Stars n' Highlights (work in progress)

_______ case management occurs prior to incision OR insertion of an endoscope. At this juncture, the O.R. bed is made, placed in proper position with positioning items, and ______

pre-operative, locked

Maine Medical center does not allow scrub techs to ____ the kick bucket. Depending on the facility, scrub techs may not be allowed to dispense _____ or participate in the ____ either

line, medications, count

needed items should be opened as ____ to the time of surgery as possible for proper maintenance of sterility. additional equipment is noted on a preference card or debriefing phone call

close

all sterile tables and furniture should be _____ away from unsterile items. Once sterile tables are set up, they must not be ______

12-18 inches, covered

At Maine Medical Center, counts are done from ______. On the certification exam, they are done from ________

floor to field, field to floor

when arranging the back table, do not ___ things, or ___ solutions

pile, recap

suction machinery is not turned off until ______ for the sake of proper observation of blood loss. sequential compression devices, if used during the surgery, are placed under the bed near the ____ end of the OR table

the surgical procedure is finished, foot

If unwrapped instruments must be flash sterilized, the minimum exposure time is _____

3 minutes

a mixed load/instruments with lumens get _____ in the flash sterilizer. At Bramhall, all loads get ___

10 minutes, 4 minutes

When a break in sterile technique occurs, it is the duty of the ______ to inform the individual who broke technique and correct the problem

first scrub

the sterile field should be maintained until _____. Breaking down the sterile field is the duty of the _______

the patient leaves the room, circulator, first scrub, and second scrub

when participating in an abdominal hysterectomy, the lights are positioned at the patient’s ___ and pointed towards their ____. For a pelvic procedure, they are placed _____ the incision site and potentially angled slightly downward (ask jeff?)

head, feet, directly over

during a pelvic surgery, _____ position enhances visualization of the surgical site

Trendelenberg

when dispensing wrapped sterile items to the sterile field, all _____ must be properly secured

wrapper tails

_______ must be visualized prior to inflation of the indwelling Foley catheter balloon

urine flow

arm boards must never extend beyond 90 degrees to avoid ______ injury

brachial plexus

______ knife handles adapt to #10, 11, 12, and 15 blades

#3 and #7

_____ knife handles adapt to #20, 21, and 22 blades

#4

skin knives and deep knives are used separately, as the use of a skin knife on deeper tissues could _______ into the wound

introduce resident and transient flora

when applying an ESU plate to the patient, it should never go over a _______

bony prominence

it is the duty of the ______ to preoperatively fold the suture towel and arrange the sutures

first scrub tech

when passing drapes, the first scrub should stand ____ the surgeon. draping should take place from the _____ to _____

on the same side as, operative site, periphery

when counting sponges preoperatively, the second scrub should _____ if there is an incorrect number of sponges in the package

remove them from the room

it is the duty of the _____ to assist with suture preparation and attach the suction and electrosurgical apparatuses to the sterile field after the drapes are placed

second scrub

ties on a passer are typically loaded onto ______

right angles

______ should be used to soak sponges used on laparotomy procedures

warm normal saline

intraoperatively, it is the duty of the _____ to prepare, pass, and manage sharps and blades

first scrub

intraoperatively, it is the duty of the _____ to manage, pass, clean, organize, and track instruments and medications

first scrub

When dealing with a specimen that has multiple components, it is the role of the ____ to ensure that the circulator has all of it. Specimens for culture, as well as fresh/frozen ones or stones, should be sent to pathology in a ______ container

first scrub, sterile empty

______ are used on skin and passed with closing suture

adson forceps

A minimum of ____ people are required to safely transfer an anesthetized patient

four