Basic Instruments

Question 1

Name this instrument

Answer 1

Retractors

Question 2

Name this instrument

Answer 2

Scalpel Handles

Question 3

Name this instrument

Answer 3

Auxiliary

Question 4

Name this instrument and describe it

Answer 4

Metzenbaum
- delicate tissue scissors

Question 5

Name this instrument and describe it

Answer 5

Mayo
- tissue scissors which are more refined than suture scissors

Question 6

Name this instrument and describe it

Answer 6

Suture
- for cutting suture and looks a bit like children’s blunt scissors

Question 7

Name this instrument and describe it

Answer 7

Iris
-small delicate scissors with sharp tips- smll and delicate

Question 8

Name this instrument

Answer 8

Gillies
- No ratchet with this needle holder, the integral scissor may be useful for cutting suture material but care needs to be taken.

Question 9

Name this instrument

Answer 9

Castroviejo
-These very fine needle holders are perfect for delicate ophthalmology surgery

Question 10

Name this instrument

Answer 10

Mayo-Hegar

Question 11

Name this instrument

Answer 11

Olson-Hegar

Question 12

Needle Holder or Hemostat? How can you tell the difference?

Answer 12

-Hemostats normally have transverse striations
-needleholders have shorter jaws and a cris cross striation pattern

Question 13

Name these 4 hemostats and the differences between them

Answer 13

Question 14

Name this tissue holding forceps

Answer 14

Doyen Bowel Clamp

Question 15

Name this tissue holding forceps

Answer 15

Allis Tissue Forceps
-Teeth like an aligator

Question 16

Name these Thumb Forceps

Answer 16

Treves Rat tooth forceps

Question 17

Name these Thumb Forceps

Answer 17

Adson Rat tooth

Question 18

Name these Thumb Forceps

Answer 18

DeBakey Atraumatic forceps

Question 19

Name these Thumb Forceps

Answer 19

Dressing Forceps

Question 20

A standard basic kit will contain what?

Answer 20

-scalpel handle and blade
-thumb forceps: rat tooth and dressing
-needle holders
-range of scissors
-range of forceps sizes (curved and straight)
- swabs
- (+/-) suture needles

others:
- retractors hand held or self retaining
-specialist instruments

Question 21

When are rat tooth forceps used?

Answer 21

denser tissue such as skin

Question 22

When are atraumatic or dressing forceps used?

Answer 22

more delicate tissues

Question 23

Name this instrument and describe

Answer 23

Macphail needle holder
-A needle holder with a firm clamped mechanism to hold the needle firmly.

Question 24

Name these forceps from Left to Right

Answer 24

Left: Straight Kocher Forceps
Middle: Curved Kelly Forceps
Right: Curved Mosquito Forceps

Question 25

Name this tissue holding forceps and describe

Answer 25

Babcock forceps -Atraumatic tips to minimise damage when holding more delicate tissue

Question 26

What is the process of packing a kit for the autoclave?

Answer 26

1. place instruments in the middle of the drape, (all instrument ratchets are open) 2. Place a chemical indicator (TST strip) on top of instruments (yellow-unprocessed, black- autoclaved) 3. Concertina (zig-zag) fold the drape over the instruments 4. secure end product of folded drape with a piece of autoclave tape 5. Select an appropriately sized autoclave pouch and place the wrapped kit inside * The kit should fit smoothly into the pouch without being squashed 6. Remove excess air from the pouch 7. Peel away the adhesive strip located at the bottom of the pouch

Question 27

What is the purpose of using a TST strip

Answer 27

placing a chemical indicator INSIDE the wrapped kit monitors if steam has penetrated to the instruments. It detects if thephysical conditions required for sterilization are met ( temperature, steam, time

Question 28

Describe the prrocess of Concertina (zig-zag) fording the drape

Answer 28

1. Concertina (zig-zag) fold the drape over the instruments from the side closest to you. and then from opposite to you 2. Concertina (zig-zag) fold from the opposite side 3. Locate the end of the instruments and fold the left side of the drape into the middle 4.Locate the end of the instruments on the right side and fold the drape into the middle, turning over the end by roughly an inch 5. Secure the folded edge with a strip of autoclave tape

Question 29

How should the autoclave pouch be labeled?

Answer 29

1. Contents of the kit 2. Date autoclaved 3. Date of expiry (3 months after autoclaving) 4. The Packers initials