Reading #7 (1-10)

what are the 3 distinct areas of the surgical facility that are recommended and who recommends them

preparation area, scrub area, surgery room, AAHA (american animal hospital association)

where should the prep room be

adjacent but separate to surgery room

____ or ___ but not sterile are procedures done in the prep room

dirty, clean

what are examples of dirty procedures

abscessed wound care

debridement of old wounds

tx of impacted anal sacs

what are considered clean but not sterile procedures

dewclaw procedures

tail docking

aseptic meaning

free from contamination

what should cabinets in the surgery room be made of

nonporous material

dsecribe how the pressure should be in the surgery room

air pressure should be greater in the surgery room to reduce influx of bacteria from rest of facility

the increased air pressure ___ ____ pushes air out of the surgical suite reducing the influx of bacteria

positive ventilation

surgery room should never be ___ ___

dry dusted, may aerosolize dust and bacteria

3 nonmovable pieces of equipment in the surgery room

surgery lights

table

radiographic view box

moveable equipment items

anesthesia machine

monitoring equipment (ECG, BP cuffs and monitors, airway tubes)

Heating pads

IV drip stand

intstrument table, mayo stand

suction kit

cautery kit

kick bucket

the CDC states that the manufacturers of medical equipment should provide care and maintenance instructions that is specific to the equipment including

the compatibility of the equipment with chemical germicides

whether it can be immersed for cleaning

how it should be decontaminated

what is a good and common way to provide a heated surface on which the patient can lie during surgery

warm water blanket

animals should never be placed -____ onto the heated blanket

directly

what device is available for thermoregulation

hot dog warming controller and blanket

has a sensor in the pad to regulate heat

what is another option for thermoregulation

forced warm air - bair hugger

when is the bair hugger most often used

postoperatively to prevent the forced air from causing contamination during surgery

what lights are desirable

single beam that have a mechanical mechanism for wide lateral and vertical ranges of motion

are ceiling or wall mounted lights better than standing floor models

yes

what are the double advantages of a split top table

a tray under the space in the table to collect any fluid

the ability to be adjusted to help maintain the patient in dorsal recumbency

does monopolar or bipolar electrosurgery require a ground plate?

monopolar

how is suction defined

the ability to remove fluid or air from an area by using either a manual or a mechanical device

what can suction be performed with

syringe

bulb syringe

mechanical pump (common)

examples of how suction is useful in orthopedic surgery

lavaging a joint

flushing a septic site

removing bone dust

2 types of models of suction machine

electric run

central vacuum

in addition to the suction machine a ____ ___ and ____ are needed

suction tip, tubing

what lengths are suction tubing available in?

6 and 10 foot lengths

____ should be discarded after use

tubing

tubing not used after being opened? it can be resterilized using

ethylene oxide because the vinyl cant withstand steam

two piece instrument best used to remove large volumes of liquid or fluid

inner cannula can be used alone or in conjunction with the outer basket

the basket is designed with many holes to remove. loquid quickly without entrapping any tissue

poole suction tip

single tube with a fairly small opening, thumb hole to help control the amount of vacuum, often used in ortho and neuro procedures

Frazier/Adson suction tip

single tube design, bulkier, general purpose suction tip

Yankauer suction tip

what is a good alternative to the frazier suction tip?

Argyle bubble connector

a cage card is needed for the surgery room for each case, what needs to be on it?

all the supplies and equipment the surgeon will need for the procedure

a ______ __ _____ instrument pack will suffice for most surgical procedures with the exception of opthalmic surgery

general soft tissue

__________, __________ ____, _________ can be packaged individually and opened on an as needed basis

retractors, periosteal elevators, rongeurs

schedule cases from ______ to _______

cleanest to dirtiest

more ______ cases should be schedule earlier in the day

difficult

what procedure should be scheduled first thing in the morning

orthopedic cases, any joint replacement surgery

subsequent procedures should go as follows throughout the day

metatarsal fracture, cranial cruciate ligament repair, and finally a compound radial fracture repair

for soft tissue procedures any _____ __________ procedures should go first, followed by _____ ____, _____, and finally ___ procedures

noninfective intrathoracic, clean abdominal, contaminated, dirty

____ ____ is paramount of determining the schedule

patient status

AAHA recommends which distinct areas for a surgical facility?

preparation area, scrub area, surgical room

Where are procedures that are considered clean performed?

preparation area

which item is non-movable surgery equipment?

surgery table

It is recommended to place a blanket or towel between a patient and a circulating warm-water blanket to

protect the patient from thermal burns

When warming a surgical patient, which item is contraindicated?

electric heating pad

When using bipolar electrocautery the surgeon is able to

pick up tissue or blood vessels that need to be coagulated

Using a mechanical device to remove fluid or air from an area is called

suction

Which suction tip has two pieces and is designed to suction a large amount of fluid?

poole

An advantage of using a monopolar electrosurgical unit to make an incision is

better hemostasis

In what instance would a clean abdominal surgery precede a noninfective thoracic surgery on the surgery schedule?

if the abdominal surgery was considered emergent

What are two advantages of having a split-top surgery table?

1) adjustability for different sized patients

2) split and tray allow fluid to flow away from surgical field and patient

Which type of electrocautery unit does not require a ground plate?

bipolar

List three qualities of a good surgical light.

Wide lateral and vertical motion,

easily manipulated,

removable handles

ceiling or wall mounted

How can suction be used during an orthopedic surgery?

Lavage a joint, clearing bone dust when drilling, flushing a septic area

What other equipment is needed when a suction machine is used?

suction tip and tubing