Term
| Cancer technique insurgery refers to: |
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Definition
| Not spreading cancer cells to healthy tissue by cross-contaminating |
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Term
| Why are gowns, gloves, drapes, and instrumants changed following a breast biopsy and before incision for a mastectomy? |
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Definition
| So as not to cross contaminate due to cancer cells being on gloves, gown, ...etc. |
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Term
| The correct procedure for sterile dressing application is? |
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Definition
Wound cleaned and dried
Outer gloves removed
Gently hold dressing in place while rolling up drapes
Remove gown, gloves and wash hands |
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Term
| When drop technique for an intestinal procedure is utilized |
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Definition
| ISolate instrumants that have been in contact with bowel so as not to cross contaminate |
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Term
| If the floor or wall becomes contaminated with organic debris during a case, the circulator would? |
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Definition
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Term
| List all the helpful tips in keeping accurate count of sponges |
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Definition
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Term
| In an extreme patient emergency, a sponge count |
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Definition
| The initital count may be ignored, but final count must be done and documented |
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Term
| Cultures obtained during surgery |
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Definition
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Term
| How is a frozen section sent to the lab? |
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Definition
| Pass off the field using a sterile towel, Tefla pad, sterile container, or non counted sponge, labaled, and immediately sent to the lab for testing |
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Term
| Which specimens are not placed in preseravitive solution? |
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Definition
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Term
| When are counts done in the OR? |
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Definition
Prior to skin incision
Closure of Periotenium
Closure of Fascia
Closure of Skin
Addition of supplies
Change of Cirulator or ST |
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Term
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Definition
| discarded in the kick bucket |
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Term
| Specimens may be passed off the sterile OR table by the scrub on what items? |
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Definition
| Tefla pad, sterile towel, sterile container, medicine cup, Basin |
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Term
| What procedure is followed if the scrub is pricked with a needle |
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Definition
| Change glove, discard needle, report incident, bloodwork, follow-up |
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Term
| When using a sterile syringe, the scrub should: |
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Definition
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Term
| What is the least desirable method for needle accountability |
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Definition
SHOULD BE ON
needle board
loaded in package |
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Term
| What is the disposition of all sharps that have been passed off the field intraoperatively? |
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Definition
counted by both ST and Circ.
handed off and placed in impermiable bag and labeled with # and inititaled |
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Term
| As grossly soiled instruments are returned to the scrub, they should be: |
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Definition
| wiped down and returned to the Mayo |
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Term
| Scalpel blades are applied with: |
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Definition
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Term
| If a sponge pack contains an incorrect number of sponges: |
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Definition
| It should be removed from the field, bagged, labaled, retained until the end of the procedure, and then disposed of |
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Term
| specimens going to pathology should not be sent on |
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Definition
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Term
| Needles should be handed to the surgeon: |
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Definition
| carefully and in the proper direction to begin closure |
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Term
| Subsequent counts are taken for all of the following: |
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Definition
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Term
| The initial count requires: |
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Definition
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Term
| Only radiopaque sponges should be used on: |
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Definition
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Term
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Definition
| Counts are usually ommited |
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Term
| Persons taking final count must sign |
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Definition
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Term
| During the closing count a discrepancy is reported to: |
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Definition
Inform surgeon
Visual search
resolve count
explination and documentation |
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Term
| If a sponge is left inside a patient: |
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Definition
| It should be documented what type of sponge it is |
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Term
| sponges are counted at their |
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Definition
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Term
| seperate each sponge and number it aloud while: |
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Definition
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Term
| soiled sponges used for prep: |
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Definition
| should be removed, bagged and thrown in the waste container |
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Term
| sponges should not be removed from, or added to the field during: |
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Definition
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Term
| sponges are counted before being: |
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Definition
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Term
| instruments should be closed before |
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Definition
| passing them to the surgeon |
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Term
| If a sterile glove becomes contaminated during a procedure, what action ahould be taken? |
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Definition
glove removed by circ.
reglove using open glove technique taking care to not contaminate scrub |
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Term
| What is the first step taken for an initial count of sponges |
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Definition
Standard: inform surgeon
Mr. B: recount |
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Term
| When performing the sponge, sharp and instrument counts at the sterile field, what area should the scrub begin with counting? |
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Definition
| Operative field, then mayo, then back table, then kickbucket/floor |
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Term
| Before donning the sterile gown and gloves, the ST must |
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Definition
| perform a 5 min. hand scrub |
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Term
| When opening sterile supplies and instruments, where should the gown and gloves for the scrub be opened? |
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Definition
| Mayo, or other flat surface, not the BT |
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Term
| When turning the gown, what is the proper procedure? |
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Definition
Tag in R hand, Tie in L hand
pass tag to circ. and let then walk behind you,
recieve tie in L hand from circ. taking care not to contaminate |
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Term
| When performing closed glove technique, how is the glove positioned in order to don it without contamination? |
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Definition
| Thumb down, fingers pointed towards chest, @ end of sleve but not over the cuff |
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Term
| What is a commonly used preservative solution for tissue specimens? |
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Definition
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Term
| A hemoststic clamp is not placed on the: |
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Definition
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Term
| Bi-lateral specimens are placed in: |
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Definition
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Term
| A bullet would be placed in a: |
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Definition
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Term
| Anaerobic cultures should be: |
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Definition
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Term
| A bullet is not handed off with: |
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Definition
| Metal insrument, unless tips are covered |
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Term
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Definition
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Term
| Bi-lateral specimens are placed in: |
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Definition
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