Asepsis

Question 1

first steps before preparing a sterile field

Answer 1

clean hands
make sure table is waist level and within reach
check ID band
remove old dressing
check packages to make ensure intact and not expired

Question 2

set up field w/ drape

Answer 2

open package, lift drape from corners 1 inch from edges, gently shake it open fully, keep away from body and any surface, moisture resistant side down (shiny side or blue side) then lay on work surface.

Question 3

when adding items like gauze to a sterile field…

Answer 3

open package and drop on drape from six inches above

Question 4

items sterilized by hospital

Answer 4

top flap opening away from body, and one hand unfolding top and both sides. open last flap closest to body. Pull corners towards body so wrapper covers hands and wrist. Then drop item from six inches above.

Question 5

putting on sterile gloves

Answer 5

open wrapper, place package on surface with cuff end closest to me. Fold open top fold and then bottom and sides. Thumb and forefinger grasp cuff of glove for dominant hand. only touch inside. keep hands above the waistline. Pull on and leave cuff folded until opposite glove is on. Use gloved hand to grab inside cuff of other glove and pull glove on. Extend cuffs only touching outside.

Question 6

Medical asepsis, or clean technique, involves

Answer 6

procedures and practices that reduce the number and transfer of pathogens

Question 7

Surgical asepsis, or sterile technique, includes

Answer 7

practices used to render and keep objects and areas free from microorganisms. Procedures incorporating surgical asepsis include, for example, inserting an indwelling urinary catheter or inserting an intravenous catheter.

Question 8

Consider the outer 1-in edge of a sterile field to be

Answer 8

contaminated.

Question 9

Clean the least soiled areas first and then move to the

Answer 9

more soiled ones. This helps prevent having the cleaner areas soiled by the dirtier areas.

Question 10

Open sterile packages so that the

Answer 10

first edge of the wrapper is directed away from you to avoid the possibility of a sterile surface touching unsterile clothing.

Question 11

Forceps soaked in disinfectant are

Answer 11

not considered sterile.

Question 12

Avoid recapping used needles

Answer 12

If you must recap, never use two hands. Use a needle-recapping device or the one-handed scoop technique. Place needles, sharps, and scalpels in appropriate puncture-resistant containers after use.

Question 13

respiratory hygiene

Answer 13

cover the mouth/nose with a tissue when coughing; to dispose of used tissues promptly; to use surgical masks on the coughing person when tolerated and appropriate; to use hand hygiene after contact with respiratory secretions; and to use spatial separation, ideally >3 ft, between people with respiratory infections in common waiting areas when possible.

Question 14

if placing a catheter or injecting material into the spinal or epidural space,

Answer 14

Wear a face mask

Question 15

Transmission-Based Precautions are used in addition to Standard Precautions for patients with

Answer 15

suspected infection with pathogens that can be transmitted by airborne, droplet, or contact routes.

Question 16

Use Droplet Precautions for patients with

Answer 16

an infection that is spread by large-particle droplets, such as rubella, mumps, diphtheria, and the adenovirus infection in infants and young children.

Question 17

Use Contact Precautions for patients who are

Answer 17

infected or colonized by a multidrug-resistant organism (MDRO)

Question 18

removing sterile gloves

Answer 18

same technique