3 phases of wound healing - ✔inflammation proliferation remodeling 3 Types of Silk Suture - ✔dermal virgin surgical 3 ways a wound heals - ✔1) primary union/first intention 2) granulation/second intention 3) delayed primary closure/third intention 4 Types of Surgical Instruments - ✔cut clamp grasp retract 5 Rights of Specimen Handling - ✔Right Patient Right date/time Right laboratory test Right surgeon Right specimen absorbable sutures - ✔derived from collagen of healthy animal or synthetic polymer, can be digested, hydrolyzed, and or assimilated by tissue active hemostatic agent (wound healing) - ✔contain thrombin and products mixed with thrombin, enhance clotting at bleeding site ex. thrombin Alcohol prep - ✔acts by denaturing proteins used w other prep DISPERSE FUMES BEFORE DRAPING All the following professionals are qualified to provide anesthesia to a patient EXCEPT: a) anesthesiologist b) CRNA c) anesthesiology assistant d) operating surgeon - ✔d) operating surgeon allis clamp - ✔used to hold tissue without crushing, devitalizing, or injuring it, has multiple tiny, fine teeth that curve inward and hold tissue gently but firmly used for retracting tissue and grasping fascia, cysts, and knee cartilage Amputated digits and limbs - ✔specimens that are to be reimplanted anticoagulant (wound healing) - ✔should be stopped 2-7 days before surgery Any germicide that is labeled as a hospital disinfectant has passed the potency test for activity against ________________________________________, _________________________________________, and _________________________________________________. - ✔Pseudomonas aeruginosa staphylococcus aureus salmonella choleraesuis Argon Enhanced Coagulation (AEC) - ✔combo of electrosurgical energy and argon gas creates more direct pathway for electrosurgical energy to travel to target tissue argon gas helps clear site of blood and fluid *** CAN CAUSE GAS EMBOLI *** army navy retractor - ✔for shallow incision, generally used in pairs atracurium - ✔intermediate-acting muscle relaxant atraumatic forcep - ✔used to grasp fine tissue (ex vascular or cardiovascular surgery) ex. debakey Babcock Clamp - ✔curved, fenestrated tips w no teeth, used to grip or enclose delicate structures such as bowel, appendix, urethra, or fallopian tubes, will not penetrate, crush, or traumatize delicate tissue Bacteria common to OR - ✔staphylococci e coli streptococci mrsa pseudomonas serratia marcescens c diff balfour retractor - ✔used to hold abdominal wall open during abdominal surgery Based on your knowledge of cameras in endoscopic surgery, identify the tasks that should be completed while setting up the camera before surgery