Shared Flashcard Set

Details

Surgical Nursing Lab Quiz 1
Instrument module 1 and General Quiz
66
Veterinary Medicine
Undergraduate 4
09/10/2010

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Operating Scissors (blunt/blunt, blunt/sharp, sharp/sharp)
Definition

Cut tissue or suture material during surgery

[image]

Term
Iris scissors
Definition

Cut intraocular tissues

[image]

Term
Mayo dissecting scissors
Definition

Cut heavier, tough tissue (i.e. connective tissue)

Blades are bulkier than operating scissors

[image]

Term
Metzenbaum Scissors
Definition

Cut delicate, thin tissue (fat, thin muscle)

 

[image]

Term
Lister bandage scissors
Definition

Cut bandage material

[image]

 

Term
Suture removal scissors
Definition

Remove suture material

[image]

Term
Wire cutting scissors
Definition

Cut wire

[image]

Term
No. 3 scalpel handle
Definition

General small and large animal surgery

[image]

Term
No. 4 Scalplel handle
Definition

Large animal surgery

 

[image]

Term
Scalpel handle no. 7
Definition

Orthopedic surgery

[image]

Term
Scalpel blades
Definition
incising skin and tissue
Term
Scalpel blade no. 10
Definition

General "all purpose" fits no. 3 and 7 handle

[image]

Term
#11 Scalpel blade
Definition

i.e. severing ligaments, fits no. 3 and 7 handle

[image]

Term
#15 scalpel blade
Definition

Small, precise cutting. fits no. 3 and 7 handle

[image]

Term
#20 Scalpel blade
Definition

Large animal general "all purpose" fits no. 4 handle

[image]

Term
Mayo-Hegar needle holders
Definition

Hold surgical needle (ties only)

[image]

 

Term
Olsen-Hegar needle holders
Definition

Hold surgical needle (cuts and ties)

[image]

Term
Backhaus penetrating towel clamps
Definition

Hold surgical drape in place

[image]

Term
Hoff non-penetrating towel clamps
Definition

Hold surgical drape in place

[image]

Term
Ovariectomy hook (spay hook)
Definition
Retrieve Uterine horns
Term
Keyes biopsy punch
Definition

Punch or core tissue for biopsy

[image]

Term
Resco nail trimmers
Definition

Trim nails

[image]

Term
White nail trimmers
Definition

trim nails

[image]

Term
Serra modified emasculator
Definition

Crush/cut spermatic cord during castration

[image]

Term
Whites modified emasculator
Definition

Crush/cut spermatic cord during castration

[image]

Term
Obstetrical chains and handles
Definition

Aid in delivery of fetus during birth process (large animal)

[image]

Term
Electrocautery pencil
Definition

Provides hemostasis or cutting action

[image]

Term
Grooved director
Definition

Probe used to guide direction and depth

[image]

Term
Martin uterine needle
Definition

MRIT/cruciate repair surgery

[image]

 

Term
sterile
Definition
absence of all living microorganisms, including spores
Term
asepsis
Definition
absence of all pathogenic organisms that cause infection
Term
strike-through
Definition
occurs when liquids soak through a drape between a sterile area and a non-sterile area
Term
povidone-iodine
Definition
an iodine disinfectant used as an antiseptic
Term
chlorhexidine diacetate
Definition
a chlorhexidine disinfectant usedd as a disinfectant/antiseptic (nolvasan)
Term
prep room
Definition
used for patient prep and surgical supply storage
Term
operating room
Definition
ideally only used for surgery
Term
4 members of the surgical team
Definition
surgeon, surgical assistant, circulating tech, anesthesia tech
Term
how do you set up a prep table and surgery table?
Definition
hand towel - v-trough - warm water circulating blanket - diaper pad
Term
prep supplies
Definition
clippers (no.40 blade)
vacuum
rough scrub (chlorhexidine and alcohol)
final scrub (chlorhexidine and sterile 4 X 4s)
plastic apron
Term
clipping landmarks for canine/feline ovariohysterectomy
Definition
from xyphoid process to pubis, laterally to folds of the abdomen
Term
clipping landmarks for canine orchiectomy
Definition
from cranial portion of prepuce to just cranial of the scrotum
Term
scrubbing
Definition
rough scrub: alcohol - chlorhexidine 3 times
final scrub : chlorhexidine scrub once, leave on for 2 minutes, dry with sterile 4 x 4 in circular fashion
Term
Name some things that are stored in the prep room.
Definition
usually houses the supplies to prepare the patient, surgeon and surgical assistants for surgery.
- scrub sinks, surgical hand scrub, caps, masks, booties, pt prep supplies – gurney/table, clippers (#40 blade), vacuum, agent to scrub patient skin, anesthesia supplies, etc.
Term
Name some items kept in the OR.
Definition
sx table with warm water circulating blanket (SA), pads for LA
- stainless steel table that lowers/raises, tilts
- sx lights (these provide intense illumination while generating minimal heat.) Intensity controls
- radiographic viewers, IV stands, instrument tables, suction units (to remove fluid accumulations from the operative site), electrocautery units (to aid in providing hemostasis), patient positioning devices (v-trough, vac packs, wedge pads)
Term
Name some items that should be kept in the recovery room
Definition
Cages should be padded (to prevent injury). Cats shaking off ketamine or declaws with bandages on their paws.

Emergency cart, fluids, o2 therapy close and handy.
Term
aseptic technique
Definition
A term used to describe all of the precautions taken to prevent contamination (and ultimately infection) of a surgical wound
Term
Examples of aseptic technique
Definition
- Surgical environment: Perform surgeries in a specifically designated area (Sx suite)
- The patient: clip the hair and prepare the surgery site using products specifically for that purpose. (Patient is clean prior to entering surgical area – LA)
- Instruments/Equipment: Sterilize packs, instrument, etc. Sterile = free from all living organisms
- Operative personnel: surgical team wears specific clothing (scrubs, caps, masks, booties), surgical team scrubs, gowns, gloves, drapes patient
Term
contamination
Definition
implies that microorganisms are within or on an object or wound
Term
infection
Definition
Microorganisms in the body or wound multiply and cause harmful effects.
Term
What is involved in cleaning the surgical area daily?
Definition
*Wipe off surgery lights, tables, stands, waste receptacles prior to sx. Make sure there is ample time for dust particles to settle.
(Clean from cleanest to dirtiest – sx lights, table before waste can, bottom of table/mayo stand)
*recognize that sweeping with a broom increases airborne dust particles. It would be better to use a canister vacuum with a filter.
*Mops are incredibly yucky!
- don’t let mop stand in water
- use double bucket technique (mop into disinfectant – floor – clean – water bucket – disinfectant – floor – repeat.)
*If at all possible use disposable cloths or sponges, or at least launder daily.
*Line waste baskets
*periodically wipe down walls, ceilings, vents

Spot clean between cases
*wipe down tables between cases, clean up floor debris (blood, hair,etc)
*dispose of waste
*rinse blood off instruments/linens (could be corrosive on instruments)
*clippers cleaned

Restock
*rotate stock
Term
disinfectant
Definition
an agent that kills or inhibits the growth of microorganisms on inanimate objects.
Term
antiseptic
Definition
an agent that kills or inhibits the growth of microoganisms on animate (living) objects
Term
Name a quaternary ammonium compound
Definition
Roccal-D
Term
name a phenol
Definition
lysol
Term
name a halogen
Definition
clorox, betadine, povidone
Term
define surgical team
Definition
any personnel having contact with the patient immediately before, during or immediately after surgery.
Term
duties of the circulating tech
Definition
- set up surgery suite with supplies, packs, etc.
- prepare patient for surgery – clip/prep
- open and obtain sterile supplies intraoperatively
- watch for breaks in sterility. HAVE EAGLE EYES!
- clean up after surgery (OR, clippers, etc.)
- Restock supplies
Term
duties of the anesthesia tech
Definition
- preanesthetic physical exam
- anesthetize patient
- monitor patient during surgery
- monitor patient during recovery
- clean up anesthesia supplies
- log all controlled drugs
Term
duties of the surgical assistant
Definition
- scrubs in with surgeon
- assists with surgery
Term
standing rules for nonsterile personnel
Definition
Always face sterile fields
Stay out of the way of sterile/scrubbed personnel
Term
passing rules for nonsterile personnel
Definition
Pass behind sterile personnel (your front to their back)
Never walk between sterile personnel and surgical field
Term
reaching and touching rules for nonsterile personnel
Definition
never reach over a sterile field, never touch anything sterile
Term
standing rules for sterile personnel
Definition
always face sterile field, Your sterile area is from chest to level of sterile field; 2” above elbows.
Stand in prayer position with hands at chest level
Term
passing rules for sterile personnel
Definition
Your sterile area is from chest to level of sterile field; 2” above elbows.
Stand in prayer position with hands at chest level
Term
reaching and touching rules for sterile personnel
Definition
Reach over sterile items only
Keep hands and arms at chest level
touch only sterile objects
Term
preliminary details
Definition
Verify sex/ID
Confirm procedure
Obtain lab results
Examine hx
Have release forms signed
Bathe/groom patient if necessary
Allow pt to urinate/defecate prior to entering prep area
Supporting users have an ad free experience!