Orthopaedic Technologist Exam: Surgery Study Guide with Complete Solutions
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Course
Orthopaedic Technologist
Institution
Orthopaedic Technologist
Orthopaedic Technologist Exam: Surgery
Study Guide with Complete Solutions
What to report to surgeon regarding fx - ️️ -Location
-Open/closed
-Type of fx
-Anatomical alignment
-Angulation- degree
-Neurovascular status of limb
Surgical hand washing procedure - ️️ -Examine skin for da...
Sterile scrub attire - ✔️✔️Worn by surgical team. Put on after surgical scrub. Sterile gown,
sterile gloves. Required for entry into sterile field. Made of lint-free fabric. The cuffs of
the gown are not considered sterile and must be covered by the glove. Double-gloving
is recommended.
Double-gloving - ✔️✔️Provides extra protection from injury and disease. As a sharp
object passes through the glove material, bioburden is removed. Additionally, the ability
of latex to act as a barrier decreases over time. A glove of a larger size is worn next to
the skin, and a glove of normal size is worn on top.
Supine position - ✔️✔️Patient flat on back. Arms secured at the sides of the body, palms
facing inward. Legs are straight out. A safety belt is positioned across the thighs
approximately 2 inches above the knees. If arm boards are used, the arms are no more
than 90 degree angle. Pillows are placed where necessary, and a foot board is used to
prevent prolonged plantar flexion.
Fowler's position - ✔️✔️Modified supine position. Decreases blood circulation to the
upper body, and encourages venous drainage. An air embolism is a potential hazard of
the position. Allows easy access to the head, neck, shoulder and breast. Arms are
secured across the stomach. The upper section of the table is raised to a 45 degree
angle. The whole table is tilted downward
Prone position - ✔️✔️The patient is anesthetized before being placed on the operating
table in this position. The safety strap is applied on the thighs above the knees.
Beach Chair positioning - ✔️✔️For shoulder surgery
Lateral position - ✔️✔️Lateral recumbent position. Patient positioned on one side. Lower
leg is flexed, and upper leg remains straight. Safety strap is placed over the hip. Arms
are placed on double armboards.
ACL reconstruction positioning - ✔️✔️The tourniquet must be placed as proximally as
possible on the thigh of the affected leg. The leg must be flexed to at least 90 degrees.
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