Surgical process

Question 1

fasting

Answer 1

no eating for 8-12 hours
you can sometimes drink water if dr says

Question 2

basal state

Answer 2

no eating/drinking
remain in bed for 8-12 hrs

Question 3

NPO

Answer 3

nothing by mouth
food, water, meds, etc

Question 4

anesthesia

Answer 4

meds for sedation

Question 5

debridement

Answer 5

debris (clean) the wound from contaminants

Question 6

bandage

Answer 6

sticks to skin

Question 7

dressing

Answer 7

doesnt stick, just covers wound

Question 8

serous

Answer 8

serum
yellow-clear fluid
good thing

Question 9

serosanguineous

Answer 9

combo of serum and blood
neither good or bad

Question 10

sanguineous

Answer 10

active bleeding

Question 11

purulent

Answer 11

puss
active infection

Question 12

incision and drainage (I&D)

Answer 12

opening and draining abscesses
includes purulent fluid

Question 13

colonoscopy/stigmoidoscopy

Answer 13

scope inserted into colon looking for polyps

Question 14

colposcopy

Answer 14

vaginal exam

Question 15

electrocautery

Answer 15

high frequency current to remove tissue or coagulate (clot)

Question 16

biopsy

Answer 16

sample of skin or tissue removed for analysis

Question 17

cryosurgery

Answer 17

freeze abnormal tissue using nitrogen

Question 18

preop care

Answer 18

review preop and postop instructions with pt

Question 19

forceps

Answer 19

looped and pointed (tweezers)
grasp items or tissue

Question 20

hemostat

Answer 20

clamps blood flow or items

Question 21

scissors

Answer 21

can be sharp, blunt, curved, or combo
cutting/dissecting

Question 22

scalpel

Answer 22

2 pieces: blade and handle
cutting into tissue
blades are numbered and interchangeable

Question 23

speculum

Answer 23

metal (resuable) or plastic (one time use)
holds open an area for visualization

Question 24

mayo stand

Answer 24

clean with 10% bleach
used for sterile field

Question 25

basin

Answer 25

kidney or normal holds fluids

Question 26

first step of removing sutures/staples

Answer 26

inspect wound and count how many sutures/staples there are make sure no signs of infection

Question 27

second step of removing sutures/staples

Answer 27

check for infection serous or dry exudate: no infection serosanguineous, sanguineous, purulent, red skin, hot inflamed skin: infection

Question 28

third step of removing sutures/staples

Answer 28

open swab without contaminating it

Question 29

fourth step of removing sutures/staples

Answer 29

remove every OTHER suture/staple cut below the knot closest to skin

Question 30

fifth step of removing sutures/staples

Answer 30

suture: 1. use forceps to grasp knot 2. gently pull 3. take scissors to cut BELOW knot closest to skin 4. pull suture through staples: 1. put the flat part of staple remover under the staple touching skin 2. press down on handle 3. pull through

Question 31

sixth step of removing sutures/staples

Answer 31

save each suture/staple place on 4x4

Question 32

eighth step of removing sutures/staples

Answer 32

document in EMR with wound care instructions

Question 33

seventh step of removing sutures/staples

Answer 33

count number of sutures and compare to initial count place sutures in biohaz waste place staples in biohaz sharp