Chapter 13: Surgical Technology for the Surgical Technologist Exam Study Guide.
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Course
Surgical Technology
Institution
Surgical Technology
Chapter 13: Surgical Technology for the
Surgical Technologist Exam Study Guide.
Loss of specimen - answercan have devastating effects for the patient; it could necessitate a second
procedure to be performed to obtain another specimen and delay postoperative treatment; if all the
tissue was remo...
Chapter 13: Surgical Technology for the
Surgical Technologist Exam Study Guide.
Loss of specimen - answer✔can have devastating effects for the patient; it could necessitate a second
procedure to be performed to obtain another specimen and delay postoperative treatment; if all the
tissue was removed and subsequently lost, a definitive plan of treatment may be impossible
correct labeling - answer✔the ST should confirm the identity of the specimen (name) and origin
(anatomical site) with the surgeon, and confirm this information with the circulating nurse as the
specimen is handed of the sterile field
specimen marking - answer✔the orientation (original anatomical position) of the specimen in the body
is important for examination of the tissue margins (edges); this may require placement of a suture
marker or painting with specialized tissue dyes, as it would be nearly impossible to determine which part
of the specimen is superior, inferior, medial, or lateral once removed from the wound
foreign bodies as evidence - answer✔care of bullets must prevent alteration of forensic markings; other
foreign bodies could also have legal value and are often turned over to the police as evidence; it is
recommended that the circulator or person who turns over the foreign body to the law enforcement
officials receive a written receipt or record of who received the specimen as part of a legal chain of
evidence procedure
other foreign bodies - answer✔coins swallowed by an infant or extracted teeth may be ordered by the
physician to be given to the family; the order must be documented and a description of the items
removed
specimen containers - answer✔containers should be large enough to contain the specimen and, if
warranted, tissue preservative, which might cause fixed tissues to swell; small tissue specimens sent for
frozen section can be passed off on a piece of Telfa gently placed inside a folded towel and handed off
the field to the circulating nurse for transfer to pathology
calculi (gallstone, kidney stones) - answer✔must be sent to pathology dry; if a preservative is added, it
will dissolve the stone or permanently alter them
amputated limbs - answer✔sent to the pathology department carefully bagged and wrapped for
transfer; following pathology processing, the limb may be sent to a funeral home for storage, as some
cultures or religions believe that when the person dies, the amputated limb must be buried with the
person
orthopedic implants or hardware - answer✔prosthesis and other hardware such a plates and screws
used to support a healing bone fracture should be kept dry and sent to pathology for documentation
endoscopes - answer✔can be used preoperatively or intraoperatively to directly visualize internal
structures for diagnostic purposes
spinal tap (lumbar puncture) - answer✔involves needle aspiration of cerebrospinal fluid (CSF) from the
lumbar area of the spinal column for analysis; the fluid is normally clear; the physician can make a
preliminary diagnosis by observing if the fluid is bloody or cloudy, but final diagnosis is reserved until the
CSF has undergone laboratory analysis
centesis - answer✔placement of a needle into a body cavity for removal of fluid for diagnostic or
therapeutic purposes; also used as a medical terminology suffix in terms of describing the procedure in
anatomical areas from which the fluid is collected
paracentesis - answer✔removal of ascites fluid from the peritoneal cavity, which develops as a result of
cirrhosis or cancer of the liver, pancreatitis, or ovarian cancer; these fluid accumulations can be
substantial, resulting in dramatic abdominal distention
thoracentesis - answer✔placement of a needle into a posterior portion of the pleural pace for the
analysis of pleural effusion; procedure is generally performed as an aid in the diagnosis of inflammatory
or neoplastic diseases of the pleura or the lung; CT scan or ultrasonography may accompany this
procedure to ensure accurate needle placement
amniocentesis - answer✔placement of a needle through the abdomen into the uterus and amniotic sac
in pregnancy for sampling of the amniotic fluid, which surrounds the developing fetus; performed
around the sixteenth week of gestation, it can detect chromosomal anomalies and the gender of the
fetus; later, in preeclampsia, the amniotic fluid can demonstrate the extent of fetal lung development in
anticipation of premature delivery
pericardiocentesis - answer✔percutaneous insertion of a needle into the pericardial sac, which
surrounds the heart, to treat cardiac tamponade or to sample pericardial effusion fluid for laboratory
culture in cases of infective pericarditis
incisional biopsy - answer✔entails the removal of a portion of the tissue mass or lesion for pathological
study
excisional biopsy - answer✔the removal of the entire mass or lesion
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