Asepsis in Cath Lab Flashcards
(44 cards)
Absence of germs such as bacteria, viruses, and other microorganisms
Asepsis
Standard healthcare practice that helps prevent the transfer of germs to or from patients, staff and surrounding environment
Aseptic Technique
Sterile attire, hand hygiene and non touch technique to achieve a safe level of asepsis for technical and short procedures
Aseptic Fields
When does the Cath Lab need to meet OR standards of surgical asepsis
Planting permanent devices such as pacemakers, defibrillators, or artificial valves. Complex EP procedures as well
What is the range of infection rates in the Cardiac cath lab and EP procedures
0.1% to 0.6%
What is HAI
Healthcare Associated Infection
When should PPE be worn by all healthcare workers in the Cath Lab
Direct patient contact
What should all lab personnel entering the hybrid or procedure room wear?
Scrub attire and head coverings
What are Sterile Surfaces
Free of all living organisms including bacterial spores and viruses
Visitors entering the cath lab should don either
Clean surgical attire or single use jumpsuit (bunny suit)
When should OSHA specified respiratory protection be worn?
Person with known or suspected active tuberculosis disease
What should be adhered to follow hand hygiene
Fingernails short 1/4 inch, use hand lotion that is compatible with gloves, exclude healthcare providers from environment if they have cuts, abrasions, dermatitis, or fresh tattoos
When should cath lab personnel wash their hands
Coming in and leaving duty, before and after each contact with patient or environment, after donning and removing gloves, before and after eating/restroom, any time there has been contact with blood or other materials, after hands are visibly soiled.
What is the purpose of surgical scrubbing
Remove debris and transient microorganisms from nails, hands, and forearms.
What are the five planes for cleansing hands
two sides, back, front, and fingertips
Where should hands be held during scrubbing
above the elbows
When using a alcohol based surgical hand antiseptic, what are the following steps:
-Remove jewelry
-Don a surgical mask
-Prewash hands and forearms if soiled
-clean under fingernails with a nail pick under water
-Rinse hands and forearms under running water
-Dry hands and forearms thoroughly with disposable paper towels
-Dispense recommended amount of antisepsis product and apply it to hands and forearms
-Repeat application as directed
-Rub thoroughly until completely dry.
When using a traditional scrub-with-water product, the following steps are:
-Remove jewelry
-Don a surgical mask
-Prewash hands and forearms with soap and water if visibly soiled
-Clean under fingernails with a nail pick under water
-Dispense recommended antimicrobial product
-Apply to wet forearms and hands using a soft sponge
-Keeping hands elevated, scrub all skin surfaces with a sponge for 3-5 minutes
-Avoid splashing surgical attire
-Discard sponges in container
-Keeping hands elevated, rinse hands and forearms from fingertips to elbows under water
-In OR, dry thoroughly with a sterile surgical towel before donning gown and gloves
-Keeping hands elevated, dry hands with a sterile towel if required
When does the surgical gown be considered a sterile field
chest down to the level of the surgical field
Gowning Procedure:
1: Hold a folded sterile gown by the collar away from the body
2: Allow the gown to drop open, ensuring that no part of it touches the floor or any other object
3: Slide both arms into the sleeves, always keeping them above the waist. Flex the elbows to get the arms through the sleeves
4:Staff members will grasp the collar of the gown and fasten the tabs at the back of the neck
5: The gown can be tied at the waist after gloving
When performing closed assisted gloving, the steps are:
1: Arms are pushed only so far into the sleeve of the sterile gown that the hands are still covered by the cuff
2: The nondominant hand is used to pull the sterile glove onto the dominant hand
3: The gloved hand then applies the remaining glove to the other hand
4: Gloves are adjusted once both hands are covered
Open assisted method of applying gloves are:
1: Sterile gown is donned, with hands emerging from the cuffs
2: Using the non-dominant hand pick up the glove for the dominant hand at the cuff, using just the fingertips
3: Slide this hand into the glove until a snug fit over the thumb joint and knuckles is achieved.
4: Slide the gloved fingertips into the folded cuff of the remaining glove. Slide the ungloved hand into the glove until a snug fit is achieved
5: Unfold the cuffs of both gloves down over the gown cuffs and up the sleeves as far as they will go
When should you wear two surgial gloves on each hand?
Whenever there is a risk of exposure to blood, body fluids, and other infectious materials during the operation
What is considered the sterile field
Area surrounding the site of incision or perforation into tissue that has been prepared for a surgical or invasive procedure. Anything that is covered with sterile drapes and drape accessories as well.
