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While assisting during a surgery, a team member
observes that an instrument in a set is clamped shut.
The rest of the instruments in the set are unclamped,
as expected. The chemical sterilization indicators
have changed, as expected. The team member has
already passed other instruments in the pack to the
surgeon. To take corrective action, the team member
should:
a. unclamp the instrument
b. use a sterile sponge or towel to pick up the
clamped instrument and set it aside, then
continue using the rest of the pack
c. set the instrument and the rest of the pack aside,
and discuss the event with the team when the
procedure is over
d. remove the entire set and any other instruments
the set may have come in contact with; change
gloves; and notify the team right away, so that
additional corrective steps can be taken, if
needed

ANSWER: D remove the entire set and any other instruments
the set may have come in contact with; change
gloves; and notify the team right away, so that
additional corrective steps can be taken, if
needed

Which of the following procedures for isolation
technique, also known as bowel technique or
contamination technique, is NOT recommended?
a. when practicing single setup, segregate all
instruments, towels, and other items (e.g., Mayo
stand, basin) that have contacted the bowel
lumen to a designated area,
b. begin isolation technique when the
gastrointestinal tract is transected, and end it
when anastomosis is complete
c. after announcing the change to clean closure,
ensure that the entire scrubbed team leaves the
sterile field and changes into sterile gown and
gloves at the same time
d. a health care facility should develop and follow
standardized procedures for bowel isolation
technique to reduce errors and improve
efficiency among perioperative team members

Which of the following procedures for isolation
technique, also known as bowel technique or
contamination technique, is NOT recommended?
a. when practicing single setup, segregate all
instruments, towels, and other items (e.g., Mayo
stand, basin) that have contacted the bowel
lumen to a designated area,
b. begin isolation technique when the
gastrointestinal tract is transected, and end it
when anastomosis is complete
c. after announcing the change to clean closure,
ensure that the entire scrubbed team leaves the
sterile field and changes into sterile gown and
gloves at the same time
d. a health care facility should develop and follow
standardized procedures for bowel isolation
technique to reduce errors and improve
efficiency among perioperative team members

ANSWER: C after announcing the change to clean closure,
ensure that the entire scrubbed team leaves the
sterile field and changes into sterile gown and
gloves at the same time

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