chapter 17

Question 1

protection from infection using sterile technique,before,during,after surgery

Answer 1

surgical asepsis (sterile technique)

Question 2

reduction of infectious agents, decreases probablility of infection, but not necessarily to zero

Answer 2

medical asepsis (clean technique)

Question 3

how do you determine if a sterile package is OK to use

Answer 3

check expiration date

check if it is clean and dry

Question 4

which way do you place the sterile package on the surface?

Answer 4

top flap opens away from you

Question 5

can you reach over the sterile package to open flaps?

Answer 5

no, reach around the sterile field

Question 6

even if you slightly touch the inner surface of a package with your regular shirt sleeve-is it unsterile?

Answer 6

Yes

Question 7

if resting the sterile package on your hand then which direction does the first flap go?

Answer 7

away from you

Question 8

how do you drop the contents on the field?

Answer 8

about 6 inches and at an angle

Question 9

are only sterile items used in sterile fields?

Answer 9

yes

Question 10

can sterile items be added to a sterile tray after it has been opened?

Answer 10

yes

Question 11

sterile solutions are only considered sterile where?

Answer 11

inside the bottle

Question 12

once a sterile solution bottle is set down is the solution considered sterile anymore?

Answer 12

no

Question 13

what do you check on the bottles? how many times?

Answer 13

name, concentration and expiration. 3 times

Question 14

some other important steps regarding sterile solutions

Answer 14

hold it for the doctor
once they are open, use them immediately
show name to the dr.

Question 15

how do you pour a sterile solution?

Answer 15

remove cap and place it topside down
do not pour over label
hold about 6 inches over bowl
no splashing

Question 16

why is it important to follow the rules for pouring a sterile solution?

Answer 16

allows microorganisms to move from unsterile table top through the drape if not followed

Question 17

can you re-drape the area if needed?

Answer 17

yes

Question 18

procedures requiring sterile technique

Answer 18

angiography (stints in vessles)
arthrography (contrast into joints)
hysterosalpingography ( image of fallopian tubes)
operating room
myelography
biopsies

Question 19

steps for a surgical scrub

Answer 19

use scrub brush,antiseptic soap, and nail cleaners
remove all jewelry
wash hands and arms first
clean under nails with brush
scrub fingers and hands for 2 minutes
scrub arm to 3 inches above elbow
the hands remain above elbows at all times
dry hands by blotting/rotating around careful not to revisit sight

Question 20

the purpose of a surgical scrub

Answer 20

1) to remove debris and transient microorganisms from the hands, nails, and forearms
2) reduce the resident microbial count to a minimum
3) to inhibit the rapid rebound growth of microorganisms

Question 21

procedure for sterile gowning

Answer 21

be a foot away from sterile area when picking up the sterile gown
grasp the gown on the folded edges
make sure no objects are near the gown
gently shake it out
raise arms up and put them in sleeves
(someone else will tie the ties for you)

Question 22

procedure for self gloving(open technique)

Answer 22

1. pick up the glove by its inside cuff with one hand.do not touch the glove wrapper with the bare hand
2. slide the glove onto the opposite hand.leave the cuff down.
3. using the partially gloved hand slide the fingers into the outer side of the opposite glove cuff
4. slide the hand into the glove and unroll the cuff
5. with the gloved hand, slide the fingers under the outer edge of the opposite cuff and unroll it gently, using the same technique

Question 23

procedure for self gloving (closed tech)

Answer 23

1. fingers covered by gown, pick up glove
2. dominant hand picks up opposite glove
3. place glove on hand with fingers pointing towards you
4. assistant hand pulls glove over hand to be gloved

Question 24

providing care for a tracheostomy ( done for upper airway obstructions)

Answer 24

sterile technique used to create the opening
communicate with yes or no questions or hand signals
treat according to their needs( maslow)
do not touch unless under sterile technique