Shared Flashcard Set

Details

Walker
Chapter 17
38
Medical
Not Applicable
04/10/2011

Additional Medical Flashcards

 


 

Cards

Term
Know when to set up a room and sterile tray for a patient.
Definition
Before the patient is escorted to the area to be prepared for the procedure.
Term
PPE equipment should be put on before or after sterile gloves?
Definition
Before sterile gloves, after washing hands.
Term
How should you get rid of hair on the skin before a minor surgery?
Definition
Use scissors to clip hair
Shave by placing the razor against the skin at a 30° angle
Hold skin taut
Shave in the direction hair grows
Shave 2” around site.
Term
What procedure do you do before hand washing?
Definition
Remove all jewelry and tear paper towel off.
Term
Before donning sterile gloves, check them for what?
Definition
Expiration date
tears
cuts
punctures
that the package is sterile and unopened
Term
When removing sutures The MA or Dr. should pull the suture in what direction from the incision?
Definition
Up and toward the healing incision.
Term
When assisting with the minor surgery, the MA does what to the surgery site after the Dr. is finished?
Definition
Cleaning and bandaging surgery site with sterile gloves Helping the patient to a sitting position After cleaning hands assist in dressing if necessary Give patient info on any return visits or any orders from physician
Term
Be familiar with what the MA should help with when assisting with suturing a laceration.
Definition

Wash hands assemle all sterile items

Identify the patient

Explain the procedure, ask patient to empty bladder

take and record vital signs

ask paitent to remove necessary clothing

assist the patient into the appropriate position for skin prep of the wound.

put on ppe and sterile goves

remove sterile towel from setup

hand steril gloves to physician

wip the top of the anesthetic vial

hold the vial for the physician

 

Term
What is cryosurgery?
Definition
To freeze off. Destruction of skin and lesions using extremely cold temperature.
Term
How many sutures should you remove?
Definition
The same amount of sutures that were put in with the exception to any that have fallen out during dressing changes.
Term
Know if pre surgical preparations differ in offices verses hospitals.
Definition
Yes if surgery is other than in the ER with lacerations/if day surgery the anesthia will be different and a time period of the stay will be longer
Term
Can sutures cause an infection?
Definition
Only if they are not removed.
Term
Know the difference in pre and post op care.
Definition
Before surgery
After surgery
Term
What does your book recommend on shaving before surgery on the surgical site?
Definition
Clip hairs for removal Shave 2’ around surgical site Use disposable blades
Term
What is the convenience of disposable surgical instruments?
Definition
They come in sterile packages You don’t have to clean and auto clave them They can be thrown away
Term
What is an electro cautery device?
Definition
A device that removes benign skin lesions such as warts and skin tags by the use of electric current. It also controls bleeding during a procedure.
Term
When should a consent form be signed?
Definition
When a patient arrives for surgery
Term
How long should a surgical scrub be performed?
Definition
6 minutes
Term
Who signs consent if the patient is a minor?
Definition
Parent or guardian
Term
What is hemophilia?
Definition
A serious blood clotting disease in which there is the absence of one of the necessary blood clotting factors for blood to coagulate.
Term
Know the difference between general and local anesthesia.
Definition
One is all over, the other is for a designated area only.
Term
How long an autoclaved instrument is good for?
Definition
The expiration date, or 30 days if its packaging is kept dry and intact.
Term
Hemophilia, what is it, who does it occur in (sex)?
Definition
Hereditary condition transmitted through sex linked chromosomes of female carriers, affects males only, cause inability to clot blood.
Term
What is a speculum?
Definition
An instrument that permits viewing inside a body cavity.
Term
When is a consent form signed?
Definition
When a patient arrives for surgery.
Term
What kind of a solution is a biopsy placed in?
Definition
10% formalin.
Term
Know the degree of the angle of the razor for shaving a surgical site?
Definition
30°
Term
What info to give a patient when scheduling a surgical procedure?
Definition
Approximate length of time for procedure. What to wear. Time to Fast. Arrange for someone to accompany. Time off work or arranging for home care. Printed education materials.
Term
Know four items to be discussed as preoperative instructions?
Definition

Date and time of appointment.

Written instructions given to patient.

Direction to facility.

Special diets or medication to prepare for procedure. How to dress.

Transportation to and from the office.

Term
10 sterile items to set up for most minor surgical procedures?
Definition

Bandages

Gauze squares

Hemostats

Needle holder

Needles and suture material

Probe

Scalpel handle and blades or disposable scalpel

Suture scissors

Syringes

Thumb forceps

Towels

Vial of anesthetic medication

Term
Know three instruments and how they are classified according to their functions.
Definition

Scissors and scalpels –

Cutting

 

Hemostats, clamps, forceps, and needle holders – Clamping or grasping

 

Retractors, scopes, specula, probes and dilators – Dilating and probing

Term
List instructions to give after suture removal.
Definition

Keep site clean Place no stress on the area

Drink plenty of fluids

Get adequate rest

Eat a sensible diet

Return for follow-up appointment

Term
Describe how to do a culture from an infected wound.
Definition
Use a sterile cotton swab and insert the tip into the the center of the infected area of the wound. Transfer the swab with the specimen into the culture medium.
Term
Know the required information on a sterile package.
Definition

Labeled with contents

Date the package was sterilized

Signature of person who prepared and sterilized it

Term
List the signs and symptoms of wound infection.
Definition

Unusual pain, burning or other uncomfortable sensation Swelling, redness, or other discoloration

Bleeding or other discharge,

Fever above 100°

Nausea and vomiting

Any other problem or symptom

Term
Cutting
Definition
Scissors and scalpels
Term
Clamping or grasping
Definition
Hemostats, clamps, forceps, and needle holders
Term
Dilating and probing
Definition
Retractors, scopes, specula, probes and dilators
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