correct answers
When should the consent form for surgery be completed? Answer ✓✓ Prior to the procedure, before any medications are administered
In what position is the patient placed during surgery? Answer ✓✓ Supine
What are 3 types of operative admissions for surgery? Answer ✓✓ Emergency, urgent, and elective
Name 3 types of ocular emergencies that may require surgical intervention Answer✓✓ Lacerated globes and eyelids; intraocular foreign bodies; acute glaucoma; and, intraocular hemorrhage
What should pre-operative patients bring to their surgical appointment? Answer✓✓ A list of medications and allergies
When scheduling a patient for surgery, what information is needed for scheduling purposes? Answer ✓✓ Patient name, date of birth, type of insurance, contact information, procedure, anesthesia, operative eye, and length of time needed for the procedure
When preparing a patient for surgery, when are vital signs taken, as well as when are dilating drops and sedatives administered? Answer ✓✓ Prior to surgery
Who should a patient speak to if they are uncomfortable under the surgical drape? Answer✓✓ The surgeon, anesthetist, or the nurse What test is performed pre-operatively to determine axial length? Answer ✓✓ A-
scan
If a patient is scheduled for extraocular muscle surgery, what diagnostic tests are generally performed? Answer ✓✓ External photography and muscle balance measurements
What are vital signs? Answer ✓✓ Measurement of blood pressure, pulse, and respirations
What is the most common cause of corrosion of instruments? Answer ✓✓ Inadequate cleaning and drying. Particles or materials that remain on the surface following sterilization
What is the recommended pH level for ophthalmic instrument cleaning solutions? Answer✓✓ Neutral pH level (7.0-8.5)
How often should instruments be lubricated? Answer ✓✓ Every 5 procedures and after every cleaning process
The most common cause of corrosion and pitting of instruments are _ and _ Answer✓✓ Blood and saline
What kind of disposable instrument wipes are recommended for cleaning microsurgical instruments? Answer ✓✓ Lint-free wipes
Ultrasonic cleaners remove foreign matter and all lubrication from instruments. What step should follow the ultrasonic cleaning process? Answer ✓✓ Instruments should be bathed in instrument milk Why are microsurgical instruments separated during ultrasonic cleaning? Answer✓✓ To avoid vibrations that may cause premature precision tip wear
Instrument "rust" may actually be a _ Answer ✓✓ Stain
The first steps in a maintenance program of instruments are _ and _ Answer ✓✓ Inspection and evaluation
Immediately after use, a diamond blade should be rinsed with what type of solution? Answer ✓✓ Sterile water
A diamond blade with baked-on protein may be cleaned by inserting the retracted diamond blade into a wet _ _ and working it through incisions in the direction it is designed to cut Answer ✓✓ Styrofoam peanut
Rust can be transferred to an instrument from another source. To detect if the actual instrument itself is rusting, a pencil eraser is used to remove the rust and check for _ Answer ✓✓ Pitting
There are several types of absorbable sutures that are used in ocular sutures. Name one Answer✓✓ Plain or chronic surgical gut
Vicryl or Dexon
PDS (polydioxanone) suture
What is the main advantage of using an absorbable suture? Answer ✓✓ The suture dissolves