Intraoperative Case Management

During a school play, Angel and Amy were assigned the roles of surgeons in a hospital scene. When does the intraoperative phase of Angel and Amy's performance begin?

• When Angel and Amy are checking in at the hospital.

• When Angel and Amy are transferred to the operating room.

• When Angel and Amy make the incision.

• When Angel and Amy are going to sleep.

Adrianna is a nurse in a local clinic. She is assisting in a minor surgery performed by Dr. Amy and wants to know when the intraoperative phase of case management ends. Can you help her?

• When Dr. Amy starts to close the wound.

• When the specimen is handed off to Madi, the lab technician.

• When the patient, Angel, leaves the room.

• When the dressings are applied by nurse Adrianna.

When Amy and Megan were setting up the sterile field in their nursing class:

• They tried to move items only once, if possible

• They had Peterson open the sterile supplies while Angel, the surgical tech, was scrubbed in

• They kept the back table within 6 inches of the wall

• They always set up the sharps box and pitcher in the same place every time

After performing a surgery simulation, Hurd draped the patient, and then Crystal brought up the back table as the first piece of equipment. Is this the correct procedure?

• True

• False

After a day of community service painting a local school, Peterson, Samantha, and Abby left their used, soiled sponges in a pile on the back table until they started cleaning up.

• True

• False

What is the correct sequence for squaring off with towels:

Reorder the following.

• On same side as person draping

• Either superior or inferior to surgical site

• Opposite side of the table

• Either superior or inferior to surgical site

During a practical session in their medical class, Samantha and Madi are performing a mock surgery. Samantha is the lead surgeon and Madi is assisting her. What item should Samantha ask Madi to have ready at the start of the procedure?

• Retractors

• Forceps and scissors

• Suture

• Sponges

During a real-life surgery, Megan is asked to place the mayo stand near the operative field. What is the best way for Megan to do this?

• Position herself opposite Madi, who is acting as the surgeon.

• Position herself on the same side as Amy, who is acting as the surgeon.

• Place the Mayo stand alongside Crystal, who is acting as the patient.

• Rest the mayo stand gently on Hurd, who is acting as the patient.

During a real-life surgery simulation in a medical school, Samantha hands over the scalpel to Amy. One of the acceptable practices for Amy to return the scalpel back to Samantha is for Amy to put the scalpel back on the mayo stand herself.

• True

• False

During a surgical procedure, Hurd is acting as the surgeon and Samantha is the scrub nurse. The second count or closing count begins when:

• Hurd tells Samantha to start the closing count

• When the wound is being irrigated by Amy

• When Crystal begins the closure of the wound

• When Abby removes the specimen from the patient