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Chapter 21 Case Planning and Intraoperative Routines

AB
The ____containing towels, drapes, and gowns is centered on the back table and opened using aseptic technique.basic pack
Using a ____ approach to all setups improves efficiency.methodical
Before organizing and preparing supplies during setup, ___ the sterile area.increase the size of
Avoid the shifting items around from one place to another during setup. Try to handle an item only once. Shifting items from one location to another without purpose increses the chance of ____ and is not productive.contamination
You may have up to 10 trays on a complex case. This is why it is important to think about what you need, locate it among all the supplies, and then put it in a specific place. If instrument trays must be stacked, place the ____ ones on the bottom.heavier
____ are usually distributed after the case is underway or just before the case begins.Irrigation and soaking solutions
The sponge, sharps, and instrument count is performed ___.during the setup
____ is/are responsible for ensuring that no item is left in a patient.all team members
The court is performed by two people. Professional standard for counts as published by AORN requires a ____ and another health care worker such as the surgical technologist to perform the count.Circulator
Inadequate lighting increases ____. The surgical technologist adjusts light as needed.the risk of error
Every surgical sponge is sewn or impregnated with a ____ that helps identify its location in the wound in case it is retained or lost.radiopaque strip
____ are used for absorption of blood and fluids and for padding beneath the blades of large retractors. This helps to prevent injury resulting from direct contact of the retractor blade with the wound edges.Laparotomy sponges
During the surgical procedure, all instruments are passed ____ unless the surgeon requests otherwise.in their closed (locked) position
All sharps should be passed with ____. If hospital policy or an individual surgeon has not implemented this technique, the scrub must pass sharps in the traditional manner.a neutral zone (no-hands) technique
The surgical technologist must keep track of the amount of ____ used in the wound so that estimated blood loss can be calculated.irrigation fluid
_____ carries responsible for the specimen's protection, preservation, and accurate identification.Every person who handles a specimen
Two types of ____ are commonly taken during surgery. These are aerobic and anaerobic.bacterial cultures
Any tissue or item removed from the patient's body during surgery is ____ and is maintained in a specific way on the surgical field to prevent loss or damage.a specimen
The ____ is responsible for maintaining an organized and safe surgical field.scrub tech
Mandatory verification of surgical site and side to prevent wrong site surgery. The process preceded by patient verification process detailed by the Joint Commission is called ____.time out
A process in which a sample of exudate, pus, or fluid is grown in culture media and analyzed for the presence of infectious microorganisms. When the microorganisms have colonized, they are examined for the type and sensitivity to specific antibiotics. This procedure is called a ____.culture
A time-related set of procedures inwhich sterile supplies are distributed and arranged on the sterile stable is referred to as case ____.setup
Any objects that can penetrate the skin and have the potential for causing injury and infection are referred to as ____.sharps
Removal of a sample of tissue for pathological analysis is called a ____.biopsy
A tissue implant derived from another person, animal, or the patient is called a/an _____.graft
A method used for gathering supplies for a case is referred to as a/an ____ system.case cart
A/An ___ is a database containing each surgeon's particular routines for a specific instruments for a particular surgery.surgeons preference card
Gathering needed diagnostic studies, such as radiographs, magnetic resonance images, or other data the surgeon needs during the case, is part of ____.preparing the room
____ are not brought to the Mayo until the superficial wound layers are closed and the final sponge have been completed.Dressings
The wound is then closed according to the ____ protocolsurgeon's
The ____ is responsible for maintiaining an organized and safe surgical field.surgical technologist
The ___ recieves the specimen from the sterile field and isolates into the designated containercirculator/registered nurse
Anesthesia begins only after the ___ has arrived and is ready to scrub.surgeon
The anesthesia care provider and the ___ focus on preparing the patient for anesthesia.circulator/registered nurse
Case planning combines knowledge of a surgical procedure and ____. Good case planning is a learned skill that develops with experience.surgical techniques
Tissue replacement refers to _____ or other anatomical structure that has lost function through disease or trauma.implantation of an organ
Specific instrument sets, equipment, and supplies needed for a procedure are listed on the ____.surgeon's preference card
Choose preoperative, postoperative, or intraoperative. The patient is transferred to PACU (postanesthesia recovery unit).postoperative
Choose preoperative, postoperative, or intraoperative. The scrub and ciculator open the case.preoperative
Choose preoperative, postoperative, or intraoperative. The circulator continues to distribute sterile supplies as needed.intraoperative


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