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37 Cards in this Set
- Front
- Back
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In what order are items counted?
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Sponges
Sharps Instruments |
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Sponges include...
Sharps include... Instruments include.... |
1)Laps, Reytec.
2)Blades,Needles,Hypo'd,bovi tip. 3)Stringer,knife handle,pick-ups-towel clips,basket items. |
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What is the blue strip on Reytec sponge?
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Radio-o-paque
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After the surgeon makes the initial cut with the blade or knife you would hand him?
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Bovi
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If the incision is 2" or greater you will count with the circulator?
TRUE or FALSE |
TRUE
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If the incision is smaller than 2" do you have to count with the circulator?
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No, but you do have to count them yuourself.
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When and why would you need to count the instruments to yourself?
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When the incision is smaller than 2".
Make sure all instruments are present when sent to decontamination. |
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Between first closing count and final count you count a minimum of how many times?
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Four
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When would you need to count?
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1)Prior to incision
2)Closing count is done on first layer. 3)Prior to the skin. 4)Final Count is done when he is on the skin. |
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Where is the knee saftey belt strap?
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2" above the knee, must be able to fit two fingers under strap.
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Who needs to be in room to start procedure?
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1)Anesthesiologist
2)Surgeon 3)STSR 4)Circulator |
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Who needs to be there for the patient to come to the room?
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Surgeon
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Can patient have the operation if they have not signed consent form?
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No, only exception would be a life threatening emergency situation.
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When the patient is enering the O.R or elevator what part of the body goes first?
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Head
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Who takes care of I.V bag during transporting patient?
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Anesthesiologist
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How could body temperature of patient be regulated?
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1)Bair Hugger
2)Warm blankets |
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How would a warm blanket be placed on a patient to help keep heat in?
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1)Start at the feet.
2)Never take off the blanket. 3)Move blanket up while continuing to bring up warm blanket. |
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When a patient is being moved who counts?
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Anesthesiologist
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When would the room be warmer?
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Pediatric or geratric patient
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When is the most common time that the patient loose body heat?
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During the early stages of the procedure.
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The upper body bair hugger stretches?
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Under mammory line from arm to arm.
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The lower body bair hugger stretches?
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Below the umbilicus to feet.
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What is Hypoxia?
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Lack of oxygen
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What is Hypothermia?
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Low body temperature
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What causes hypoxia?
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Hypothermia-high B/P
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What should always be done before saline is administered.
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Always check the temperature
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What is places on patient when placced on O.R. bed?
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1)BP cuff
2)Pulse Ox 3)Temp Strip 4)EKG leads |
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Where are the vital sign equipment placed on the patient?
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Bp cuff-on arm, but not on I.V arm
Pulse ox- On fingers 3)Temp strip-forehead 4)EKG - on chest |
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How are leads put on machine?
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smoke over fire
white on right |
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The goal of every patient should be?
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The maintenance of normal core temerature, unless procedure specifically calls for the use of hypothermia.
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What are four ways of Intra-Op Heat loss?
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1)Radiation-LOH from Pt. body to the environment
2)Convection-LOH into air currents(wind chill effect) 3)Conduction: LOH from pt. body to a surface. ex. OR table 4)Resperation: LOH from perspiration or respiration |
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What is respiration?
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Exchange of oxygen and carbon dioxide between atmosphere and cells of the body.
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When does the anethesia provider apply moitoring equipment to the patient?
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Prior to placing patient in operative position.
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Why does the anethesia provider apply moitoring equipment to the patient?
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To monitor and record the patients vital signs.
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What are the major modes of heat loss to the patient?
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Radiation and Convection.
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During the Intra-Op phase how should sharps be counted?
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STSR should point to each item during the count and items should be audibly counted by him/herself and circulator.
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During the Intra-Op phase how should sharps be counted?
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Counted in the sterile processing area and initial instrument count sheet is signed by the individual preparing the instrument set.
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