Clinical Skills Midterm Flashcards

Who created the practice of scrubbing in?

Dr. Semmelweiss, in 1846, created the practice after noticing a large number of infections and deaths of mothers after they were treated by doctors who had just worked on corpses

What is AvaGuard?

It is an antiseptic and moisturizer that can be used to scrub in

Can AvaGuard be used to scrub in the first time?

No

What should be used first when scrubbing in: the nail brush or the sponge?

The nail brush

Who performs and leads an operation in the operating room?

Surgeon

Who renders the patient unconscious in the operating room?

Anesthesiologist

Who occasionally assists the physician in surgery?

Physician Assistant

Who documents all specimens, implants, and charts everything happing in an operating room?

Circulating Nurse

Who assists the circulating nurse in opening supplies, maintaining a sterile field, hold retractors, counts sharps, and assists the surgeon with instruments?

Scrub Techs

Who stands at a distance and observes in the operating room?

Shadow

Who sells supplies and teaches physicians how to use them?

Medical Representative

What are the three zones in a hospital?

Unrestricted, Semi-Restricted, and Restricted

What is sterility?

The absence of viable life that has the potential to reproduce and spread dangerous germs and bacteria

What is an autoclave?

A machine that uses pressurized steam to kill bacteria

What is the most commonly used medical suction instrument in the world?

Yankauer

Which scalpel blade is used primarily for making large skin incisions?

#10 blade

What scalpel blade is used for making precise or sharply angled incisions?

#11 blade

What scalpel blade is a smaller version of the #10 blade used for making finer incisions?

#15 blade

What is the most common scalpel handle?

#3 handle

What is the name of a clinical tool used mainly to stop bleeding?

Hemostat

What is the application of a high-frequency alternating polarity, electrical current to biological tissue as a means to cut tissue called?

Electrosurgery

What type of scissors are used for performing blunt dissections and cutting delicate tissue (ex: heart and organ operations)?

Metzenbaum Scissors

What type of scissors are used as heavy duty clinical scissors that cut thicker tissue such as fascia, muscle, and ligaments?

Mayo Scissors

What type of scissors are used to cut materials such as bandages and clothing?

Bandage Scissors

What is it called when a patient is positioned on their back?

Supine

What is it called when a patient is positioned on their stomach?

Prone

What are the three layers of the skin, listed from topmost layer to bottommost?

1. Epidermis

2. Dermis

3. Hypodermis

What is the medical device used to repair a wound named?

Suture

What is the technique used to close a wound named?

Stitching

What are sutures that do not require removal called?

Absorbable Sutures

What are sutures that will eventually need to be removed called?

Nonabsorbable Sutures

What are sutures composed of only one fiber called?

Monofilament Suture

What are sutures composed of many fibers called?

Multifilament Sutures

What are three types of absorbable sutures?

1. Vicryl

2. Gut

3. Monocryl

Which braided suture is good for repairing muscles, fatty tissue, or dermis/subcutaneous tissue in the skin?

Vicryl

Which single fiber suture is used for repairing internal soft tissue wounds?

Gut

Which type of suture does the body react most strongly to, usually scarring over?

Gut

Which single fiber suture is used for general use in soft tissue repair?

Monocryl

What are the four nonabsorbable sutures?

1. Nylon

2. Silk

3. Steel

4. Polypropylene

Which single fiber suture is used to stabilize soft tissue defects and acts as a sling to support prolapsed organs?

Nylon

Which multifaceted suture is used in the closure of skin, GI tract, Caesarean skin, and subcutanous tissue?

Silk

Which suture is used in abdominal wound closure, hernia repair, and orthopedic procedures?

Steel

Which synthetic single fiber suture is used in cardiovascular, opthalmic, and orthopedic surgeries?

Polypropylene

What acronym should be remembered for introducing yourself to a patient?

WIIPP

What does WIIPP stand for?

W - Wash your hands

I - Introduce yourself

I - Identity (Confirm that you are speaking with the correct patient)

P - Permission (Obtain consent from the patient to ask questions)

P - Positioning (Remember to stay at the same level as the patient)

What acronym should be remembered when asking for a history of current illness?

SOCRATES

What does SOCRATES stand for?

S - Site (Where is the pain?)

O - Onset (Pattern and onset of pain)

C - Character (What does the pain feel like?)

R - Radiation (Does the pain spread?)

A - Associated Symptoms (Any other symptoms along with the pain?)

T - Timing (what is the general progression of the pain?)

E - Exacerbating Symptoms (Is there anything that makes the pain worse?)

S - Severity (What is the pain on a scale of 1-10?)

What acronym should be remembered for past medical history?

MJTHREADS Ca

What does MJTHREADS Ca stand for?

M - Myocardial Infarction (Heart Attack)

J - Jaundice

T - Tuberculosis

H - Hypertension

R - Rheumatic Fever

E - Epilepsy

A - Asthma

D - Diabetes

S - Stroke

Ca - Cancer