INSTRUCTIONS: The following exercises are to be answered by marking the lettered response that best answers the question or best completes the incomplete statement or by writing the answer in the space provided.
After you have completed all the exercises, scroll to the bottom of this page and check your answers.
1. How do you know which sutures are required for a procedure?
____________________________________________________
2. The suction machine is connected to an electrical outlet by which team member? ____________________________________________________
3. Define:
a. Kitner sponges ______________________________________________
b. Lap sponges ________________________________________________
c. Stick sponges _______________________________________________
4. As soon as the patient has been placed upon the operating table, you (the circulator) should place and secure the leg strap. Your next step is to:
a. Remove the litter from the room.
b. Help position the patient for surgery.
c. Secure the patient’s arms.
d. Place the suction machine at the head of the operating table.
5. A ___________________________is a method of accounting for items put on the sterile table for use during a surgical procedure.
6. What is the purpose of draping?
_______________________________________________________________
7. Rules of aseptic technique in draping include:
a. ____________________________________________________
b. ____________________________________________________
c. ____________________________________________________
d. ____________________________________________________
e. ____________________________________________________
8. In using the statement, “integrity of every package,” it means that in relationship to sterile supplies that every package will be checked for:
____________________________________________________
____________________________________________________
____________________________________________________
9. List the four steps the circulator performs before preparing the operating room for surgery.
a. ____________________________________________________
b. ____________________________________________________
c. ____________________________________________________
d. ____________________________________________________
10. What is the first step to be performed in draping a Mayo stand?
____________________________________________________
11. What does the circulator do during the draping procedure?
____________________________________________________
12. Several general rules on handling suture material were presented in this lesson.
Write three of those rules.
a. ____________________________________________________
b. ____________________________________________________
c. ____________________________________________________
13. What is the minimum scrub time for the preoperative skin prep according to this subcourse?
____________________________________________________
14. Who checks the surgeon’s preference card for the right kind of sutures for the procedure?
____________________________________________________
15. Who assists the surgeon in gowning and gloving?
a. Scrub.
b. Circulator.
c. Registered Nurse.
d. Usually no one.
16. List the minimum contents of a lap pack.
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Check Your Answers
1. Surgeon’s preference card (para 3-21a)
2. Circulator (paras 3-8c, 3-1c)
3. a. Small rolls of heavy cotton tape (para 3-20b(9))
b. Sponges with a loop of twilled tape sewed on one corner (para 3-20b(10))
c. Small gauze sponges (para 3-20b(11))
4. c (para 3-6a(5))
5. Counting procedure (para 3-20a)
6. To eliminate the passage of microorganisms between nonsterile and sterile areas. (para 3-24a)
7. Any of the following: (para 3-24c)
Handle drapes as little as possible.
Never reach across the operating table to drape.
Hold drapes high enough to avoid touching nonsterile area.
Never adjust the drape.
Protect the gloved hands by cuffing.
If drape becomes contaminated, discard.
If the end of a drape falls below waist level, discard.
If in doubt about sterility, discard.
If a hole is found in drape after it is laid down, cover the hole with another drape, or discard.
8. Tears, punctures, watermarks, expiration date, and sterilization indicator. (para 3-2k)
9. Wash hands thoroughly (para 3-2b)
Don surgical hat
Don scrub suit
Don surgical masks
10. The scrub picks up the Mayo stand cover, steadies the stand with one foot, and places the drape over the end of the stand nearest him. (para 3-15a)
11. Stand by to direct the scrub as necessary and watch for breaks in sterile technique. (para 3-24b)
12. Any three of the following:
Limit handling.
Never stretch, jerk or test the strength.
Avoid crushing strands.
Do not run gloved hands over suture.
Do not open and prepare too many in advance. (para 3-21c)
13. Five minutes (para 3-7g)
14. Scrub and circulator (para 3-21a)
15. a (para 3-23a)
16. Mayo stand cover
2 drape sheets
4 hand towels
fenestrated sheet (para 3-14a)