Shared Flashcard Set

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SURGTECH Midterm prep
Quiz questions
151
Medical
Undergraduate 1
03/24/2024

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Cards

Term
Which of the following terms is used to describe surgical intervention that does not have to be performed immediately or within a short period of time, for example, a torn meniscus repair?
Definition
Elective
Term
Which of the following historical figures is considered the father of modern anatomy and changed the traditional approach to anatomical studies?
Definition
Vesalius
Term
Which of the following historical figures developed the first x-ray machine?
Definition
Roentgen
Term
How many phases of surgical case management are there?
Definition
3
Term
Which of the following surgical team members would be primarily responsible for maintaining the patient’s operative record and transporting the patient to the post-anesthesia care unit (PACU)?
Definition
The circulating RN
Term
Which of the following surgical team members would be responsible for separating instruments and disassembling the sterile field in the postoperative phase?
Definition
The CST
Term
Which organization develops national certification exams for surgical technologists and surgical first assistants and confers the appropriate credential to eligible certificants?
Definition
NBSTA (National Board of Surgical Tech. and surgical Assisting)
Term
Which of the following symbols on the Association of Surgical Technologists (AST) logo represents the surgical technologist performing various roles in surgery?
Definition
Black/blue Triangle
Term
In or by which of the four components of communication would “decoding” take place?
Definition
Receiver
Term
Which example of nonverbal body language might a patient perceive as a negative attitude from a team member?
Definition
Tightly folded arms
Term
Which term describes the surgical technologist’s foundational commitment to professional honesty, confidentiality, fair treatment, cost containment, and attention to the highest level of surgical patient care?
Definition
Surgical Conscience
Term
Which department would provide services for repair of broken equipment or to do routine preventive checks?
Definition
Maintenance and biomed
Term
Which of the following pioneers of medicine and surgery first developed techniques for surgical antisepsis?
Definition
Lister
Term
After which of the following military conflicts did Great Britain and the United States begin to train and employ allied health professionals predominantly in the scrub role in surgery?
Definition
World War II
Term
Which term describes the relationship between the certified surgical technologist (CST) and the other members of the surgical team in the OR?
Definition
Professional
Term
Which of the following behaviors would NOT be considered an example of “workplace violence”?
Definition
Yielding to another's viewpoint
Term
According to the AST position statement on teamwork, which type of environment contributes most to a safe and efficient surgical experience with positive patient outcomes?
Definition
Collaborative
Term
Which of the following pioneers of medicine and surgery performed the first heart transplant in the United States?
Definition
Cooley
Term
Which of the following pioneers of medicine invented the smallpox vaccine?
Definition
Jenner
Term
Which of the following surgical team members is a nonphysician who has acquired additional knowledge and experience and obtained an appropriate surgical assistant credential?
Definition
SFA (Surgical First Assistant)
Term
First great anatomist, controlled thought, went unchallenged, for 1500 years; biology made to serve theology
Definition
Galen
Term
Greatest surgeon of the 16th century, began to ligate (tie up) arteries after amputation; Stopped cauterizing wounds with hot iron/oil
Definition
Pare
Term
Described the signs of inflammation
Definition
Celsus
Term
Father of microbiology, virology, immunology
Definition
Pasteur (Pasteurization)
Term
Responsible for advancements in surgical procedures; best known for gastrectomy procedures
Definition
Billroth
Term
Developed meticulous closure of wounds
Definition
Halsted
Term
Developed the concept of a virus
Definition
Biejerinick
Term
Father of Neurosurgery; reduced the mortality rate for meningiomas from 96% to 5%
Definition
Cushing
Term
Developed the 1st ventricular assist pump
Definition
DeBakey
Term
Nonprofit Organization involved in setting standards for the safe use of medical technology and devices
Definition
AAMI
Term
Professional organization for surgeons that promotes standards for Surgical education and practice
Definition
ACS
Term
Nonprofit membership organization that accredits organizations that work together to develop the American National Standards regarding technology
Definition
ANSI
Term
Professional organization that establishes standards in perioperative nursing education and standards
Definition
AORN
Term
Professional organization that promotes worldwide wellness and infection control
Definition
APIC
Term
Segment that reviews/ makes recommendations regarding the educational programs using established CAAHEP standards
Definition
ARC/STSA
Term
Professional organization that set standards for education and represents the interests of the SFA
Definition
ASA
Term
Nonprofit organization that represents the interests and provides continuing education for surgical techs
Definition
AST
Term
Governmental organization that provides a system of health surveillance to prevent outbreaks of disease or infection
Definition
CDC
Term
Council of Seven organizations that promote safe surgical patient care
Definition
CSPS
Term
Agency for promoting public health through the regulation of food safety, medications, medical devices, and blood transfusions
Definition
FDA
Term
Governmental agency that issues and enforces standards for workplace safety and health
Definition
OSHA
Term
Nonprofit organization that develops standards and accredits health care organizations that volunteer for review
Definition
The Joint Commission
Term
Organization within the UN that provides leadership on global health issues
Definition
WHO
Term
Aeger Primo
Definition
The patient first
Term
Which of the following is an example of an intentional tort pertaining to surgical patient care?
Definition
Restraints are used on a patient who threatens to leave
Term
Which of the following legal doctrines would MOST likely apply in the case of a wrong site surgery or retained foreign body?
Definition
res ipsa loquitur
Term
The phrase “departure from the standard of care” BEST describes which of the following legal terms?
Definition
Negligence
Term
Which of the following legal terms is BEST described as “professional misconduct that results in harm to another”?
Definition
Malpractice
Term
What is the term that describes a method of pretrial discovery in which a surgical team member might answer questions under oath?
Definition
Deposition
Term
Which of the following torts would be classified as unintentional?
Definition
Foreign bodies left in the patient
Term
Which type of consent applies when emergency circumstances exist when reasonable providers believe that a patient would agree to treatment, even if no form was signed or verbal permission given?
Definition
Implied
Term
A special consent form would be required for which of the following situations during a hospital admission?
Definition
Surgical Procedure
Term
All of the following are components of the surgical patient’s medical record EXCEPT:
Definition
Surgeons preference card
Term
Which member of the surgical team is ultimately responsible for obtaining a written, informed surgical consent from a patient?
Definition
Surgeon
Term
In 2004, which of the following agencies created the “Do Not Use” abbreviation list?
Definition
The Joint Commission
Term
What is the name of the type of report sent to risk management in an effort to decrease the chance of harm to patients or staff or damage to hospital property?
Definition
Sentinel Event
Term
Which of the following pertains to a patient’s wishes about medical treatment and self-determination in the event of incapacitation or inability to communicate?
Definition
Advance Directive
Term
Which of the following terms best describes the process of keeping thorough, accurate, and legal records of a patient’s medical care?
Definition
Documentation
Term
All of the following carry the force of state or national legal enforcement EXCEPT:
Definition
Implementation of a neutral zone
Term
The American Hospital Association replaced its “Patient’s Bill of Rights” with which of the following?
Definition
Patient Care Partnership
Term
An injury resulting from the activity of healthcare professionals is termed as:
Definition
Iatrogenic Injury
Term
The broad objectives of the Health Insurance Portability and Accountability Act (HIPAA) include all of the following EXCEPT:
Definition
Eliminate medical errors
Term
Which of the following terms describes a civil wrong that may be intentional or unintentional?
Definition
Tort
Term
The most common types of patient-care errors committed by operating room personnel, including negligence and malpractice, are categorized as:
Definition
Unintentional torts
Term
According to the Joint Commission’s definition regarding consent to surgical intervention, which party has “autonomy”?
Definition
The Patient
Term
Which of the following terms describes the principles such as benevolence, trustworthiness, and honesty for the care and well-being of others in society?
Definition
Morals
Term
The legal term that identifies the knowledge and skills required for a profession and describes a health care provider’s core accountability, based on education, experience, and credentialing is:
Definition
Scope of practice (Professional standards of conduct)
Term
Specimen loss, mislabeling, and improper preparation are examples of which of the following?
Definition
Negligence
Term
Which of the following terms meets the following definition: a voluntary and informed act in which one party gives permission to another party to “touch”?
Definition
Consent
Term
Which of the following was identified in the late 1990’s as causing more deaths in the United States than car accidents, AIDS, and breast cancer combined?
Definition
Medical Errors
Term
What is establishing a neutral zone designed to do?
Definition
Prevent Sharps injuries during surgical procedures
Term
Which of the following is the guiding principle of AST?
Definition
Aeger Primo
Term
For which of the following processes are identification and reporting of unsafe conditions and hazards MOST critical?
Definition
Risk Management
Term
A voluntary statement of facts sworn to be true
Definition
Affidavit
Term
An obligation to do or not do something
Definition
Liability
Term
The person who is controlling or directing the employee has greater responsibility than the one who is paying the employee
Definition
Doctrine of a Borrowed Servant
Term
A health care institution may be found negligent for failing to ensure that an acceptable level of patient care was provided
Definition
Doctrine of Corporate Negligence
Term
Healthcare providers can be held liable for failing to recognize and/or failing to act on a critical event that was obvious
Definition
Doctrine of Foreseeability
Term
Each person is responsible for his or her own conduct, even though others might be liable as well
Definition
Doctrine of Personal Liability
Term
How the typical community member should behave in situations that might pose a threat of harm to the public
Definition
Doctrine of the Reasonably Prudent Person
Term
Above all, do not harm
Definition
Primum non nocere
Term
Let the master answer
Definition
Respondeat Superior
Term
An act that causes another person to fear that he or she will be touched in an offensive, insulting, or physically injurious manner without consent or authority to do so
Definition
Assault
Term
breakpoints
Definition
bendable areas at the knee, waist and head. Also some head and knee areas of the table are removable
Term
CSPD
Definition
central sterile supply and processing department
Term

high efficiency particulate air filter

(HEPA)

Definition
filters capable of removing particles as small as 0.5 to 5 micrometers
Term
ionizing radiation
Definition
radiation that adds or subtracts electrons from molecules. Can kill cancer and also cause radiobiological damage
Term
laminar airflow
Definition
unidirectional positive pressure of air. Like the automatic air when going into a store. Pushing air out
Term
linen hamper
Definition
Color coated trash receptacles to indicate if it's biohazardous or recycling
Term
Mayo stand
Definition
small stand with adjustable height draped with a sterile cover
Term
perfusionist
Definition
blood gas monitor person. Usually during cardiovascular procedures
Term
post anesthesia care unit (PACU)
Definition
patients may arrive here still intubated and will be extubated upon regaining consciousness and can breathe unassisted. Patients stay until it's safe to be admitted, transported or discharged
Term
preoperative holding
Definition
here the patient is prepared for surgery. Intravenous lines and invasive monitoring devices are established here
Term
ring stand
Definition
4 wheeled metal stands that can have 1 or 2 rings at the top that are used to hold sterile basins. These hold various fluids that are used during the surgical procedure
Term
unrestricted areas
Definition
offices, dressing rooms for physicians and staff, preoperative holding, and the post anesthesia care unit. Street clothes are allowed
Term

Supply Room

Temperature

Definition
68°-73°F
Term

Supply Room

Relative Humidity RH

Definition
30-60%
Term

Operating Room

Relative Humidity

Definition
20-60%
Term
C-arm
Definition
a fluoroscope
Term
Dept. Design ideas
Definition

1)controlling traffic patterns and quickly providing each operating room

2) keeping clean and contaminated traffic patterns separate

Term
race track
Definition
Entrance to each OR is on the side and supplies are found in the back exit
Term
outlets in the OR
Definition

red

110V 220V available

Term
oxygen outlet
Definition
green
Term
nitrous oxide
Definition
blue
Term
compressed air
Definition
yellow
Term
air exchanges
Definition

at least 15 per hour

20-25 to keep airborne contamination at minimum

Term
ESU
Definition

electrical surgical unit

(Cautery box or Bovie unit)

Term

Fire precautions

Class A

Definition
pressurized water; suitable for fires involving solid materials, such as wood, paper or textiles
Term

Fire precautions

Class B

Definition
Carbon dioxide or dry chemicals for fires involving flammable liquids, oils and gas
Term

Fire precautions

Class C

Definition
Halon for electrical or laser fires
Term
Race
Definition
remove/rescue anyone from fire or smoke danger to safe area
Term
rAce
Definition
alert/sound the alarm
Term
raCe
Definition
Contain the fire
Term
racE
Definition
extinguish/evacuate
Term
Prevent Surgical site infections
Definition

Separate clean and contaminated work areas.

Separate restricted and unrestricted sections of the hospital

Term
Hotel plan
Definition
all traffic enters and exits the surgery dept. through a single entrance
Term
Specialty Grouping plan
Definition
OR's are grouped by specialty. Like all the stuff for the neurosurgeons
Term

Nitrogen

Just nitrogen

Definition
Black outlet
Term
Carbon dioxide outlet
Definition
Grey
Term
Slander or libel that damages a person's reputation or good name
Definition
Defamation
Term
Disparaging remarks made about a patient that result in emotional stress
Definition
Intentional infliction of emotional distress
Term
What is good for the individual and society and establishes the nature of duties that people owe themselves and one another
Definition
Ethics
Term
Which characteristic of surgical overhead lights allows the surgeon to differentiate between the colors of arterial and venous blood or subtle color changes in tissues? 
Definition
Lightbulbs that approximate sunlight
Term
Where are surgical instrument “booms” mounted in an operating room? 
Definition
Ceiling
Term
All doors into a restricted area must remain closed during an operation to: 
Definition
preserve positive air pressure
Term
What is the electrical engineering safety device required for all operating room electrical outlets?
Definition
Grounding System
Term
 An operating room where a surgical procedure is in progress would be considered what type of area? 
Definition
Restricted
Term
The Wilson frame is used for positioning a patient in which of the following surgical positions? 
Definition
Prone
Term
Which type of procedure would require an operating table with a fluid drain pan attachment? 
Definition
Cystoscopy
Term
An erasable board is usually hung in the OR that is within easy viewing range of the surgical team to record: 
Definition
Sponge usage, sharps, and instrument counts
Term
Which type of ventilation system provides a supply of clean air and reduces contaminants and fumes from the OR? 
Definition
Positive, Unidirectional
Term
What are the Centers for Disease Control and Prevention (CDC) guidelines for OR air exchanges per hour? 
Definition
20-25 with 20% fresh outside air
Term
Unless the patient is at risk of hypothermia, the temperature range in the OR should be between: 
Definition
68-73F
Term
Which of the following components of personal protective equipment (PPE) are worn for procedures using fluoroscopy? 
Definition
Lead apron and thyroid shield
Term
Frozen section biopsies are sent to which hospital department for analysis? 
Definition
Pathology
Term
What is the term used for the process of cleaning an OR after one procedure and preparing for a subsequent one? 
Definition
Turnover
Term
Which of the following is NOT a category of hazard for OR personnel or surgical patients? 
Definition
Physiological
Term
Which of the following terms relates to the potential impact on personnel from the duties of the job description or the handling and use of equipment and supplies encountered within the perioperative environment? 
Definition
Ergonomics
Term
The visual representation of the components necessary to support a fire is which of the following geometric shapes? 
Definition
Triangle
Term
Which of the following diagnostic studies emits ionizing radiation?
Definition
Fluoroscopy
Term
All of the following are ways to reduce personnel radiological exposure: 
Definition
Time Shielding distance
Term
What term is used for the smoke that is generated by use of a laser or electrosurgical unit pencil on tissue? 
Definition
Plume
Term
What is the chemical name of the powder and liquid mixture used as bone cement for placement of prostheses? 
Definition
Polymethyl Methacrylate
Term
Which of the following is a substance that is derived from tropical trees and that patients and health care workers may be highly allergic to? 
Definition
Latex
Term
Which type of natural immunoglobulins are responsible for the type I serious allergic reactions to rubber-containing items? 
Definition
IgE
Term
Which of the following would be least damaging to and most effective on a fire involving a laser generator or electrosurgical unit? 
Definition
Class C Halon Extinguisher sprayed on unit
Term
Which of the following is the mnemonic used to remember the steps to take in the event of a surgical fire? 
Definition
RACE
Term
All are components of a fire:
Definition
Oxygen, prep solutions, laser
Term
What is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the perioperative setting and must be accessible to health care workers? 
Definition
MSDS
Term
Which of the following is the mnemonic used to remember the steps for operating a fire extinguisher? 
Definition
PASS
Term
Which of the following is commonly used as a tissue fixative and preservative for surgical specimens sent to pathology? 
Definition
Formalin
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