Chapter 17 Aseptic technique

Question 1

product or method free of microbiological organisms

Answer 1

aseptic

Question 2

surgical

medical

Answer 2

two types of asepsis

Question 3

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

Answer 3

surgical asepsis

Question 4

angiography

arthrography

hysterosalpingogram

operating room

myelogram

Answer 4

surgical technique procedures

Question 5

reduction of infectious agents, decrease possibility of infection, but not necessarily to zero

clean technique

Answer 5

medical asepsis

Question 6

protect from infection and eliminate all harmful microorganisms

Answer 6

goal of sterile technique

Question 7

number one priority for sterile technique

Answer 7

hand washing

Question 8

considered microorganism free

Answer 8

sterile field

Question 9

are not suffiecient to prevent infection

Answer 9

clean

sanitize

disinfect

Question 10

check expiration date

check clean and dry

Answer 10

ensure sterile drape is sterile

Question 11

if package is opened or wet then it is

Answer 11

unsterile

Question 12

opening sterile packages/trays: which way do you place package on surface

Answer 12

top flap opens away from you

Question 13

can you reach over sterile package/tray to open flaps

Answer 13

no

use right hand on right side and left hand on left side

Question 14

if your shirt sleeve touches inner surface of sterile package is it still a sterile package

Answer 14

no

rest sterile package on your hand and pull first flap away from you

Question 15

are only sterile items used in sterile field

Answer 15

yes

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

Question 16

drop contents on field

Answer 16

6 inches and at an angle

Question 17

sterile solution bottles are only sterile where

Answer 17

inside

once sterile bottle is set down it isn’t sterile anymore

Question 18

check name, concentration and expiration date 3 times

use immediately once opened

show bottle and name to person performing exam

Answer 18

setting up sterile tray

Question 19

top side down

do not pour over label

hold 6 inches over bowl

no splashing

can contaminate if not done properly

Answer 19

sterile solution bottles

Question 20

biopsys, hip injections, arthography

Answer 20

procedures using sterile techniques

Question 21

removes debris and transient microorganisms from hands and nails

reduce resident microbial count to minimal

inhibit rapid rebound growth of microorganisms

Answer 21

purpose of surgical scrubbing

Question 22

numbered stroke

timed scrub (happy bday song)

Answer 22

2 methods of surgical scrubbing

Question 23

use scrub brush, antiseptic soap and nail cleaners

remove jewelry and watches

wash hands and arms with antiseptic soap

clean subungual

scrub for 3 minutes

scrub arms to 3 inches above elbow

repeat for other hand/arm

blot/rotate from wrist to elbow, don’t revisit area

Answer 23

guidelines for surgical scrubbing

Question 24

12 inches from sterile area

grasp gown on folded edges

no objects near

shake gently

raise arms up and put in sleeves

have someone else tie

Answer 24

sterile gowning self

Question 25

closed---hands in gown open---hands out of gown (radiology dept more)

Answer 25

2 ways to put arms/hands in sleeves of sterile gown by self

Question 26

gloving performed after gowning use closed method or open method

Answer 26

sterile gloving self

Question 27

fingers covered by gown and pick up gloves right handed...use left hand to pick up glove place glove on hand with palm down and fingers facing you fingers grasp bottom of cuff and assistant hand pulls glove over hand to be gloved

Answer 27

closed method (hands in gown)

Question 28

opposite hand picks up glove careful not to touch outside surface of glove dominant hand gets gloved first sterile glove hand picks up the other glove by reaching under cuff sterile glove on first must touch only the outer surface and sterile surfaces

Answer 28

open method (hands out of gown)

Question 29

sterile person picks up gown outside facing sterile person circular person (non-sterile) fastens it pullcuff over hands careful not to touch sterile gloves to hands

Answer 29

gowning another

Question 30

if in doubt consider it unsterile field must be watched continuously set up for procedure close to time of procedure below waist and table is unsterile arms and front of gown are sterile sterile people pass each other back-to-back unsterile people don't reach above or over sterile field if wet then package unsterile but can redrape gloves kept in sight and above waist level

Answer 30

principles of sterile technique

Question 31

done for upper airway obstructions sterile technique used patient communicates with yes/no, hand signals, sign language treat with Maslows hierarchy of needs

Answer 31

tracheostomies

Question 32

do not touch unless using sterile technique nurse or respiratory therapist suctions use ambu-bag if you suction (5-10 breaths) test catheter insert until resistence met then withdraw 1 cm apply suction intermittently while withdrawing in rotating motion never suction longer than 15 seconds asses using auscultation

Answer 32

tracheostomies

Question 33

internal body sounds heard with stethoscope listen for clear breath sounds

Answer 33

auscultation

Question 34

used for atelectasis (collapsedlung), pneumothorax, thoracotomy, open heart surgery tube into pleural cavity to remove fluid, blood, air

Answer 34

chest tubes

Question 35

collection chamber water seal chamber to prevent air from entering chest 2nd water chamber to control amount of suction lower than patients chest report if drainage is excessive (100cc per hour) or fluid color changes

Answer 35

chest tube drainage system

Question 36

aseptic (sterile) technique used used for emptying bladder, relieve retention, irrigate bladder, put drugs in, measure urine output, incontinence

Answer 36

urinary catheters

Question 37

measured in french unit (outer diameter) range from 8-18

Answer 37

catheters

Question 38

foley (balloon, fill with sterile H2o) straight indwelling (remains in place)

Answer 38

types of urinary catheters

Question 39

plastic (short term) latex (2-3 weeks) polyvinyl (4-6 weeks) silicone (2-3 months)

Answer 39

types of catheters based upon duration

Question 40

collection bag below bladder (prevent reflux and infection) don't drag bag on floor cut opening to drain sterile water before trying to remove (clamp/reclamp) don't entangle

Answer 40

urinary catheters things to watch for

Question 41

lithotomy position (supine, knees bent, genitalia exposed) sterile drape under female sterile drape under penis male test balloon with sterile water lubricate tip expose the urinary meatus with non-dominant hand (no longer sterile) clean urinary meatus with forceps, cotton balls, antiseptic insert .5 inches women insert 6-8 inches men fill balloon when in place

Answer 41

urinary catheter insertion

Question 42

use gloves wash hands provide privacy get consent basin under valve cut tip of balloon valve, drain remove get help if resistence when removed

Answer 42

removing urinary catheter

Question 43

radiography of urethra and bladder before, during and after voiding

Answer 43

voiding cystourethrograms

Question 44

suprapubic (closed drainage system above pubis; obgyn surgeries) condom (males; incontinence)

Answer 44

other types of catheters

Question 45

regulates heart rate prevents bradycardia (decreased heart rate) involve an electrode to send impulses to contract heart use subclavian vein placed underneath skin on left side of patients pectoral fascia

Answer 45

pacemakers

Question 46

radiographer runs fluroscopy while physician positions guidewire guidewire provides path for introducer sheath and pacing lead use subclavian vein lead is advanced to right atrium sheath withdrawn and lead placed atapex of right ventricle use C-arm sterile technique

Answer 46

pacemaker inserting technique

Question 47

area between patient drape and instrument table

Answer 47

sterile corridor

Question 48

snap cover (most common) shower curtain approach stop gap approach

Answer 48

3 approaches to maintain sterile field

Question 49

cannot do mri if patient has this

Answer 49

pacemaker

Question 50

injecting contrast into joint to be imaged sterile technique for injection done in radiology dept prior to MRI

Answer 50

arthograms