SURGICAL ASEPSIS AND LEGAL ASPECTS

The case in room 5 as became complicated and the instruments have a good amount bioburden . How should this be handle?

• Instruments should be rinse with saline, then run through a washer sterilizer

• Instrument should be disassembled and washed, then place in the washer sterilizer

• Instrument should be run through the washer sterilizer and then hand wash

• Instrument should place directly into the ultrasonic cleaner to remove bioburden

A patient who is HIV positive is having an abdominal procedure. Another patient who is HIV negative is having an orthopedic procedure. During the subsequent to the case, the surgical technologists should take

• Standard precaution for HIV patient

• Standard precaution for HIV negative patient

• No preauction for either patient

• Standard precautions for both patient

The following should be performed if an instrument used during a surgical case can't be verified and reconciled ?

• Re-open the incision and look for it

• Replace the instrument

• Obtain an X-ray of the surgical site

• Thorough check all of the waste containers used during the surgical procedures

Is the act in which the patient is made aware of the procedure, the risk , benefits, possible complications and the prognosis of the surgical procedure

• Surgical consent

• HIPPA

• Liability

• Tort

If the patient is unconscious or intoxicated ,who can legally sign the surgical consent ?

• The patient sign it has soon has he wake up

• The anesthesia provider

• A relative or a legal guardian

• No one need to sign the consent

The person authorize to witness a surgical consent must attest to all of the following EXCEPT

• To the right identification of the patient and voluntary signature

• That the patient is mentally incompetent

• That the patient is at legal age

• That the consent is given freely and without coercion

Which of the following two individuals are responsible for the surgical count?

• Surgical Technologist and circulator

• Surgical technologist and the surgeon

• Circulator and surgeon

• Surgical technologist and anesthesiologist

The patient in room 5 is schedule for a vasectomy, the surgical consent was signed and verified by the anesthesiologist and the circulating nurse prior to entering the patient in the room, suddenly the patient decided that he don't want to do the surgery. Which is the correct action to follow .

• Have the anesthesiologist address the patient concern

• Proceed to put the patient to sleep

• The Surgeon must try to convince the patient

• The surgery must be cancel even if the consent was signed

When donning gloves using sterile gloving technique, the ungloved hand will touch the

• The outer side of the cuff of the glove

• The outer side of the sterile glove

• Cuffed edge nearest the glove palm

• The folded edge of the cuff of the glove

Bacteria can be reduce in the operating room by

• A aeration of rooms overnight

• Damp dusting of surfaces each morning

• Reducing air exchange in the room

• Maintaining humidity level above 70%