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Intro To Anesthesia > Personal Protection And Sterility > Flashcards

Personal Protection And Sterility Flashcards

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0
Q

Contaminated linens go in what color bag?

A

Grey (also depends on hospital)

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1
Q

You must wear a mask within 3 ft of patients with what types of infections to protect against droplets?

A

Mumps (infective paratitis)
German measles (rubella)
Strep (group a pneumonia)
Meningococcal (meningitis)

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2
Q

Contaminated non-linen disposable items go in what color bag?

A

Red

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3
Q

Needles and everything that can break or sharp objects are disposed in….

A

Sharps container

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4
Q

Disposal of paper good in what color bag?

A

Clear

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5
Q

What are the Airborne infections you should stay away from unless you have immunity?

A

Chickenpox (varicella)
Measles (rubella)
Disseminated varicella zoster

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6
Q

What type of mask is required when in contact with TB?

A

NIOSH N95

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7
Q

What type of cleaning uses soap and water?

A

Simple cleaning

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8
Q

What type of cleaning uses a substance that has antimicrobial activity and can be safely applied to living tissue? Such as alcohol or iodine.

A

Antiseptic cleaning

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9
Q

What is the most widely used chlorine disinfectant that is commonly used to clean surfaces and equipment?

A

Hypochlorite

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10
Q

What is a disinfectant that is an effective surface cleaner and safe on rubber and plastic?

A

Hydrogen peroxide (25-37%)

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11
Q

What is a steam sterilization technique that uses pressure and temperature?

A

Autoclaving

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12
Q

What is the minimum autoclaving time at 121 degrees C?

A

15 mins

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13
Q

What is the minimum autoclaving time for 126 degrees C?

A

10 mins

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14
Q

What is the minimum autoclaving time for 134 degrees C?

A

3.5 mins

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15
Q

What gas is used in gas sterilization?

A

Ethylene oxide

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16
Q

How long should you aerate items that have been sterilized by gas due to the EO absorption?

A

Passive aeration at least 7 days

Mechanical aeration 2-8 hours

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17
Q

What type of sterilization provides an indefinitely sterile item as long as it stays in tact with the package and requires no heat or moisture?

A

Gamma radiation sterilization

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18
Q

What are the disadvantages of has plasma sterilization?

A

May not penetrate well and may corrode

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19
Q

What sterilization technique is used to disinfect FOB?

A

Glutaraldehyde chemical sterilization

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20
Q

How does surgical skin prep reduce the risk of postoperative wound infection?

A

Removes soil and transient microorganisms

Reduce number of resident microorganisms

Inhibits the rebound of growth at surgical site

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21
Q

List the four commonly used prep solutions for surgical skin prep.

A

Iodophors (betadine)
Chlohexidine (hibicens)
Alcohol
Alcohol/iodophor combo (dura prep)

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22
Q

Which two prep solutions can you not use if the patient has an allergy to iodine?

A

Betadine and duraprep

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23
Q

Efficacy of Prep Solutions

Alcohol speed of action

A

Rapid

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24
Efficacy of Prep Solutions Alcohol on Gram +
Excellent
25
Efficacy of Prep Solutions Alcohol on gram -
Excellent
26
Efficacy of Prep Solutions Alcohol on TB
Good
27
Efficacy of Prep Solutions Alcohol on fungi
Good
28
Efficacy of Prep Solutions Alcohol on virus
Good
29
Efficacy of Prep Solutions Alcohol residual activity
None
30
Efficacy of Prep Solutions Iodophor speed of action
Intermediate
31
Efficacy of Prep Solutions Iodophor on gram +
Excellent
32
Efficacy of Prep Solutions Iodophor on gram -
Good
33
Efficacy of Prep Solutions Iodophor on TB
Good
34
Efficacy of Prep Solutions Iodophor on fungi
Good
35
Efficacy of Prep Solutions Iodophor on virus
Good
36
Efficacy of Prep Solutions Iodophor residual activity
Minimal
37
Efficacy of Prep Solutions CHG speed of action
Intermediate
38
Efficacy of Prep Solutions CHG on gram +
Excellent
39
Efficacy of Prep Solutions CHG on gram -
Good
40
Efficacy of Prep Solutions CHG on TB
Good
41
Efficacy of Prep Solutions CHG on fungi
Poor
42
Efficacy of Prep Solutions CHG on virus
Good
43
Efficacy of Prep Solutions CHG residual activity
Good
44
Efficacy of Prep Solutions DuraPrep speed of action
Rapid
45
Efficacy of Prep Solutions DuraPrep on gram +
Excellent
46
Efficacy of Prep Solutions DuraPrep on gram-
Excellent
47
Efficacy of Prep Solutions DuraPrep on TB
Good
48
Efficacy of Prep Solutions DuraPrep on fungi
Good
49
Efficacy of Prep Solutions DuraPrep on virus
Good
50
Efficacy of Prep Solutions DuraPrep residual activity
Good up to 12 hours
51
Describe how you would surgical skin prep.
From the intended incision area, work outward in a circular motion with prep solution on prep stick. Once you reach the periphery, throw the stick away and get a new stick then do it again for 3 times total. You never go over areas that are previously prepped with the same stick
52
Propofol should be discarded after how many hours after it's been drawn up?
Within 6 hours or at the end of the procedure. Which ever occurs first
53
After drawing up drugs, how long are they good for if you don't use them?
24 hours
54
Are fluid bags and tubing sets reusable?
No single use!
55
Prior to IV entry through the IV port, what should be disinfected?
IV injection port
56
What is the immune response time to limit the spread of infection of TB?
2-10 weeks
57
Which patients should have surgery isolated and during time when the OR has the least amount of traffic?
TB patients
58
What additional accessory is needed for the breathing circuit of a TB patient?
A bacterial filter between the circuit and airway
59
Food allergies with a high risk of latex allergies?
Avocado, kiwi, banana, chestnuts and stone fruits
60
If possible, a patient with a latex allergy should have the surgery scheduled when?
First case of the day

Intro To Anesthesia (6 decks)

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