Aseptic Technique

Question 1

The minimum distance a nonsterile person should remain from a sterile field is:

Answer 1

1 ft

Question 2

Know safe practices!!!

Answer 2

Know safe practices!!!

Question 3

Tables are considered sterile:

Answer 3

Only on top
(Edges & sides extending below table level are considered non sterile)

Question 4

At the end of the case, drapes should be:

Answer 4

Checked for instruments, rolled off, & placed in hamper

Question 5

If a solution soaks through a sterile drape:

Answer 5

Cover wet area w/impervious sterile drape or towel

Question 6

Acceptable wrapper for gas sterilization:

Answer 6

Muslin
Paper
Plastic

Question 7

Which of the following is the only acceptable plastic that can be used for a steam sterilization wrapper?

Answer 7

Polypropylene

Question 8

All of the following statements regarding muslin wrappers are true:

Answer 8

-Muslin must be laundered, even if unused, in order to rehydrate it
-A 140 thread count of unbleached muslin is used for wrappers
-Muslin is flexible & is easy to handle

Question 9

Packages wrapped in muslin must have:

Answer 9

Four thickness
(2 layers of double thickness, 140-thread count)

Question 10

Maximum storage life for a muslin wrapped item in a closed cabinet is:

Answer 10

30 days
(21 days for open shelving storage)

Question 11

An item dropped on the floor is considered safe only if:

Answer 11

It is enclosed in an impervious material
(Items wrapped in woven materials should not be used)

Question 12

When using a pour solution:

Answer 12

The contents must be used or discarded after bottle is opened

Question 13

What is the standard safety margin on package wrappers?

Answer 13

1 inch

Question 14

When opening a wrapper, the circulator should open the top flap:

Answer 14

Away from self

Question 15

When the scrub nurse drapes a basin stand which side is opened first?

Answer 15

Side nearest body is opened first

Question 16

When flipping a sterile item onto the field, the circulator may:

Answer 16

Project item without reaching over the sterile field

Question 17

Gowns are considered sterile only from:

Answer 17

front from chest to level of sterile field, & the sleeves from elbow to cuffs

Question 18

An acceptable action when drying the hands and arms after the surgical scrub is to:

Answer 18

Dry thoroughly, cleanest area first

Question 19

Facts of gowning another person:

Answer 19

-Open hand towel & lay it on person’s hand
-Keep hands outside of gown
-Release gown once the person touches it

Question 20

Facts regarding scrub procedures:

Answer 20

-It reduces the microbial count
-It leaves an antimicrobial residue
-It removes skin oil

Question 21

If the scrub nurse needs to change a glove during operation:

Answer 21

The circulator pulls the glove off

Question 22

Safe criteria regarding the removal of gown & gloves:

Answer 22

-Gown is pulled off inside out
-Gown is untied by circulator
-Gloves are removed inside out

Question 23

An effective surgical scrub procedure is the:

Answer 23

-Time method
-Brushstroke method

Question 24

Acceptable practice statements regarding the surgical scrub:

Answer 24

-Fingernails should only reach the tip of fingers
-Nail polish may be worn if freshly applied
-A non-oil based hand lotion may be used to protect the skin

Question 25

Eyewear, goggles, & or face sheilds should be worn:

Answer 25

On every case

Question 26

The surgical scrub is:

Answer 26

Mechanical washing & chemical antisepsis of the skin

Question 27

Scrub techniques ends:

Answer 27

2 in ABOVE the elbow

Question 28

Apprpriate preparation by the scrub regarding surgical scrub:

Answer 28

-Nail polish may be worn if not chipped -Fingernails should not reach beyond fingertips -Skin should be protected with a non-oil-based product

Question 29

Statement that best describes an effective surgical hand scrub:

Answer 29

Time or number of strokes, hand to elbow sequence

Question 30

The brushstroke method of scrubbing prescribes. the number of strokes required. Indicate the # for each: nails, fingers, hands (back & palm), & arms

Answer 30

30, 20, 20, 20

Question 31

Evidence-based practice (EBP) relies on:

Answer 31

Science & Evidence

Question 32

Standard precautions evolved from a practice called:

Answer 32

Universal Precautions

Question 33

When water comes in contact with a sterile drape or gown, it can cause:

Answer 33

Strike through contamination

Question 34

Standards during surgery include:

Answer 34

-Nonsterile team members do not pass between 2 sterile fields -Movement should be kept to a minimum -If there is any doubt about sterility, consider it contaminated

Question 35

When removing sterile attire, arrange the following in proper order: (1) remove gloves, (2) remove gown, (3) remove your mask

Answer 35

2,1,3 remove gown, gloves, then mask

Question 36

Proper techniques when opening sterile supplies:

Answer 36

-Do not readjust the table drape -Open the 1st flap away from you on an unwrapped item -Remember not to lean over a sterile field

Question 37

When opening supplies for a case, what should be passed directly to the scrub or flipped in an area where they are clearly visible?

Answer 37

Blades

Question 38

How should sterile personnel pass each other?

Answer 38

Back to back, Front to front

Question 39

What is know as the center of your sterile field?

Answer 39

Draped patient

Question 40

If there is a break in sterile technique during the procedure, the STSR should tell:

Answer 40

The person who broke technique

Question 41

Recommended conditions regarding sterile technique:

Answer 41

-Sterile tables are setup just before operation -Once sterile packs are open, someone must remain in room to maintain vigilance -Sterile persons pass each other back to back

Question 42

Acceptable aseptic techniques:

Answer 42

-Scrub nurse stands on a platform or standing tool -Scrub nurse keeps hands below shoulder level -Scrub nurse's hands are at or above waist level

Question 43

When a sterile item is hanging or extending over the sterile table edge, the scrub nurse:

Answer 43

Does not touch the part hanging below table level

Question 44

Is a sterile person sitting or leaning against a non sterile surface considered a break in technique?

Answer 44

Yes

Question 45

Should sterility be questioned if a sterilized pack is found in a unsterile workroom?

Answer 45

Yes

Question 46

When handing skin towels to the surgeon, where should the scrub person stand in relation to the surgeon?

Answer 46

On same side of table

Question 47

According to (CDC) Centers for Disease Control & Prevention guidelines actions by a scrub person prevents wounds & punctures by:

Answer 47

-Using an instrument to remove blades -Account for each needle as surgeon finishes with it -Protect sharp blades, edges, & tips

Question 48

Acceptable techniques for draping a patient:

Answer 48

-Hold the drapes high until directly over the proper area -Protect gloved hands by cuffing the end of the drape over them -Place the drapes on a dry area

Question 49

The procedure to follow if a hair is found on the operative field is to:

Answer 49

Remove it with a clamp and cover over area

Question 50

If the floor or wall becomes contaminated with organic debris during a case, the circulator:

Answer 50

Decontaminates promptly