Communication & Surgical Set Up

Communication & Surgical Set Up

Vocational training

15 Qs

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Communication & Surgical Set Up

Communication & Surgical Set Up

Assessment

Quiz

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Vocational training

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Created by

Christopher Saenz

Used 1+ times

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15 questions

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1.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A surgical technologist observes a medication error during a procedure that is corrected before causing patient harm. When assisting with the incident report, which of the following should the CST include?

Personal opinions about what caused the error

Detailed account of the event, including time, people involved, and corrective actions taken

Recommendations for disciplinary action against the circulator

Emotional impact the event had on the CST

2.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Which of the following scenarios qualifies as a sentinel event, and why?

A. A patient receives a small superficial burn from overheated laparoscopic equipment and is treated before discharge.

B. A patient returns to the operating room because a surgical sponge was left inside the abdominal cavity.

C. A verbal disagreement between the surgeon and anesthesiologist is witnessed by the CST.

D. A preference card is missing an instrument needed for the case, delaying the start time by 10 minutes.

3.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

During surgery, the left ovary and tube are removed. The CST confirms with the surgeon before handing the specimen to the circulator, who mistakenly labels it as the right ovary and sends it to pathology. The error is discovered two hours later. What should the team do?

Call pathology, correct the label, and avoid reporting the error since the specimen isn’t processed yet

Notify the surgeon and pathology, document the error, and complete an incident report per policy

Have the surgeon correct it in the op report but skip the incident report unless legal action is taken

Let the patient's doctor explain the mistake to the patient directly

4.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

During a procedure, lidocaine HCl is drawn into a syringe for the Mayo stand and poured into a medicine cup for the back table. What is the correct action the CST must take?

Label only the syringe, since it’s used more frequently

Label only the medicine cup if the syringe is used right away

Label both the syringe and the medicine cup clearly and separately

Skip labeling if the scrub tech drew up the medication themselves

5.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

During the final closure of a laparotomy, the CST and circulator begin the last count. The surgeon is actively closing the skin layer when the team realizes one suture needle is unaccounted for. What is the first appropriate step the CST should take?

Wait until skin closure is complete to avoid disrupting the surgeon’s rhythm

Inform the surgeon immediately and request a cavity check

Check the trash bag for the missing needle

Have the circulator call for an X-ray without informing the surgeon yet

6.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

During a cholecystectomy, the sponge count is off by one lap sponge. The team re-counts but still cannot find the missing sponge. What should happen next?

Remove all trash bags from the room and start a new count

Document the error and allow the procedure to continue without further delay

Notify the surgeon, halt closure, and begin a systematic search of the field and room

Assume it’s a miscount and continue closure if the cavity appears clear

7.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

An emergency C-section is performed without a formal initial count due to the urgent condition of the fetus. After delivery, the team begins organizing for closure. What should they do now?

Proceed with closure since the patient is stable and there were minimal instruments used

Perform a full count starting at the back table and document that the initial count was omitted

Only count sponges, as instruments and sharps are less likely to be retained

Wait until the case is over to retroactively estimate what was used

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