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A Perioperative Nurse Was the Scrub Person During a Robotic-Assisted

Question 17

Multiple Choice

A perioperative nurse was the scrub person during a robotic-assisted laparoscopic cholecystectomy.She locked the robotic endoscissor into the adaptor on the robotic arm and positioned the tip end into the trocar port in order for the surgeon to dissect the cystic duct and artery,while the surgical assistant placed the clips on the cystic duct and artery.As she reached across the sterile field to insert the cholangiocatheter through the port,the anesthesia provider accidentally made contact with the distal end of the catheter as he stood up to reach the monitor controls.The contaminated end of the catheter touched the endoscopic clip applier,the endoscissor connector that the surgeon was using,the glove of the assistant,and the perioperative nurse's gown sleeve.The surgeon ordered everyone to change their gown and gloves and covered the port area with a sterile towel.What was the rationale for the surgeon to continue to dissect and not change his attire?


A) The tip of the dissector that was in the patient's abdomen was not contaminated.
B) The surgeon planned to remove the dissector after he finished dissecting and then dispose of it.
C) The surgeon's gown was not touched, just the dissector connection to the robotic arm.
D) The surgeon was not in contact with the sterile field because he worked from the robotic console.

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