SURG TECH FINAL

All of the following are articulating breakpoints or removable sections of an operating table EXCEPT:

side

Which of the following is the mnemonic used to remember the steps to take in the event of a surgical fire?

race

To keep the amount of airborne contaminants in the operating room to a minimum, the CDC recommends how many air exchanges per hour?

20

argon

Which type of gas is used to enhance the effectiveness of the electrosurgical unit active electrode pencil?

Mirror reflectors

In a laser generator, what is found at both ends that allows for the amplification and stimulated emission of laser light?

Argon

Which type of laser has a wavelength that creates a bright blue-green visible light within a plasma tube?

Glutaraldehyde

Which of the following chemicals is a high-level disinfectant when items are immersed for 20 to 30 minutes and a sterilant if items remain immersed for 10 hours?

Glutaraldehyde

CidexTM is the trade name for which of the following methods of sterilization?

BLEACH

What is the common name for the high-level disinfectant sodium hypochlorite?

- Symbiosis

The relationship between human hosts and indigenous microflora is called

Bioburden

Number of microbes or organic debris with which an object is contaminated

Clostridium Perfringens (C. perfringens).

Spore-forming, anaerobic, gram-positive rod which causes gas gangrene:

Hepatitis C

Virus causing chronic disease without jaundice:

Gram-negative rod that causes Ulcers:

Helicobacter Pylori (H. pylori)

Spores

• A resistant form of bacteria that can form a protective shell and remain dormant to

  survive in adverse conditions then reproduce when conditions become favorable again

Helminths

Popularly known as worms; primary route of transmission is ingestion of contaminated

food or water that contains the worms or eggs

Prions

Proteinaceous infectious particles; nonliving protein strands that do not contain DNA or RNA

Washer Sterilizer

WD

• -  Pre-rinse cycle: Some models allow the use of an enzymatic solution in

  the phase.

• -  Cleaning cycle: detergent solution is used in this cycle

• -  Final Rinse: Hot water is used during this rinse. The water temp is

  maintained at 180-195 Degrees F.

• -  Drying phase: high temp is used to dry the instruments

• -  These units allow totally hands-off processing

• -  At conclusion of the cycle items are considered clean and have been

  exposed to an intermediate level of disinfection. Makes items safe for handling but not ready for immediate use in surgery.

Surgical Services Department Designs

Circular is NOT a basic design

Operating Room Humidity

Should not exceed 60%

Electrical Charge in Motion

Referred to as Electrical Current

Grounding Pad

Creates a pathway for electrical current return

Safety Concerns

Age is NOT a factor for surgical technologist safety

Needle Safety

Hypodermic needles should be recapped using the one-handed method

Latex Source

Latex is made from Rubber

Latex Allergy Severity

Type IV is the least serious

Hypothermia Prevention

Room temperature should be 68-73 degrees Fahrenheit

Fire Triangle Components

Source of ignition, flammable gas or liquid, O2

Decontamination Room

Contains sinks for gross instrument decontamination

Laser Eye Protection

Surgical technologists should wear eye protection with CO2 lasers

Bone Cement Hardening

Can lead to Fat Embolism due to intramedullary hypertension

Airborne Contaminants Prevention

CDC recommends 20 air exchanges per hour

Breakpoints

Parts of the OR table

Kick Bucket

Designed for disposal of Laps and Raytec

Neptune

A suction device

Surgical Fire Response

Mnemonic is Race

Articulating Breakpoints

Removable sections of an operating table

Surgical Lights

Differentiate colors with lightbulbs approximating sunlight

Oxygen Shut-Off Valve

Designated by the color green

Recessed Cabinets

Prevent dust accumulation in the operating room

Surgical Instrument Booms

Mounted on the ceiling

Laser Plume Inhalation Prevention

Use a mechanical smoke evacuator

Allergic Reaction

Severe reaction is Anaphylaxis

Scavenging System

Used with Methyl Methacrylate to collect vapors

Preoperative Holding

Area where patients wait before surgery

PACU

Post-anesthesia care unit

Permanent Specimens

Sent to the pathologist in Formalin

Fire Prevention Organization

NFPA aims to reduce fire frequency

Anesthetic Agents

Halogenated agents reduce fire risk

Laser Surgery Extinguisher

Halon extinguisher for laser surgery

Electrical Current Types

Alternating current from a wall outlet

Direct Current Source

Battery with positive and negative terminals

Ground Prong

Third prong in a plug capturing excess leakage current

Power Measurement

Work rate measured in watts

Electrical Resistance

Causes conductor to glow or heat up

Electron Movement

Responsible for creating electrical current

Matter Types

Materials inhibiting electron flow

Internet Network

Gigantic network of computer servers

Font Style

Chosen in word-processing for document creation

Software

Programs operating a computer system

Scanner

Device converting printed text or graphics to digital format

Modem

Sends computer information over phone or cable lines

Computer Components

CPU, monitor, and memory storage

Computer Attachment Points

Keyboard, speakers, printer

Cartesian Coordinate Geometry

System for graphing and moving robotic manipulators

ESU Bipolar Mode

Not only for cutting tissue

Ground Pad Repositioning

False statement about repositioning

Toxic Laser Type

Excimer laser is toxic and rarely used in the OR

Laser Wavelength

Argon laser creates bright blue-green light

Telesurgery

Performing surgery remotely in real-time

Laparoscopic Return Electrode

Likely placed on the anterior thigh

Robotic System

Da Vinci is a complex robotic system

Robotic Movement

Yaw describes side-to-side movements

Robotic Surgeon Location

Sitting at a separate console during surgery

Degrees of Freedom

Number of ways a robotic manipulator can move

Robot Generations

First generation lacks artificial intelligence

Invisible Laser Type

CO2 laser is absorbed by cellular fluid

Bipolar Forceps

One side collects and returns current

ESU Burn Cause

Electrocardiogram lead placement can cause burns

Laser Generator

Contains mirror reflectors for laser light amplification

Ebonized Instruments

Used with CO2 laser in narrow spaces

Laser Tissue Interaction

Contraction is not an interaction with laser light

ESU Pencil Safety

Pencil should be placed in a rigid holster when not in use

ESU Safety Mechanism

Audible tone alerts activation

ESU Tip Types

Trocar is NOT a type of ESU tip

Ground Pad Gel Property

Conduct

Prions

Proteinaceous infectious particles; nonliving protein strands that do not contain DNA or RNA

Creutzfeldt-Jakob Disease (CJD) Prions

A prion transferred via items contaminated with CNS tissue

Helminths

Popularly known as worms; primary route of transmission is ingestion of contaminated food or water that contains the worms or eggs

Prokaryotes

Less complex organisms whose organelles are not membrane-bound

Viruses

Nonliving particles that are completely reliant on the host cell for survival; contains either DNA or RNA

Spores

A resistant form of bacteria that can form a protective shell and remain dormant to survive in adverse conditions then reproduce when conditions become favorable again

Sterilization

The process of killing all microbial life on an item to prevent infection.

Gravity sterilizers

Sterilizers that operate at 250-275 degrees F at 1-17 psi.

Dynamic air removal sterilizers

Sterilizers that operate at 270-275 degrees F at 27-30 psi.

Biological Indicators (BI)

Organisms used to monitor the effectiveness of sterilization processes.

Hydrogen Peroxide Gas Plasma (HPGP)

A sterilization method using plasma to inactivate microbial life.

Liquid Chemical Sterilization

Sterilization method using chemicals like peracetic acid or glutaraldehyde.

Ionizing Radiation

Sterilization method using irradiation to disrupt DNA of microbes.

Administrative

Involves documenting and filing test results for each sterilizer.