Orthopedic Technologist Exam: Surgery
What to Report to Surgeon Regarding Fracture - Answer--Location
-Open/closed
-Type of fracture
-Anatomical alignment
-Angulation (degree)
-Neurovascular status of limb
Surgical Hand Washing Procedure - Answer--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 - Answer-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 Operating Room - Answer-Limits microbial spread. Scrub suit, hair cover. Mask and
shoe covers. A cap or hood is worn to cover hair.
Sterile Scrub Attire - Answer-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 - Answer-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 - Answer-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 a 90-degree angle. Pillows are placed
where necessary, and a foot board is used to prevent prolonged plantar flexion.
Fowler's Position - Answer-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 - Answer-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 - Answer-For shoulder surgery
Lateral Position - Answer-Patient positioned on one side. Lower leg flexed, upper leg straight. Safety
strap over hip. Arms on double armboards.
What to Report to Surgeon Regarding Fracture - Answer--Location
-Open/closed
-Type of fracture
-Anatomical alignment
-Angulation (degree)
-Neurovascular status of limb
Surgical Hand Washing Procedure - Answer--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 - Answer-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 Operating Room - Answer-Limits microbial spread. Scrub suit, hair cover. Mask and
shoe covers. A cap or hood is worn to cover hair.
Sterile Scrub Attire - Answer-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 - Answer-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 - Answer-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 a 90-degree angle. Pillows are placed
where necessary, and a foot board is used to prevent prolonged plantar flexion.
Fowler's Position - Answer-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 - Answer-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 - Answer-For shoulder surgery
Lateral Position - Answer-Patient positioned on one side. Lower leg flexed, upper leg straight. Safety
strap over hip. Arms on double armboards.
