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ZANDER CNOR > Surgical Field > Flashcards

Surgical Field Flashcards

(71 cards)

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1
Q

How long can your fingernails be?

A

2 mm in length

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2
Q

Are we allowed to have artificial nails or extenders?

A

no

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3
Q

If you are scrubbing what should you not use?

A

lacquer

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4
Q

According to AORN, is it ok to wear nail polish in the circulator role?

A

yes; but also according to facility policy

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5
Q

If a facility allows circulators to wear lacquer, it shouldn’t be what?

A

chipped or cracked

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6
Q

Do not wear what when scrubbing?

A

jewelry on hands or wrists

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7
Q

Can circulators wear rings?

A

it is strong discouraged

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8
Q

What is the preferred method of cleaning your hands?

A

hand sanitizer

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9
Q

When using hand sanitizer we should what?

A

rub hands until completely dry

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10
Q

What are 3 reasons you should use soap and water?

A
  1. visibly soiled
  2. after blood or body fluid exposure
  3. After care of patient with norovirus/C-diff
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11
Q

Wash hands in what temperature of water?

A

cool water; 70-80 degrees

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12
Q

What are 2 things you should do after washing hands?

A
  1. dry hands completely
  2. use hospital approved lotion
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13
Q

What should we do with patients and visitors with hand asepsis?

A

engage them. Wash before touching patient

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14
Q

We have to have what with hand asepsis?

A

must have a way to evaluate and respond to opportunities for improvement through AUDITING

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15
Q

What 5 properties should an agent have?

A
  1. broad spectrum
  2. fast acting
  3. persistent
  4. time is recommended by manufacturer
  5. alcohol based
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16
Q

Brushes are only for what?

A

subungual area

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17
Q

What is the highest area of bioburdan on hands?

A

subungual area or nail beds

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18
Q

If gloves irritate your hands wear what?

A

cotton glove liners

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19
Q

What are 2 important things with cotton glove liners?

A
  1. single use
  2. dispose or launder
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20
Q

How should surgical attire be cleaned?

A

hospital laundered

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21
Q

What is surgical attire made of?

A

spun bound polypropylene

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22
Q

Where should employees dress?

A

in a designated area

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23
Q

Surgical attire should be removed before what?

A

leaving the facility

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24
Q

How should surgical attire be worn?

A

shirt tucked into pants if it is loose by the hips. Can wear outside of pants if tight around the hips

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25
Are scrub dresses over pants okay?
yes
26
Personal clothing under is according to what?
to facility policy
27
What are 2 important things to remember about personal bags/phones?
1. cleaned before and after entering the OR 2. Never placed on the floor
28
When should scrubs be changed?
daily and when visibly soiled
29
When are we supposed to wear cover coats?
when leaving semi-restricted or restricted area
30
Cover coats should be what?
freshly laundered
31
Non scrubbed personnel should wear what when doing skin prep?
long sleeves
32
ID badges should be what?
clipped (not on lanyard)
33
ID badges should be cleaned with what?
alcohol regularly
34
What are 2 important things to remember with stethoscopes?
1. cleaned before and after each use 2. not worn around the neck
35
What should you not save related to surgical attire?
don't save worn hats, coats, jackets or scrubs in your locker for later use
36
What are 4 points to remember for head coverings?
1. completely covers hair and scalp 2. should not remove cap until wearing cover coat 3. head attire must be removed at the end of the shift or when contaminated 4. when working in the preparing and packaging area, beards must be covered
37
Masks are on in what?
restricted areas
38
We never masks as what?
never wear it as a necklace
39
We should change masks when?
between cases
40
Eye protection should be cleaned when?
between cases
41
What are 3 points for shoes?
1. covers for unavoidable contamination 2. dedicated for use within the perioperative area 3. must have enclosed toes and heels
42
Don't gown from the what?
back table
43
gowns and drapes should be resistant to what?
penetration by blood/body fluids
44
Why do we want to avoid strike through?
moisture can allow bacteria to wick through and contaminate the field
45
How many gloves should scrub use?
2
46
How often should the outer glove be changed?
every 90-150 minutes and between cases
47
If you contaminate yourself and you need to change, what is your option?
assisted gloving or closed method
48
Why do you have to go through assisted gloving when you've been contaminated?
gown cuff is considered contaminated after initially gowning and gloving
49
We drape everything within what?
sterile field
50
Can drapes be moved?
no
51
A perforated drape is the same thing as what?
contaminated
52
Cover tables during what?
times of high activity or delay
53
Folded drapes are held what?
higher than the back table
54
How do we drape?
from operative site to periphery
55
How do we open wrapped items?
open wrapped flap that is furthest away first sides and nearest last
56
How do we pour liquid?
pour slowly and close to the edge.
57
The edge of the container is considered what?
contaminated when cap is removed
58
Can we recap?
no
59
What is event related sterility?
things are considered sterile until something happens to make them not sterile
60
What are 6 things that could impact sterility?
1. package integrity 2. storage conditions 3. transport 4. handling 5. environmental control 6. not related to time
61
Instruments touched inside of bowel should be what?
isolated using isolation technique
62
When an instrument is isolated what happens?
sterile team members can no longer touch them
63
What should be used to close the bowel?
clean instruments
64
isolation technique is also known as?
bowel technique or contamination technique
65
scrubbed persons should avoid what?
avoid changing levels
66
How should scrubbed personnel pass each other?
back to back
67
Scrubbed personnel should remain what?
close to the field; within air curtain
68
Non-sterile person should always face what?
the sterile field
69
Non-sterile personnel should remain what?
far from the field; outside of air curitain
70
non-sterile person should not do what?
do not walk between two sterile fields
71
Contamination of a sterile surface by moisture that has originated from a non-sterile surface and penetrated the protective covering of an item is called what?
strike through

ZANDER CNOR (15 decks)

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