Orthopaedic Technologist Exam: Surgery (Graded A+ actual test)
Course
Orthopaedic Technologist Surgery
Institution
Orthopaedic Technologist Surgery
Fracture table positioning to repair hip and femur fractures - ️️Fx of hip and thigh
require ORIF or intra-medullary rodding. A standard OR table is not appropriate for this
because these techniques require maintained traction. The table includes a boot- the
affected leg is placed in the boo...
Orthopaedic Technologist Exam:
Surgery
Fracture table positioning to repair hip and femur fractures - ✔️✔️Fx of hip and thigh
require ORIF or intra-medullary rodding. A standard OR table is not appropriate for this
because these techniques require maintained traction. The table includes a boot- the
affected leg is placed in the boot.
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.
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.
Surgical hand washing procedure - ✔️✔️-Examine skin for damage
-Nail pick to clean under nails
-Sterile scrub brush
-One arm at a time, 30 passes in each area
-Each side of each finger
-Extend to 2 inches above elbow
-Excess water allowed to drip into sink
Protective attire - ✔️✔️Protects from radiation, lasers, and microbes. Scrub suit, mask,
hair cover, shoe cover, non sterile gloves, protective eyewear, and radiation protection.
Attire worn in the OR - ✔️✔️Limits microbial spread. Scrub suit, hair cover. Mask and
shoe covers. A cap or hood is worn to cover hair.
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.
What to report to surgeon regarding fx - ✔️✔️-Location
-Open/closed
-Type of fx
-Anatomical alignment
-Angulation- degree
-Neurovascular status of limb
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
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.
A leg holder, or lateral post attached to the bed by brackets is used to hold the leg in
position.
Lateral positioner for hip replacement/hemi-arthroplasty - ✔️✔️The patient lies on the
non-operative side. Posterior pad lies at L4-L5 level, the anterior pad is pressed closely
to the ASIS. The leg must be flexed to 90 degrees.
Surgical drapes - ✔️✔️Protect the surgical site from contamination. Drapes must be
antistatic, strong porous, must not reflect light, flame retardant, free of toxins, and not
contain lint.
Plastic drapes - ✔️✔️Adhesive. There are incise and aperture drapes. Incise are made
of thin see-through plastic w/adhesive back. Applied on top of folded towels. Surgical
incision is made through the drape. Aperture drapes have fenestrations surrounded by
adhesive backing.
Fabric drapes - ✔️✔️Nonwoven textile fabrics are disposable, light, and strong.
Synthetic. Reinforced layers of material surround the fenestration.
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