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Chapter 48: Preparing for Surgery
Terms in this set (55)
Many minor surgical procedures are now performed in:
(three part answer)
the medical office, clinic, and ambulatory care center.
It is usually the Medical Assistants duty to:
1. Schedule the surgery
2. Educate the patient about preop & postop care
3. Prepare the room & Equipment for the surgery
4. Assist the provider as needed
Many providers prefer to perform minor surgical procedures when?
At the beginning of the day's schedule.
Why is fasting important before a procedure?
Fasting lessens the possibility of nausea and vomiting, which some patients can experience during and following any type of surgery.
The medical assistant in the hospital or surgeon's office will generally:
phone the patient the day before the surgery to confirm the appointment.
When scheduling, advise patient of the:
SLFATC (Salt Lake FATC)
Length -of time for procedure
Fasting -how long
Time -off of work
Clothing -to wear to the procedure
Thumb Handle (Instrument components)
A handle similar to that of a tweezer that is squeezed between the thumb and finger.
Ring Handle (Instrument components)
Designed so that the thumb and finger can be inserted into the rings.
Ratchet (Instrument components)
Locking mechanism designed to close in varying degrees to hold the instruments closed, used to clamp tissue and vessels.
Serrations (Instrument components)
Little fissures engraved into the surface of the blades of hemostats and forceps.
Designed to prevent slippage and provide a firm grip when clamping a tissue.
Teeth (Instrument components)
Very sharp projections designed to hold the tissue when grasping.
Cutting and Dissecting (Instrument Classification)
Includes scissors, scalpels, and curettes
Clamping and Grasping (Instrument Classification)
Includes hemostats, clamps, forceps, and needle holders
Dilating, Probing, and Visualizing (Instrument Classification)
Includes retractors, scopes, specula, probes, and dilators.
All sterile packages must be labeled with:
1. The contents
2. Date the package was sterilized
3. Initials of the person who prepared and sterilized it
Autoclaved items stay sterile for _____________ if they have been properly processed and have been protected from moisture
The room where the surgery will take place and the sterile tray should be set up ________ the patient is escorted to the area to be prepared for the procedure.
Freedom from disease-causing agents such as microorganisms, viruses, and drug resistant bacteria.
Purpose of asepsis:
Protect the patient and healthcare professional from disease and to stop disease from spreading.
What are the two types of asepsis?
1. Medical Asepsis
2. Surgical Asepsis
Aims to reduce the number of microbes associated with diseases.
Total removal of all microbe-associated diseases.
The process of maintaining sterility throughout the surgical procedure.
How can medical asepsis be obtained?
It is obtained through hand washing or cleaning agents such as antiseptics.
Steps that reduce the risk of infection from blood-borne pathogens.
_____________ are responsible for training all employees on standard precautions.
How is surgical asepsis obtained?
It is obtained through sterilization
The process of destroying all disease-causing microorganisms
What is the most widely used method of sterilization?
Autoclave (Sterilization Techniques)
Renders sterility by a combination of steam and pressure.
Dry Heat (Sterilization Techniques)
Accomplished by raising the temperature of surgical instrumentation to the designated temperature that renders it sterile.
Gas Sterilization (Sterilization Techniques)
Occurs with ethylene oxide.
Chemical Agents (Sterilization Techniques)
Common chemical agents are glutaraldehyde, chlorine dioxide, and sodium hypochlorite.
During sterilization, it is important for all parts of the surgical instrument to be equally exposed to the sterilant.
A routine hand washing for medical asepsis should be performed vigorously for at least ___ __________.
When should you perform hand washing for medical asepsis? (five-part answer)
1. Before and after seeing each patient
2. Before and after eating
3. Before and after using the restroom
4. Before and after handling specimens or any soiled material or contaminated material
5. After removing gloves
Surgical asepsis, or surgical scrub, should be performed for _____ _________.
What is the purpose of a surgical scrub?
To reduce the number of microorganisms and make the skin surgically clean.
What should be applied right before the surgical scrub?
The appropriate personal protective equipment (PPE) such as face shield or face mask and eye protection.
Which procedures require a sterile technique?
Needle biopsies, intrauterine device (IUD) insertions, and lacerations.
What must be done when a patient arrives for surgery?
A consent form must be completed.
What should the patient do before being positioned and draped for the procedure?
Empty the bladder.
The position of the patient depends on what?
Surgical site and providers preference.
Designed to prevent the spread of bacteria and strikethrough.
What is the drape of choice in most medical offices?
What are the two types of drapes?
Preparation of the area of skin that will be affected by the surgical procedure.
Body hair encourages:
Why is it extremely important to avoid nicking the patient's skin?
Microorganisms can enter the body through a break in the skin, and an infection could develop from carelessness.
True or False: The skin can be completely sterilized.
Why can the skin not be completely sterilized?
The cells would be destroyed.
What can be used to reduce microbial growth prior to surgery?
When is an antiseptic applied?
After the skin has been shaved and properly cleansed.
The solution is applied in a __________ _________, using care not to contaminate the area during the application.
When assisting with acupuncture procedures, preparation of the skin is
to use an antiseptic such as alcohol.
At what angle should a medical assistant shave hair?
Sets found in the same folder
Chapter 49 Assisting with Minor Surgery
Chapter 39 Specialty Examinations and Procedures
Ch 38 Assisting with a General Physical Examination
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