Question

1) Give an example of the order of use when preparing a surgical setup. Why is order of use so important? (2 points) 2) How will you know which suture to prepare for any given case? (1 point) 3) What is the Mayo stand used for? (1 point) 4) As it pertains to emergencies, how should counts be handled? (1 point) 5) Please list the various types of tissue biopsy and give an example of each. (5 points)

Answer 1

1. In a surgical setup, order of use is important so that scrubbed nurse should be ready with the instruments for next step in order to prevent undue delay. For example, when surgeon is suturing a wound, scrubbed nurse should be ready with scissor for cutting the suture.

2. specific layers of skin are closed with specific sutures like

• chromic gut for lacerations in oral mucosa
• Vicryl suture or polydioxanone suture for subcutaneous tissue
• absorbable sutures are used for dermal suturing.
• monocryl monofilament for subcuticular suturing
• ethilon for suturing epidermis

3. mayo stand is used to place gown pack at the entrance of operating room so that after scrubbing, surgical team will wear gown.

4. counts should be handled carefully by scrubbed nurse, corculating nurse and surgeon. Number of gauzes, sponges and instruments should be counted before and in the end in presence of all three. In between case, counts should be taken and be aware throughout the procedure. Counts should be written on a board visible to surgical team.

5. Biopsy is the procedure of taking small tissue from the body to examine that closely. Types of biopsies are:

• Needle biopsy like prostate biopsy
• CT guided biopsy
• ultrasound guided biopsy eg kidney biopsy
• Bone biopsy
• bone marrow biopsy
• Liver biopsy
• surgical biopsy like sample from a lump