Test GG, HH

Question 1

what is draping?

Answer 1

covering of the patient with sterile barriers, leaving only minimum skin exposed at the site of operation

Question 2

what is the purpose of draping?

Answer 2

create and maintain sterile field during operation

Question 3

problem solving for drape problems

Answer 3

ignore (only in extreme emergencies)
discard and replace
cover

Question 4

how are drapes secured?

Answer 4

towel clips or staples

Question 5

what do drapes prevent?

Answer 5

eliminating passage of MO’s between sterile and nonsterile areas

Question 6

what are the four steps before draping is done?

Answer 6

anesthetized
foley catheter
positioned
prepped

Question 7

what is the criteria for perfect drape

Answer 7

fluid resistant
abrasion resistant
lint free
flame retardant

Question 8

what should drapes fit around?

Answer 8

patient
furniture
equipment

Question 9

non woven-disposable paper

Answer 9

tear resistant
impervious
doesn’t need washing, folding

Question 10

woven-reusable muslin

Answer 10

cotton
impermeable to liquids
repair holes
needs laundering

Question 11

steri drape

Answer 11

clear plastic-adhesive backing applied directly over skin

Question 12

ioban incise drape

Answer 12

impregnated with antimicrobial iodine agent

Question 13

what is the purpose of iodine in ioban incise drape

Answer 13

slowly released to destroy bacteria produced by skin

Question 14

fenestrated drapes

Answer 14

opening in drape

Question 15

What are nonfenestrated drapes used for?

Answer 15

used to square off area

Question 16

example of nonfenestrated drapes

Answer 16

towels

1/2 sheet

Question 17

how should you open the drape?

Answer 17

away from you and in area where it will not touch anything when opened

Question 18

how can you move drape once it is placed?

Answer 18

may be adjusted away from incision area, never towards incision

Question 19

what should you do if drape is placed incorrectly?

Answer 19

discard

Question 20

what should the ST do when handing skin towels to surgeon?

Answer 20

stand on the same side as the surgeon

Question 21

pre op prep steps

Answer 21

transport
position
prep
drape

Question 22

goals of skin prep

Answer 22

reduce SSI
inhibit rapid growth
reduce resident MO levels
remove transient MO’s

Question 23

what is the most common cause of SSI?

Answer 23

the normal skin of the patient and surgical team members

Question 24

principles of prep

Answer 24

note all allergies
inspect skin
define wide area to be prepped

Question 25

routine preparation

Answer 25

``` history and physical chest xray blood counts urinalysis enema anesthesiologist ```

Question 26

when does checklist for preop start?

Answer 26

time of admission, finished in the holding room or in OR

Question 27

who's job is it to finish checklist?

Answer 27

CN

Question 28

general consideration for pt during prep

Answer 28

cleanliness or dirtiness of patient anatomical area texture of skin involved

Question 29

shaving skin prior to surgery

Answer 29

removes hair from skin surface decreases hair pulling by adhesive must not have any nicks

Question 30

clipper

Answer 30

leaves a short stubble of hair, but causes less micro-abrasions

Question 31

depilatory cream (nair)

Answer 31

patients may have skin irritation from the chemical, not often used

Question 32

razor

Answer 32

be sure to use a new one if first one becomes dull | wet shave is always best

Question 33

how is skin prep always done?

Answer 33

by means of shaving, mechanical washing, chemical disinfection

Question 34

is pre op cleansing/shaving sterile?

Answer 34

no

Question 35

When is intra operative skin prep done?

Answer 35

performed after positioning and before the drape

Question 36

When is pre op prep done?

Answer 36

morning of surgery or in holding area

Question 37

what is the purpose of intra operative skin prep?

Answer 37

to make the skin as clean as possible

Question 38

mechanical washin

Answer 38

antiseptic | vigorous scrubbing-not cancer patients

Question 39

providone iodine (betadine)

Answer 39

never used around ears can cause contact dermatitis don't use with babies

Question 40

why shouldn't you use betadine around ears?

Answer 40

can cause deafness if tympanic membrane isn't intact

Question 41

chlorhexidine gluconate

Answer 41

may cause allergic reaction used with caution on mucous membranes can cause deafness

Question 42

alcohol

Answer 42

flammable | doesn't penetrate organic materials

Question 43

what is the rule with alcohol?

Answer 43

it must be dry before draping

Question 44

duraprep

Answer 44

harmful to fetuses or neonates

Question 45

gel prep

Answer 45

gel is applied to cover all skin in designated area, isn't scrubbed

Question 46

areas considered dirty

Answer 46

``` umbilicus stomas traumatic wounds skin ulcers vagina anus ```

Question 47

considerations for dirty areas

Answer 47

isolate the area from the surgical site if at all possible | prep areas separately

Question 48

miscellaneous stuff for prepping

Answer 48

jewelry should be removed limb holders are discouraged don't warm prep solution

Question 49

how do you start an abdominal prep?

Answer 49

use Q tips first

Question 50

degreasers

Answer 50

used after shaving head if greasy

Question 51

hair from a craniotomy

Answer 51

keep for patient!!!

Question 52

What thread count is woven Muslim?

Answer 52

140 x 2 double thickness

Question 53

What does the ST need to remember to do for supplies?

Answer 53

Have all supplies ready Have all supplies in order Be ready to assist

Question 54

What happens if the scrub solution pools?

Answer 54

Chemical burn

Question 55

What requires a Dr. order?

Answer 55

Required when removing hair

Question 56

Litho draping

Answer 56

UBD 2 diagonal towels 1 towel Litho drape

Question 57

Laparotomy draping order

Answer 57

4 towels Half sheet Laparotomy sheet

Question 58

What is a U drape for?

Answer 58

Extremity

Question 59

7 sterile prep steps

Answer 59

``` Position supplies - expose patient Open glove Place white towels Scrub area Dry area with towels Paint area Remove all prep supplies ```

Question 60

How many towel clips are used with lateral draping?

Answer 60

4 towel clips