1: application of asepsis Flashcards
what should always be double checked before surgery begins (5)
correct animal, correct surgery, contact number, current medications, food and water consumption
area where the incision is made
surgical site
surgical site and sterile drapes surrounding an area on the table
sterile surgical field
surface covered in drapes and intended to be used as a work area to hold instruments and supplies
sterile field
sterile field, sterile surgery field, area of scrubbed personnel and air above all of these
sterile zone
what color should be considered sterile
blue
what part of the gown is not sterile
below waist, back, above shoulders
what part of a counter is not considered sterile
1” from outer edge
how long does single wrapped muslin last in closed cabinets
1 week
how long does single wrapped muslin last in open shelving
2 days
how long does double wrapped muslin last in closed cabinets
7 weeks
how long does double wrapped muslin last in open shelving
3 weeks
how long does single wrapped crepe paper last in closed cabinets
8 weeks
how long does single wrapped crepe paper last in open shelving
3 weeks
how long are heat-sealed and plastic pouches good for on open shelving
1 year
how often should heat-sealed and plastic pouches be rewrapped on open shelving
every 6 months
when is a sterilized pack considered contaminated (5)
wet, broken or loose tape, illegible or missing date, punctured or torn, dropped on floor
what should be on pack label
date of autoclave, contents, initials of preparer
when can you disinfect and use a sterile insturment
in an emergency only
steam/gas can penetrate but not microbes
selective permeability
should not rip/tear easily; discard if ripped
resistance to damage
should conform to shape of pack and stretch a little to resist
flexibility
should easily return to a flat position after pack is open; helps prevent contamination
memory
is cost an ideal characteristic of wrap material
yes
what can cause pitting of surface of metal
prolonged exposure to blood or saline
how long should instrument soak if rinsing in instrument milk
45 seconds
how should instrument milk be dried off
drip dry
when is ultrasonic cleaning preformed
after manual cleaning
what should be done to instruments after the ultrasound cleaner is used
thoroughly rinsed, dried, and lubricated; then autoclaved
what are operating room personnel
people who have direct contact with the sterile field; surgeon and sterile scrub nurse
how long should surgical scrub be performed
at least 5 minutes
who is non-sterile personnel
circulating nurse
what should always be verified before prep (4)
patients identity, sex, procedure, confirm fasting
when does patient prep begine
after patient has been anesthetized, stabilized, and hooked up to fluids
what size blade is used to clip
40
when should you not express bladder
complicated abdominal surgery
how long should dirty prep be done
1 minute
how long should sterile prep nurse scrub patient
5 minutes minimum
what scrub can be used in place of alcohol
betadine or nolvasan
what is the most common positioning
dorsal
all steps taken to prevent contamination of the surgical site by infectious agents
aseptic technique
infections comes from outside of patient
exogenous route
infection comes from inside patient
endogenous route
T or F: all procedures require the same degree of vigilance
false
who determines the degree of asepsis
surgeon
