Asepsis

Question 1

What is the state of being free from disease-causing contaminants or microorganisms

Answer 1

Asepsis

Question 2

What is it called when practices and procedures are used to prevent contamination

Answer 2

Aseptic technique

Question 3

What is the number one way to control the spread of infection?

Answer 3

Hand hygiene

• 60% alcohol-based solutions for routine hand cleansing
• antimicrobial soap and water when hands are visibly soiled
• clostridium difficile requires soap and water

Question 4

What are the 5 moments for hand hygiene?

Answer 4

1. Before touching a patient
2. Before clean/aseptic technique
3. After body fluid exposure/risk
4. After touching a patient
5. After touching patient surroundings

Question 5

How are different ways microorganisms stay?

Answer 5

Touching
-someone who has an infection
-linens or belongings of a person who has an infection
Sneezing or Coughing
Handling
-or consuming contaminated food, medications or water

Question 6

What are the standard precautions for infection control

Answer 6

Point ONE: practices used when coming into contact with any patient’s blood or body fluids
Point TWO: principles designed to minimize exposure and transmission of microorganisms
Point THREE: consider every patient a potential infection risk

Question 7

What things are performed/used in infection control precautions

Answer 7

• Hand hygiene
• Use of PPE (gloves, gowns, masks, eyewear)
• Sharps Safety; safe disposal/laundry management
• Respiratory hygiene
• Safe injection practices
• Sterile instruments and devices

Question 8

When performing medical Asepsis what things are you self conscious about?

Answer 8

• Know what is dirty
• Know what is clean
• Know what is sterile
• Keep these conditions separate
  o HAND HYGIENE!!
  oNON-STERILE (clean) gloves
  oCleaning/disinfection of equipment

Question 9

What is medical Asepsis and which products do we see commonly used?

Answer 9

• Alcohol, Chlorhexidine, Hydrogen Peroxide

• Clean techniques
• Practices to confine or limit growth of contamination

Question 10

What is surgical asepsis and how do we see surgical asepsis used?

Answer 10

• Also called sterile technique
• IMPLEMENTED IN THE
  o Operating room
  o Delivery room
  o Sterile and surgical procedures
  o Procedures involving the insertion of catheters or surgical instruments into sterile body cavities
• Steam, gas, radiation, chemicals
  • Sterile technique
  • Practices that keep an area free of all organisms

Question 11

Items cannot be sterilized unless they go through the process to be sterilized.. T or F

Answer 11

True

Question 12

What is Asepsis level STERILE considered?

Answer 12

The use of sterile gloves and sterile supplies

Question 13

What is Asepsis level MODIFIED look like?

Answer 13

The use of exam gloves and parts of sterile equipment

(Use of non-sterile procedure gloves w sterile supplies)

Question 14

What is Asepsis level CLEAN considered of ?

Answer 14

• CLEAN Technique: use of clean hands via hand hygiene or exam gloves

Question 15

What are the principles of surgical asepsis?

Answer 15

1. only a sterile object can touch another sterile object
2. consider the edge (one inch border) of sterile field to be contaminated
3. time management
4. avoid talking, coughing, sneezing, REACHING ACROSS a sterile field or object
5. never walk away or turn back on a sterile field
6. after donning sterile gloves, keep hands in sight AT OR ABOVE waist level
7. avoid spilling any solution on a cloth or paper used as a field for sterile set up
8. Tables are stable ONLY at waist level
9. sterile items are stored on clean, dry surfaces
10. sterile items expire
11. sterility cannot be ensured without direct observation and vigilance
12. consisted an object contaminated if you have any doubt of a break in sterility
13. if you see someone contaminate a sterile field or object, make it known
14. keep fingernails short and clean. NO nail polish or artificial nails
15. avoid wearing jewelry that dangles or can fall into a sterile field
16. keep long hair pulled back and NO stray strands
17. Supplies are packaged in a clean wrapper, but the inside is sterile
18. Handle sterile equipment ONLY with sterile gloves
19. STERILE ONLY TOUCHES STERILE

Question 16

When we are adding sterile items to a sterile field, what would we do?

Answer 16

1. Sterile items may be “flipped” onto the sterile field if it does not touch the 1” border
2. Items added to a sterile field demand strict awareness

Question 17

When adding sterile fluids to a sterile procedure, how would this be completed?

Answer 17

1. Remove bottle cap and place face up on surface
2. Hold bottle with label in palm of hand so solution does not run-down label
3. Pour required amount of sterile solution into available receptacle
4. Pour solution on to the dressing or site without the bottle making contact

Question 18

What is the nurses role in preparing a sterile procedure ?

Answer 18

 Determine ALLERGY status to LATEX or ANTISEPTIC used
 Assess pain level & readiness before starting – ALWAYS
 Position patient, bed, etc. **
 Initiate sterile consciousness
 Perform hand hygiene
 Gather Sterile Items
 Check expiration date and assess package integrity
 Place bedside table where the sterile field is ALWAYS in sight
 Ensure workspace is flat and is waist level
 Clean and ensure the surface is DRY
 Hand hygiene

Question 19

How would one go about opening a sterile field?`

Answer 19

 Remove outer package
 Take 1st flap facing you and fold BACK & AWAY
 Open each side flap
 Bring last flap towards you
 DO NOT cross over sterile field at any time when opening flaps**
 Items are typically packaged/arranged in order of use
 Reach in CAREFULLY to obtain sterile gloves, if present
 Apply sterile glove then proceed with procedure, using items as directed
 Maintain sterility throughout ENTIRE procedure – NO EXCEPTIONS**

Question 20

What are the steps of sterile gloving?

Answer 20

 select correct size
 Check for latex sensitivity
 Determine package integrity
 Medical hand hygiene
 Place package on a clean, dry, flat surface
 Open package without contamination

Question 21

Steps of sterile gloving are?

Answer 21

1. Place package on a clean, dry, flat surface
2. Open the package without contamination
3. Grasp 1st glove by outer edge of the CUFF – place hand inside
4. Keeping gloved thumb up (“hitch-hiker”) slip your fingers UNDER the second glove cuff and pull on (glove to glove)
5. Fix your fingers AFTER both gloves are on
   ALWAYS KEEP HANDS AT WAIST LEVEL AND IN SIGHT

Question 22

How would you perform the removal of sterile gloves?

Answer 22

Glove Removal
- Grasp outside of gloved hand, palmer side, with other gloved hand (GLOVE TO GLOVE)
- Pull glove off, turning inside out
- Place dirty glove just removed, tightly into palm of remaining gloved hand
- Place finger of bare hand inside CUFF of other glove (skin to skin). Peel off, inside out over dirty glove and discard both