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surgical nursing > 1: application of asepsis > Flashcards

1: application of asepsis Flashcards

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1
Q

what should always be double checked before surgery begins (5)

A

correct animal, correct surgery, contact number, current medications, food and water consumption

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2
Q

area where the incision is made

A

surgical site

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3
Q

surgical site and sterile drapes surrounding an area on the table

A

sterile surgical field

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4
Q

surface covered in drapes and intended to be used as a work area to hold instruments and supplies

A

sterile field

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5
Q

sterile field, sterile surgery field, area of scrubbed personnel and air above all of these

A

sterile zone

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6
Q

what color should be considered sterile

A

blue

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7
Q

what part of the gown is not sterile

A

below waist, back, above shoulders

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8
Q

what part of a counter is not considered sterile

A

1” from outer edge

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9
Q

how long does single wrapped muslin last in closed cabinets

A

1 week

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10
Q

how long does single wrapped muslin last in open shelving

A

2 days

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11
Q

how long does double wrapped muslin last in closed cabinets

A

7 weeks

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12
Q

how long does double wrapped muslin last in open shelving

A

3 weeks

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13
Q

how long does single wrapped crepe paper last in closed cabinets

A

8 weeks

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14
Q

how long does single wrapped crepe paper last in open shelving

A

3 weeks

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15
Q

how long are heat-sealed and plastic pouches good for on open shelving

A

1 year

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16
Q

how often should heat-sealed and plastic pouches be rewrapped on open shelving

A

every 6 months

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17
Q

when is a sterilized pack considered contaminated (5)

A

wet, broken or loose tape, illegible or missing date, punctured or torn, dropped on floor

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18
Q

what should be on pack label

A

date of autoclave, contents, initials of preparer

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19
Q

when can you disinfect and use a sterile insturment

A

in an emergency only

20
Q

steam/gas can penetrate but not microbes

A

selective permeability

21
Q

should not rip/tear easily; discard if ripped

A

resistance to damage

22
Q

should conform to shape of pack and stretch a little to resist

A

flexibility

23
Q

should easily return to a flat position after pack is open; helps prevent contamination

A

memory

24
Q

is cost an ideal characteristic of wrap material

A

yes

25
Q

what can cause pitting of surface of metal

A

prolonged exposure to blood or saline

26
Q

how long should instrument soak if rinsing in instrument milk

A

45 seconds

27
Q

how should instrument milk be dried off

A

drip dry

28
Q

when is ultrasonic cleaning preformed

A

after manual cleaning

29
Q

what should be done to instruments after the ultrasound cleaner is used

A

thoroughly rinsed, dried, and lubricated; then autoclaved

30
Q

what are operating room personnel

A

people who have direct contact with the sterile field; surgeon and sterile scrub nurse

31
Q

how long should surgical scrub be performed

A

at least 5 minutes

32
Q

who is non-sterile personnel

A

circulating nurse

33
Q

what should always be verified before prep (4)

A

patients identity, sex, procedure, confirm fasting

34
Q

when does patient prep begine

A

after patient has been anesthetized, stabilized, and hooked up to fluids

35
Q

what size blade is used to clip

A

40

36
Q

when should you not express bladder

A

complicated abdominal surgery

37
Q

how long should dirty prep be done

A

1 minute

38
Q

how long should sterile prep nurse scrub patient

A

5 minutes minimum

39
Q

what scrub can be used in place of alcohol

A

betadine or nolvasan

40
Q

what is the most common positioning

A

dorsal

41
Q

all steps taken to prevent contamination of the surgical site by infectious agents

A

aseptic technique

42
Q

infections comes from outside of patient

A

exogenous route

43
Q

infection comes from inside patient

A

endogenous route

44
Q

T or F: all procedures require the same degree of vigilance

A

false

45
Q

who determines the degree of asepsis

A

surgeon

surgical nursing (4 decks)

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