin unpacked or opened?

Select one of the following:

  • open flap away from you first, then two side flaps, closest to you last.

  • none

Explanation

Question 10 of 34

1

when should torn, perforated, or wet disposable supplies be used?

Select one of the following:

  • in emergencies

  • never

  • only if their is no items left

Explanation

Question 11 of 34

1

Check the boxes of what items are placed on a backtable as part of a laparoscopic and laparotomy procedure.

Select one or more of the following:

  • laparotomy drape

  • surgical masks

  • instrument sets

  • basins filled with supplies

  • gowns/gloves for the ST

Explanation

Question 12 of 34

1

how far away from the walls should all tables be set up as part of the sterile field?

Select one of the following:

  • 2 feet

  • 3 feet

  • 1 foot

  • 4 feet

Explanation

Question 13 of 34

1

why should the "back table" pack be be opened first when creating the sterile field?

Select one of the following:

  • prevent are gowns from touching it

  • prevent contamination

  • prevent your back from facing the backtable

  • prevent opening the sterile field in the wrong place

Explanation

Question 14 of 34

1

what is the order for counting items for every surgical procedure?

Select one of the following:

  • sponges, sharps, needles, instruments

  • sponges, instruments, sharps, needles

  • sponges, needles, sharps, instruments

  • none

Explanation

Question 15 of 34

1

where can information concerning surgeons requests for a specific procedure be obtained from?

Select one of the following:

  • the surgeon himself

  • the circulator

  • student handbook

  • prefrence card

  • none

Explanation

Question 16 of 34

1

which portion of the surgical procedure is identified as the pre-operative phase?

Select one of the following:

  • the middle of the procedure

  • the end of the procedure

  • before the patient steps foot in the hospital

  • The first stage of the perioperative procedure, that ends after the scalpel is handed to the surgeon and the incision is made

Explanation

Question 17 of 34

1

What is the main goal the ST strives to achieve during the postoperative phase of a surgical procedure?

Select one of the following:

  • turnover, getting the O.R. ready for the next procedure

  • taking time out to discuss with the O.R. team the best way to go about proceeding

Explanation

Question 18 of 34

1

Why should the sterile field, including the backtable, mayo stand, and basin set be maintained at the completion of a surgical procedure until the patient has left the operating room and is being transported to the PACU?

Select one of the following:

  • we never break aseptic technique

  • their may be an emergency with another patient that needs attention right away

  • the sterile fields are not broken down untill the patient reaches the PACU because that patient may have a complication that needs attention right away and having to set up everything again would take alot of time

  • its faster to wait till more people show up after the case to help breakdown the sterile fields.

Explanation

Question 19 of 34

1

What is the proper technique for removing the drapes from the surgical patient by the ST following the completion of a surgical procedure?

Select one of the following:

  • Anesthesia will hold dressing in place while anesthesia releases suspended portion of drape attached to IV poles. Drape is rolled to prevent spillage, drape is placed in waste receptacle

  • circulator will hold dressing in place while anesthesia releases suspended portion of drape attached to IV poles. Drape is rolled to prevent spillage, drape is placed in waste receptacle

  • ST will hold dressing in place while anesthesia releases suspended portion of drape attached to IV poles. Drape is rolled to prevent spillage, drape is placed in waste receptacle

Explanation

Question 20 of 34

1

What is the proper procedure that should be followed by the ST when removing their gown and gloves following the completion of a surgical procedure following removal of the drapes from the surgical patient?

Select one of the following:

  • The Gown is removed before the gloves. Its untied, grasped at shoulders and pulled down. It is removed from arms and rolled to keep contaminants inside rolled portion. Gloves are then removed glove to glove, and skin to skin.

  • none.

Explanation

Question 21 of 34

1

Check the boxes of which duties the ST performs during the breakdown of the sterile field following transport of the surgical patient to the PACU.

Select one or more of the following:

  • care for the specimen

  • remove mayo stand and basin from OR as they are contaminated

  • place all sharps in the needlebook on the backtable, then put it in a puncture proof biohazard container

  • remove padding from bed to be cleaned

  • disasemble instruments from the mayo stand and place into basin of water

Explanation

Question 22 of 34

1

The biggest difference between an orthopedic hand/minor procedure to a universal back table set up for laparotomy is?

Select one of the following:

  • instruments are generally smaller for small hand cases

  • instruments are larger for laparotomy setups

  • orthopedic hand procedures do not use mayo stands

  • orthopedic procedures require more then one mayo stand

Explanation

Question 23 of 34

1

What are the three different types of attire that are required for personnel that enter the operating room?

Select one of the following:

  • O.R. Attire, protective attire, sterile attire

  • gloves, gowns, mask

  • face mask, scrubs, hairnet

Explanation

Question 24 of 34

1

What is the difference between hold and open items listed on the surgeons preference card and how can the surgical technologist differentiate between the two different types of items?

Select one of the following:

  • hold items are items that are held till later in the case. Open items are supplies that will be utilized for the case

  • hold items are items that might be needed but are not put on the sterile field. Open items are supplies that will be utilized for the case

Explanation

Question 25 of 34

1

Why should the mayo stand not be prepared by the ST before the initial count is done?

Select one of the following:

  • not all the instruments are set up properly

  • its best to leave all the instruments in one place to make counting more efficient and time saving

  • because this is how its always been done and who are we to question the past

Explanation

Question 26 of 34

1

What activities are performed by ST at begining of day to prepare O.R. for first first procedure?

Select one of the following:

  • clean ceiling, floor, walls

  • clean door, ceiling, sink, all horizontal surfaces

  • wipe all equipment and horizontal surfaces with disinfectant. Mop floor.

Explanation

Question 27 of 34

1

Why should linen and trash bags not be removed from an operating room until the completion of a surgical procedure, after final closing count.

Select one of the following:

  • The linen and trash bags are still needed

  • the patient may need to come back to the O.R. if complications arise

  • The potability of a missing instrument being in a linen or trash bag is high so we must verify all instruments and supplies are accounted before taking the bags out of the O.R.

Explanation

Question 28 of 34

1

How many instrument counts are required during the entire perioperative process?

Select one of the following:

  • 3

  • 1

  • 2

  • 0

Explanation

Question 29 of 34

1

What is the general rule regarding multiple needles in a package, such as control release , when performing the initial needle count?

Select one of the following:

  • if the package is unopened, its counted as 1

  • if their is more then one needle in the package its counted togather

  • if the package is unopened, it needs to be opened. The needles need to be counted individually

Explanation

Question 30 of 34

1

Why is it not ok to have the circulator open your dressing sponges onto your back table if you have extra time in the middle of your case before the surgeon begins closing the operative wound?

Select one of the following:

  • sponges wont be sterile if opened by the circulator

  • the items can get contaminated by other supplies if opened in the middle of the procedure

  • dressings do not have radio-opaque strips in them to let us know if their is one that was left in a patient if a dressing goes missing

  • none

Explanation

Question 31 of 34

1

What soiled sponges are the only sponges to be discarded in the kick bucket?

Select one of the following:

  • peanutes, laps, raytecs

  • raytecs, peanuts, tonsil sponges

  • laps and raytecs

  • laps, raytecs, peanuts, cottonoids

Explanation

Question 32 of 34

1

What is the rule for the scub person regarding soiled cottonoid sponges?

Select one of the following:

  • none

  • soiled cottonoid sponges should be kept confined on the sterile back table

  • soiled cottonoid sponges should be removed from the field so their not accidentally placed back in the wound

Explanation

Question 33 of 34

1

What procedure will the surgeon be sitting for?

Select one of the following:

  • hand/minor

  • orthopedic

  • lapatoromy

  • vaginal

  • none

Explanation

Question 34 of 34

1

If an area that is to be prepped is scrubbed and painted, what prepping solution would most likely be used?

Select one of the following:

  • duraprep

  • chloraprep

  • betadine

  • hibaclense

Explanation

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