Surgical Asepsis and Assisting with Surgical Procedures

antiseptic

substance that kills microorganisims

contamination

becoming nonsterile through contact with any nonsterile material

diseases

pathologic processes having a descriptive set of signs and symptoms

edema

swelling between layers of tissue

infection

invasion of body tissues by microorganisms that then proliferate and damage tissues

microorganisms

living organisms that can be seen only with a light microscope

pathogens

disease-causing microorganisims

permeable

allowing a substance to pass or soak through

sanitization

cleaning the environment to reduce the number of pathogenic microorganisims

spores

thick-walled dormant form of bacteria,very resistant to disinfection measures

sterilization

complete destruction of all forms of microbial life

one another

sterile team members should always face________.

false

a large gaping wound that must heal from the bottom of the wound outward heals by first intention

false

erythema or edema at the surgical site without the prescense of fever does not have to be reported to the physician

grasping end

when using sterile bags, insert the________of the instrument last

false

tequniques for medical aspeis create a sterile environment

wet

instrument pack is automatically considered contaminated

Final or Remodeling

the ________ phase of wound healing is when collagen closes the gap between tissues and scar tissue forms

Non-sterile

_________persons should never reach over a sterile file

disenfection

destruction of pathogens by physical or chemical means

medical asepis

the destruction of microbes after they leave the body

Acute

having a rapid onset and severe symptoms

Cryosurgery

Very low temperatures are used in________to destroy tissue by freezing it on contact

Indicator strips

Sterilization_________placed in the center of a large pack area are the best indicates of proper sterilization of an autoclave

8

chemical sterilization requires immersion of the items in a chemical mixture for a minimum of ________hours

28 days

is the shelf life of a sterilized pack

6

Plastic wrapped autoclave packs are considered sterile for up to________ months

Suppuration

can cause problems with wound healing

Surgical Asepis

the complete destruction of microorganisms on instruments or equipment that will enter the body, this tequnique is mandatory for any tissues that invades the body's skin or tissure, such as surgery

Electrocautery

uses high frequency current to cut through tissue and seal blood vessels

121
-123
(250
-255
)

the recomended temperature for sterilization in an autoclave

Lag

the ________ phase of wound healing is when fibrin is deposited at the site and clotting begins

septic

a _______wound is infected with pathogens

pyemia

presemce of blood forming organisms in the blood

abscesses

localized collections of pus that may be under the skin or deep within the body and that cause tissue destruction

cannula

rigid tube that surrounds a blunt trocar or a sharp,pointed trocar inserted into the body; when withdrawn, fluid may escape from the body through the cannula,depending on where it is inserted

curettage

act of scarping a body cavity with a surgical instrument,such as a curette

dilation

opening or widening the circumference of a body orifice with a dilating instrument

dissect

to cut

fascia

sheet or band of fibrous tissue located deep in the skin that covers muscles and body organs

fistula

abnormal, tubelike passage between internal organs or from an internal organ to the body surface

lumen

open space, such as within a blood vessel, the intestine,the inside of a needle, or an examining instrument

obturator

metal rod with a smooth,rounded tip that is placed into hollow instruments to decrease injury to body tissue during insertion

patency

open condition of a body cavity or canal

polyps

tumors with stems,frequently found on mucous membranes

stylus

metal probe that is inderted into or passed through a catheter, needle, or tube used for clearing purposes or to facilitate passage into a body orifice

penrose drain

a surgical device placed into a wound to drain fluid

ratchets

resemble gears and are located just below the ring handles

vaseline

ethyl chloride is highly flammable and requires the application of this product to protect the surrounding areas from the cooling action of the spray. Also used on gauze to pack wounds

serrations

ridged teeth on some instruments in the inner surface of the jaws

hemostat forceps

originally designed to stop bleeding or to clamp severed blood vessels

allis tissue

forceps used to grasp tissue,muscle,or surrounding a wound

retractors

hold tissue away from the surgical wound

sigmoidscope

used to internally view the anus,rectum, and sigmoid colon. used with a fiberoptic light source; may use photography or video setup

swaged

needles manufacrured with the thread attached to the needle

bandage scissors

for cutting bandages

scaples

for cutting tissue

grasping

forceps that have teeth/jaws

ratchets

used to lock an intrument into position

hemostat forceps

have ring handles

needle holders

will have groves to hold the needle

needle holders

jaws/teeth will be shorter

hemostat forcep

without teeth or jaws must be a

jaws

the only part of the instrument that comes into contact with the patient

mouse-toothed jaw

smallest

rat-toothed jaw

largest

teeth of allis tissue forceps

shaped like snake teeth

retracting

used to hold back tissue

senn retractor

used to hold back tissue from the surgical wound

probing and dilating

used to dilate or retract

specula

used to dilate the vaginal or nasal

Anesthetic

A medication that causes anesthesia.

Anesthetic

A loss of sensation, particulary the feeling of pain.

Abscess

A collection of pus (white blood cells, backteria, & dead kin cells) that forms as a result of an infection.

Biopsy Specimen

A small amount of tissue removed from the body for examination under a microscope.

Needle Biopsy

A process in which a needle and syringe are used to aspirate fluid or tissue cells.

Formalin Solution

A diluted solution of formaldehyde.

Laceration

A jagged, open wound in the skin that can extend down to the underlying tissue.

Puncture Wound

A deep wound caused by a sharp object; i.e, a stabbing.

Debridement

The removal of debris or dead tissue from the wound.

Inflammatory Phase

The initial phase of wound healing.

Proliferation phase

The second phase where new tissue forms.

Maturation Phase

The third and final phase where the formation of scar tissue takes place.

Approximated

Bringing two edges of the wound together in order to let them heal faster.

Suture

Surgical stitches used to close a wound.

Ligatures

Suture materials that can be either absorbable or nonabsorbable.

Laser Surgery

Process by which a laser emits an intense beam of light that's used to cut away tissue.

Cryosurgery

The use of cold extreme cold to destroy unwanted tissue.

Electrocauterization

A technique whereby a needle, probe, or loop heated by electric current destroys the target tissue.

Scalple

A Scalple consists of a handle that hold a disposable blade. The #15 blade is the most common size of blade used.

Surgical Scissors

These are used to cut things like tissue, clothes, etc.

Curettes

used for subgingival calculus and root planing for removal of necrotic tissue, one side plat- the other side rounded.

Forceps

resembles tweezers; used to pick up or hold tissue or small items.

Hemostats

forceps instrument during surgery to retract tissue, remove small root tips, clamp off blood vessels, and grasp objects.

Towel Clamps

Grips towels.

Retractors

surgical instruments for holding back the flesh at the edge of a wound.

Dialators

-rounded tubular instruments to widen or stretch inside diamter of a lumen
-example would be cervical and urethral dialator.

Probes

instruments used to search for a foreign body in a wound or to enter a fistula.

Medical Asepsis

Procedures to deduce the number of microorganisms and thus prevent the spread of disease.

Personal Protective Equipment

Equipment that includes all items used as a barrier between the wearer and potentially infectious or hazardous medical materials.

Surgical Asepsis

The process by which the total elimination of ALL microorganisms that are present.

Sterile Field

An area free of microorganisms that will be used as a work area during a surgical procedure.

Mayo Stand

A movable stainless steel instrument try on a stand.

Floater

an unsterile assistant who is free to move about the room and attend to unstrile needs.

Sterile scrub assistant

An MA who assists in handling sterile equipment during the procedure.

Postoperative

Also known as "Postop" is the follow-up after the surgical procedure.

Dressings

Sterile materials used to cover an incision.

Bandage

A clean strip of gauze or elastic material.

Abscesses

Localized collection of pus that may be under the skin or deep within the body and that cause tissue destruction.

Cannula

A rigid tube that surround a blunt trocar a sharp; pointed trocar inserted into the body; when withdrawn, fluid may escape from the body through the cannula, depending on where it was inserted.

Curretage

The act of scrapping a body cavity with a surgical instrument, such as a curette.

Dilation

The opening or widening of the circumference of a body orifice with a dilating instrument.

Dissect

To cut or separate tissue with a cutting instrument or scissors.

fascia

A sheet or band of fibrous tissue deep in the skin that covers muscles and body organs.

Obturator

A metal rod with a smooth, rounded tip that is placed in hollow instruments to reduce injury to body tissues during insertion.

Patency

Open condition of a body cavity or canal

Stylus

A metal probe that is inserted into or passed

CICATRIX MEANS

earley scar tissue that appears pale, contracted, and firm

DEHISCISCENCE MEANS

the separation of wound egde or rupture of a wound closure

INFECTION MEANS

invasion of body tissues by microoganisms, which then proliferate and damage tissue

STERILIZATION MEANS

complete destruction of all forms of microbial life

ASEPSIS MEANS

freedom from infection or infectious material

SURGICAL ASEPSIS MEANS

complete destruction of oragnisms on insruments or equipment that will enter the patient body
* mandatory for any procedure that invades body tissues
* everything that comes in contact with the patient must be sterile

MEDICAL ASEPSIS MEANS

destruction of organisms after they leave the body; prevent reinfection and cross- infection
* process of controlling pathogens
* creates a clean environment but not a sterile one

SANITIZATION MEANS

performed immediatley after surgical procedures

DISINFECTION MEANS

process of killing pathogenic organisms or of rendering them in active

PPE PROCEDURES

*heat-resistant autoclave gloves for loading and unloading
*fluid-resistant gloves to prevent contact with contaminants
*laboratory coat or impervious gown if needed to protect against splashes
*face shield and/or goggles if there is a splash hazard

AUTOCLAVE PROCEDURES

* USES STEAM UNDER PRESSURE TO KILL ALL MICROORGANISMS; PRESSURE CREATES HEAT HIGHER THAN BOILING POINT
* STEAM MOISTURE MUST CONTACT ALL SURFACES FOR STERILIZATION TO OCCURE
* RECOMMENDED TEMPERATURE IN AN AUTOCLAVE IS 121 TO 123 C (250 TO 255 F)
* UNWRA

GRAVITY OR " FAST EXHAUST" CYLCE

used to sterlize stainless steel instruments; fill with steam and held at set temperature for set peroid of time; when cycle ends chamber rapidly returns to atomospheric pressure

LIQUID OR " SLOW EXHAUST" CLYCLE

USED TO PREVENT STERILZED LIQUIDS FROM BOILING; STEAM IS EXHAUSTED SLOWLY AT END OF CYCLE ALLOWING LIQIUDS TO COOL

PREVACUUM CYCLE

USED FOR POROUS MATERIALS; CHAMBER IS PARTIALLY EVACUATED BEFORE INTRODUCTION OF STEAM FOR GREATER STEAMPENETRATION

SUPERHEATED STEAM

DRIES OUT BEFORE TOTAL MOISTENING OF PACK

WET STEAM

FAILING TO PREHEAT THE AUTOCLAVE, OPENING THE DOOR TOO WIDE AT THE END OF THE CYCLE, OR OVERFILLING THE WATER RESERVIOR CAUSES CONDENSATION IN THE CHAMBER

RESIDUAL AIR

W/O EKIMINATION OF AIR, HIGH TEMPERATURE WILL NOT BE REACHED

STERILIZATION INDICATORS

OCCURS ONLY WHEN STEAM REACHES AN OPTIMAL TEMPERATURE FOR A DESIGNATED LENGTH OF TIME AND HAS PENETRATED THE CENTER OF THE PACK

AUTOCLAVE TAPE

DYE CHANGES COLOR WHEN EXPOSED TO STEAM; MERELY INDICATES A HIGH TEMPERATURE WAS REACHED

INDICATOR STRIPS

CONTAINS TEMPERATURE SENSIVE DYE THAT CHANGES COLOR WHEN PROPER CONDITIONS ARE REACHED; SHOULD BE LOADED IN THE CENTER OF THE LARGEST PACK

CULTURE TEST

SPORE STRIP OR TUBE THAT CONTAINS MICROBES THAT SHOULD BE DESTROYED DURING THE STERILIZATION PROCESS

THE FIVE SURGICAL PROCEDURES ARE

ELECTRO SURGERY
LASER SURGERY
MICROSURGERY
ENDOSCOPIC PROCEDURES
CRYOSURGERY

SHELF- LIFE OF STERILZED PACKS

WATCH THE EXPIRATION DATE

surgical

_______ scissor types include those with straight or curved blades that are both sharp (s/s), both blunt (b/b), or one sharp and one blunt (s/b)
(types of surgical instruments)

mayo dissecting

____ _________ scissors may be straight or with curved tips that have a beveled edge and slightly rounded points
(types of surgical instruments)

bandage

_______ scissors, also called dressing scissors, have one rounded tip and one blunt tip so they can be inserted beneath a patient's bandage without risk of skin injury
(types of surgical instruments)

suture

______ scissors, sometimes called stitch scissors, have a notch at the end of the blade that is inserted under the suture before cutting.
(types of surgical instruments)

Iris

____ scissors have small,sharp, straight, or curved blades that were originally designed for eye surgery but are now used for various procedures
(types of surgical instruments)

scalpel

________ is a cutting instrument commonly used to create surgical incisions. It includes a very sharp blade attached to a handle. Available in disposable or non-disposable in which blades are attached.
(types of surgical instruments)

forceps

________ are used to grasp tissue during procedures
(types of surgical instruments)

hemostats

_________ are used in surgical procedures to clamp off blood vessels in order to stop bleeding
(types of surgical instruments)

needle holders

______ _______ are similar to hemostats with a slight variation in design that allows them to securely hold a needle without crushing it
(types of surgical instruments)

towel clamps

______ ______ are used to fasten sterile towels and draped in place to secure the sterile field
(types of surgical instruments)

vaginal speculum

The ________ ________ may be made of disposable, clear plastic or reusable metal and is designed to hold the collapsible walls of the vagina apart so the physician may examine the uterine cervix. Considered a specialty instrument
(types of surgical instru

nasal speculum

A _____ ________ is designed to open the nares wider to aid the physician in examination of the nasal passages
(types of surgical instruments)

scopes

_______ are lighted instruments designed to aid in the visualization of body cavities, such as the ear, esophagus, stomach, rectum, colon, abdomen, or even the inside of joints
(types of surgical instruments)

otoscope

The _______ is used to examine the ear
(types of surgical instruments)

arthroscope

The _________ is used to examine the inside of the joints
(types of surgical instruments)

Anoscope

The ________ is used to examine the inside of the anus and rectum
(types of surgical instruments)

probe

A _____ is used to explore deep into wounds or body cavities
(types of surgical instruments)

retractors

_________ are used to pull wound edges back to allow the physician a better view of and access to the area
(types of surgical instruments)

dilators

________ are metal rods with smooth rounded tips on either end. They come in a range of sizes. Smaller to larger sizes may be used to slowly enlarge and opening, such as the uterine cervix.
(types of surgical instruments)

Forester sponge forceps

_______ ______ ______ are used to hold gauze pads to sponge the surgical site and absorb blood or other fluid - specialty instrument
(types of surgical instruments)

Currette

A _______ is used to scrape the inner walls of the uterus to remove the endometrial lining and abnormal growths - specialty instrument
(types of surgical instruments)

uterine sound

A _______ _____ is used to examine the inside of the uterus for size, shape, and foreign bodies - specialty instrument
(types of surgical instruments)

uterine tenaculum

A _______ _________ is used to grasp and portion the cervix for better examination, tissue removal, or other procedures - specialty instrument
(types of surgical instruments)

laryngeal mirror

The _________ ______ allows the physician to inspect the larynx and other structures deep in the throat - specialty instrument
(types of surgical instruments)

surgical asepsis

_________ _______ is the practice of destroying all pathogenic organisms before they enter the body

medical asepsis

________ _______ is the destruction of pathogenic organisms after they leave the body

2

Medical aseptic hand wash should be done for at least _ minutes

10 ( 5 min each hand/arm)

Surgical scrub should be done for at least __ minutes

down

When performing medical aseptic hand wash, elbows should be _____ into the sick

up

When performing surgical scrub, elbows should be __ into the sink

sterile technique

_______ _________ is a manner of performing specific tasks and procedures that protects patients from pathogenic organisms to the fullest extent possible

sterile may only touch sterile and nonsterile may only touch nonsterile

Most important rule of sterile technique:

back

The health care provider should never turn his ____ on the sterile field
(General rules for sterile technique)

hair

____ should be tied back and not allowed to fall forward
(General rules for sterile technique)

face

members of a sterile team should always ____ each other, but if must pass one another...pass back-to-back, front-to-front
(General rules for sterile technique)

1 inch

The outer _ ____ border of sterile draped and any sterile wrap must be considered contaminated
(General rules for sterile technique)

below

Any items _____ waist level must be considered conteminated
(General rules for sterile technique)

wet

Sterile surfaces that become ___ must be considered contaminated unless they include a waterproof layer.
(General rules for sterile technique)

air

The longer a sterile surface is exposed to the ___, the more contaminated it occurs
(General rules for sterile technique)

over

Reaching ____ the sterile field should be avoided when ever possible
(General rules for sterile technique)

passed

Contaminated items should not be ______ over the sterile field
(General rules for sterile technique)

talking

Coughing, sneezing, and even _______ over the sterile field should be avoided
(General rules for sterile technique)

high enough

When pouring solutions into other sterile containers, the bottle should be held ____ ______ to avoid touching any other surface, yet low enough to avoid splashing into the sterile field
(General rules for sterile technique)

autoclave

Sterile packs should be sterilized in the _________
(sterile packs)

mayo stand

In the medical office, a ____ _____ will commonly be used for a sterile work surface
(sterile field)

organized

When the MA establishes a sterile field,she must open all needed supplies and add them to the sterile field, arranged in an ________ manner that facilitates effective performance of the procedure (sterile field)

sterile barrier

The MA creates a _______ _______ using sterile disposable drapes , sterile towels, or even the sterile wrap that encloses some types of supplies.
(sterile field)

sterile toss

After the MA creates the sterile barrier, she must open other needed sterile items and drop them onto the sterile field using a technique called the ______ ____.
(sterile field)

away

When opening sterile wrapped items, the MA should always open the wrap ____ from the body first, then each side item, and lastly toward the body
(sterile field)

cyrotherapy

technique that destroys tissue nu subjecting it to very cold temperatures, usually -20 C (-4 F), using a probe that has liquid nitrogen circulating through it
(surgical techniques)

cryotherpy

Procedure commonly used in ambulatory settings for wide range of needs, including treating cancer, precancerous conditions, and used internally on the liver, prostate, bone, cervical cancer, or remove skin lesions
(surgical techniques)

microsurgery

General term that refers to to any procedure completed with the use of a special operating microscope.
(surgical techniques)

microsurgery

Procedure used for delicate procedures on the eyes, nose, sinuses, larynx, genitourinary tract, any structures with tiny blood vessels and nerves.
(surgical techniques)

microsurgery

plastic surgeons use __________ to perform repair and reconstructive surgeries.
(surgical techniques)

microsurgery

___________ is useful in the reattachment of severed body parts and organ transplantation
(surgical techniques)

laser surgery

___________ is the treatment of tissue by means of a laser.
(surgical techniques)

laser surgery

___________ is so precise that it enables the surgeon to target structures with little injury to surrounding tissues, resulting in minimal scar formation
(surgical techniques)

laser surgery

__________ is particularly useful for cosmetic surgery, including the removal of vessels, moles, warts, and other lesions.
(surgical techniques)

electrosurgery

_________ involves the use of elecrosurgical unit (ESU) or high frequency electric current to cut, remove, or destroy tissue.
(surgical techniques)

electrosurgery

__________ is a popular method of removing skin tags, tumors, warts in dermatology and is commonly preferred over laser and cryosurgery
(surgical techniques)

Endoscopy

_________ performing internal examinations and procedures using a specialized scope containing a camera and light source to visually examine a structure.
(surgical techniques)

set up

The MA will ___ __ the sterile field for the physician so the procedure can be completed smoothly and efficiently.
(MA role/minor office surgery)

preferences

The MA must familiarize herself with the physicians she works with and note their __________ for room arrangements and supplies.
(MA role/minor office surgery)

contamination

The MA must make sure that she does not leave any opened sterile materials exposed to the air or unattended because _________ can occur.
(MA role/minor office surgery)

prior

The MA should set up the sterile field just _____ to the procedure (some offices set up trays 1 hr ahead of time and cover w/ sterile drape).
(MA role/minor office surgery)

assist physician, attend to patient

What are the 2 key roles the MA plays in assisting w/ minor surgery?
(MA role/minor office surgery)

supplies (or instruments), sterile

The 1st key role the MA plays in assisting with minor surgery is assisting the physician by:
handing physician ________(or instruments), observe and notify breaks in _____ field.
(MA role/minor office surgery)

position, happening

The 2nd key role the MA plays is attending to the patient by:
_______ instruction, explaining what is ________, and offering reassurance
(MA role/minor office surgery)

dressings

__________ are materials placed in a wound or on a wound and are usually made of gauze. They must be sterile and completely cover the wound.
(dressings vs. bandages)

iodoform

_______ is a wound packing strip that promotes drainage of fluid from an infected wound (considered a dressing).
(dressings vs. bandages)

gauze pads

The most common size of _____ ____ are 4x4, and 2x2. The may be packaged individually in peel-apart sterile packages of two or may be packed in bulk. (considered a dressing)
(dressings vs. bandages)

sponges

Some ________ have other material such as cotton or rayon embedded for greater absorption - useful for excessive bleeding or fluid drainage (considered a dressing)
(dressings vs. bandages)

bandages

________ are nonsterile material applied over the top of a dressing to secure them. They may be made of gauze in the form of elastic wrap or a roll that can be wrapped around a dressing.
(dressings vs. bandages)

Tubular gauze

________ _____ is a popular form of bandage material for distal extremities such as fingers, toes, arms, and legs. Its shape makes it easy to apply - it conforms securely and comfortably.
(dressings vs. bandages)

approximation

bringing the wound edges together closely and evenly

healing, scar

When closing a wound, the physician's goals are to promote timely ________ and reduce ____ formation.
(wound healing)

aseptic, approximation

To promote wound healing and reduce scar formation, the use of ______ technique and careful __________ are used.
(wound healing)

sutures, staples

Approximation is commonly done by the use of _______ or _______.
(wound healing)

scissors, forceps

When the patient's wound has healed, suture removal is easily accomplished with suture _______ and _______.
(wound healing)

staple remover

One the wound has healed, the staples are easily removes with a sterile prepackaged______ _______.
(wound healing)

ethyl chloride, EMLA

Topical anesthetics such as ______ _________ may be sprayed on or applied with a sponge, cotton ball, or cotton tipped swab with _____ cream.
(types of local anesthetic)

lidocaine, procain

Injectable anesthetics, such as _______ (Xylocaine) and ________ (Nonocain), are useful for numbing an area before making an incision or suturing.
(types of local anesthetic)

epinephrine

Some products are available with __________, which causes vasoconstriction and is used to reduce bleeding (but should not be used on fingers, toes, nose, earlobes...areas w/ limited circulation).
(types of local anesthetic)

Anesthetic

Absence of sensation

Approximation

Bringing wound edge together closely and evenly

Cryosurgery

Technique that destroys tissue by subjecting to very cols temperatures; also called cryotherapy

Bandage

Nonsterile material applied over the top of dressings to secure them

Dressing

Material placed in or on a wound

Electrosurgery

Use of a high-frequency electric current to cut, remove, or destroy tissue; also called electrocautery

Endoscopy

Use of a specialized scope to visually examine a structure

Laser Surgery

Treatment of tissue by means of colored light beams

Microsurgery

Any procedure completed with the use of a special operating microscope

Sterile Technique

Method that involves preforming invasive procedures in a manner that protects patients from pathogens

Sterile Toss

Technique for placing sterile items of the sterile field without contaminating either one

Surgical Asepsis

Destruction of all pathogenic organisms before they enter the body

Suture

Material used to sew wound edges together or the act of sewing wound edges together

Swage

To fuse a suture to a needle

Surgical Scrub

Procedure for hand washing that is much more thorough than regular hand washing and follows specific steps.

What is a sterile field?

A sterile work area when a sterile procedure must be preformed.

What are the common procedures?

Suturing, suture removal, incision and drainage (I&D), removal of ingrown toenails and sebaceous cysts.

What type of surgery is used for delicate procedures on the eyes, nose, sinuses, larynx, genitourinary tract, and any structures in the blood vessels and nerves?

Microsurgery

What type of surgery is uses a probe that has liquid nitrogen that can be used for cancer and precancerous conditions or on the liver, prostate, bones, or external skin removal?

Cryosurgery or cryotherapy

Type of surgery that has little scaring, used for cosmetic surgery; removal of moles warts, and other lesions?

Laser surgery

Surgery that burns or vaporizes tissue with minimal bleeding?

Electrosurgery or electrocautery

What method is used to preform internal examination and procedures, such as examining the GI tract and assisting with procedures such as a tubal ligation?

Endoscopy

True or false: A medical assistant does not have to know the preferences of the doctors that s/he is working with; such as room arrangement and supplies.

False

A medical assistant must always...

Examine a room to be sure it is properly cleaned and prepared.

When should a sterile field be set up?

Just before a procedure.

How long before a procedure do some offices allow a sterile field to be set up?

1 hour

What must happen if a sterile field is set up an hour before the procedure?

A sterile drape must cover the sterile field.

What way do you hand a doctor an instrument?

Handle towards the doctor

In regards to patient care, what must a medical assistant do before a procedure?

Make sure the patient is properly informed and prepared

What must a patient sign before a procedure?

Informed consent form

The most common way/s a physician uses approximation is by?

Sutures or staples

What instruments are used to remove sutures?

Suture scissors and forceps

True or false. Staples are only used for external wound closure.

True

True or false. Dressings do not have to be sterile.

False

What two things should a medical assistant be aware of when dressing a wound for a patient?

Security and comfortability

True or false. Bandages are sterile material applied over a dressing.

false

What is the most popular solution to clean the inside of a wound?

Sterile saline

True or false. Sterile saline is hypoallergenic.

True

What are four other forms of antiseptics?

Betadine, Hibiclens, isopropyl alcohol, and hydrogen peroxide

Common injectable anesthetics are?

Lidocaine and Novocain

True or false. A medical assistant can draw up and administer an anesthetic?

False

What is the purpose of the ratchet on certain instruments?

Allow the provider to let go of an
instrument while it is functioning. It gives provider
"hands-free" time

Never use _______ on body parts with limited circulation.

Epinephrine