Surgical Attire

Question 1

What is worn in the restricted and semi restricted areas of the surgical environment and other areas of the facility where invasive procedures are performed

Answer 1

Scrub suit, head covering, mask, shoes, and jacket

Question 2

AORN

Answer 2

All individuals who enter the semi restricted and restricted areas should wear freshly laundered surgical attire that is laundered at a health care accredited laundry facility or disposable attire provided by the facility and intended for use within the periooerative setting

Question 3

ARHQ

Answer 3

No recommendations on how or where to launder scrub suits, restricting use of scrub suits to the operating suite or for covering scrub suits when out of the operating suite. Home laundering of visibly soiled surgical attire is not recommended

Question 4

AST

Answer 4

Home laundering of OR attire to include scrub suits, cloth warm up jackets, and cloth hats is not recommended

Question 5

CDC and HICPAC

Answer 5

Although OSHA regulations prohibit home laundering of items that are considered personal protective apparel or equipment experts disagree about whether this regulation extends to uniforms and scrub suits that are not contaminated with blood or other potentially infectious material. Learn care facility policies on this matter vary and may be inconsistent with recommendations of professional organizations.

Question 6

What if any kind is a potential source of pathogens

Answer 6

Jewelry

Question 7

The scrub shit is designed to do what

Answer 7

Prevent the shedding of skin particles and hair into the environment and to protect the wearer from contact with soil and body fluids

Question 8

What does the scrub suit consist of

Answer 8

Shirt and pants. Made of lint free material and should fit closely to the body. Should not be so tight as to produce chafing, which increases the release of skin and hair particles laden with bacteria. The top should be secured at the waist, tucked into the pants, or fit close to the body to prevent contact with sterile surfaces.

Question 9

A clean scrub suit is donned when

Answer 9

Personnel enter the restricted or semi restricted area of the OR

Question 10

When a scrub suit has been soiled by blood or body fluids, what must the surgical personnel do?

Answer 10

Remove it in such a way as to prevent skin contact with the soiled area

Question 11

What should personnel change into before leaving the health care facility or when traveling between buildings according to health facility policy

Answer 11

Street clothes

Question 12

Personnel such as maintenance engineers or law enforcement entering the semi restricted or restricted area for a short time must don what

Answer 12

Single use jumpsuit or freshly laundered scrub suit

Question 13

Nail tips should be level with the fleshy too if the finer. The sunungual area hosts a greater number of bacterial colonies than any other area of the hand. Long fingernails easily puncture gloves and make handling of equipment more difficult. Long nails can also scratch or dig into the patient’s skin during transfer and positioning

Answer 13

The finger nails must be no longer than 1/4 inch

Question 14

Nails polish itself has not been proven to be a source of microbial proliferation. However, chipped or flaming polish is known to support bacterial growth

Answer 14

Nail polish must not be worn by surgical personnel

Question 15

Artificial nails harbor pathogenic bacteria and fungi between the real and synthetic nails, especially when the artificial nail is chilled or cracked. Bacterial counts remain high even after scrubbing or artificial nails with antiseptic solution

Answer 15

Artificial nails must not be worn in the surgical environment

Question 16

Bacteria and fungi proliferate underneath rings and watches, creating a source of contamination.

Answer 16

Before performing and hand hygiene procedure, inspect the hands for visible soil, and remove all jewelry, including watches and rings

Question 17

What is routine hand washing

Answer 17

An event related practice. It requires a specific method with individual steps. Antiseptic liquid soap is used in the health care setting for routine hand washing

Question 18

When to perform routine hand wash

Answer 18

At the beginning and end of each workday
Before and after patient contact
After any surgical case
Between contacts with potentially contaminated areas of the same patient
Before contact with sterile packages
Whenever hands are visibly soiled
After removing gloves
Before performing the surgical handrub
Immediately after contact with blood or body fluids, regardless of whether gloves were worn at the time of contact 
Before and after eating 
After personal hygiene care
After toileting

Question 19

What is the purpose of he surgical scrub

Answer 19

Remove soil and reduce the number of resident and transient microbes on the hands and arms to an absolute minimum

Question 20

When is the surgical scrub performed

Answer 20

Immediately before gownun and gloving for a surgical or invasive procedure. The surgical scrub is performed with a disposable sterile sponge brush combination

Question 21

What is a surgical hand rub

Answer 21

An approved, alcohol based handrub can be used in place of the traditional surgical scrub unless mandated differently by the healthcare facility

Question 22

Use routine hand washing frequently

Answer 22

During the workday and specifically between patient contact and to remove visible soil before and following certain events that were listed earlier

Question 23

The traditional surgical scrub

Answer 23

Using a sponge brush, antiseptic soap, and water is performed in place of the hand rub in case of visible sound on the hand or arms following contamination of the hands or arms by potentially infectious body fluids

Question 24

The surgical handrub is performed

Answer 24

In place of a traditional surgical scrub except when the hands and arms are grossly soiled or have come in contact with body fluids. The first handrub of the day should be preceded by routine hand ash and drying with disposable towel

Question 25

Sterile Fleming and gloving occur when

Answer 25

Immediately after preparation of the hands and arms for a surgical procedure

Question 26

Double gloving

Answer 26

Wearing tie pairs of surgical gloves

Question 27

Closed gloving

Answer 27

Performed immediately after gownung. It is the most effective method for preventing contact between the skin and the outside of the sterile glove

Question 28

Open gloving

Answer 28

Is used during sterile procedure that do not require a sterile gown, such as preoperative skin preparation of the patient, assisting in minor skin procedures, catheritizarion, and when a scrubbed member changes a glove without changing his or her gown

Question 29

When open gloving

Answer 29

Consider the two surfaces of the glove, the outside and the inside. The glove has a cuff that exposes the inside of the glove. This inner surface is considered the nonsterile surface, even though it is sterile until touched with the bare hand