ASEPSIS Flashcards
The state of being free from disease-causing microorganisms.
Asepsis
Aseptic procedure is done to ________ the possibility of transferring microorganisms from one place to another.
Decrease
What are the two types of Asepsis?
Medical and Surgical Asepsis
Includes all practices intended to confine in a specific microorganisms to a specific area, limiting the number, growth and transmission of microorganisms.
Medical Asepsis
Note:
- Purpose: Reduces the number of microorganisms that can cause infection.
- Examples: Hand washing, cleaning equipment, and disinfecting surfaces.
In medical asepsis, objects are referred to as ________, which means the absence of almost all microorganisms.
clean
In medical asepsis
- _______ (soiled, contaminated), which means likely to have microorganisms, some of which may be capable of causing infection.
Dirty
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- _____________ frequently, but especially before handling foods, before eating, after using a handkerchief, after going to the toilet, before and after each client contact, and after removing gloves.
Wash hands
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Keep _________ items and equipment from touching the clothing.
soiled
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Do not place soiled bed linen or any other items into the ________.
floor
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Do not avoid having client’s cough, sneeze, or breath directly on others.
TRUE OR FALSE
FALSE
Note:
- Avoid having client’s cough, sneeze, or breath directly on others.
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Move equipment near to you when brushing, dusting, or scrubbing articles.
TRUE OR FALSE
FALSE
Note:
- Move equipment away from you when brushing, dusting, or scrubbing articles.
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Avoid raising dust
TRUE OR FALSE
TRUE
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Clean the more soiled areas first then to the least soiled areas.
TRUE OR FALSE
FALSE
Note:
- Clean the least soiled areas first then to the more soiled ones.
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Dispose of soiled or used items directly into inappropriate containers.
TRUE OR FALSE
FALSE
Note:
- Dispose of soiled or used items directly into appropriate containers.
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Pour liquids that are to be discarded directly into the drain so as to avoid splattering in the sink and onto you.
TRUE OR FALSE
TRUE
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Avoid leaning against sinks, supplies or equipment.
TRUE OR FALSE
TRUE
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Keep touching your eyes, face, nose or mouth.
TRUE OR FALSE
FALSE
Note:
- Avoid touching your eyes, face, nose or mouth.
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Use practices of personal grooming that help promote spreading microorganisms.
TRUE OR FALSE
FALSE
Note:
- Use practices of personal grooming that help prevent spreading microorganisms.
UNDER THE BASIC PRINCIPLES OF MEDICAL ASEPSIS
- Follow guidelines conscientiously for isolation or barrier techniques as prescribed by your agency.
TRUE OR FALSE
TRUE
Medical Asepsis is also known as what?
Clean technique
Surgical Asepsis is also known as what?
Sterile technique
It includes all practices that keep an area or object free of all microorganisms, by destroying all the microorganisms and spores.
What is this?
Surgical Asepsis
Surgical Asepsis is used for all procedures involving the ________ areas of the body.
sterile
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Only a ________ object can touch another sterile object.
Sterile
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Open sterile packages so that the first edge of the wrapper is directed toward the worker to avoid the possibility of a sterile wrapper touching unsterile clothing.
TRUE OR FALSE
FALSE
Note:
- Open sterile packages so that the first edge of the wrapper is directed away from the worker to avoid the possibility of a sterile wrapper touching unsterile clothing.
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Avoid spilling any solution on a cloth or paper used as a field for a sterile set-up.
TRUE OR FALSE
TRUE
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Hold sterile objects below the level of the waist.
TRUE OR FALSE
FALSE
Note:
- Hold sterile objects above the level of the waist.
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Avoid talking, coughing, sneezing, or reaching over a sterile field or object.
TRUE OR FALSE
TRUE
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Walk away from or turn your back on a sterile field.
TRUE OR FALSE
FALSE
Note:
- Never walk away from or turn your back on a sterile field.
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- All items brought into contact with ____________ or used to penetrate the skin in order to inject substances into the body, or to enter normally sterile body cavities, should be sterile.
broken skin
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Use damp, sterile forceps when necessary.
TRUE OR FALSE
FALSE
Note:
- Use dry, sterile forceps when necessary.
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Consider the edge (outer 1 inch) of a sterile field to be uncontaminated.
TRUE OR FALSE
FALSE
Note:
- Consider the edge (outer 1 inch) of a sterile field to be contaminated.
UNDER THE BASIC PRINCIPLES OF SURGICAL ASEPSIS
- Consider an object contaminated if you have any doubt as to its sterility.
TRUE OR FALSE
TRUE
What are the Three Levels of Asepsis Control?
- Antisepsis/Sanitation
- Disinfection
- Sterilization
This is a method of infection control includes using soap and water to wash the hands and body as well as the use of antiseptics such as alcohol, iodine and betadine to clean the skin for medical procedures, as these inhibit the growth of pathogenic microorganisms.
Antisepsis / Sanitation
Note:
- This level of asepsis may kill or inhibit some microbes but is generally not effective against viruses and spores.
It is the process of using chemical agents or boiling water to destroy or kill pathogenic microbes. These agents are not always effective against viruses and spores. Further, disinfectants are often harsh and may irritate or damage the skin so they are mainly used on surfaces, equipment and instruments.
Common disinfectants include Clorox bleach solutions, Lysol, and pinesol products. In the health care environment, a variety of commercial disinfectants are used.
Disinfection
It is the only level of asepsis that kills all microbes both pathogenic and nonpathogenic. It is the method used by all health care facilities and includes the use of gas, chemicals, steam under pressure and radiation.
Sterilization
Note:
- Sterilization is mainly used on medical instruments and equipment, surgical dressings, gowns, etc.
It refers to the practice, in medicine, of avoiding contact with patients’ bodily fluids, by means of the wearing of nonporous articles such as medical gloves, goggles, and face shields.
Universal Precautions
UNDER UNIVERSAL PRECAUTIONS
- Assume that all blood and certain human body fluids are __________.
infectious
UNDER UNIVERSAL PRECAUTIONS
- All patients are considered to be possible carriers of _____________.
blood-borne pathogens
UNDER UNIVERSAL PRECAUTIONS
- The guideline recommends wearing (a)________ when collecting or handling blood and body fluids contaminated with blood and wearing (b)________ when there is danger of blood splashing on mucous membranes and when disposing of all needles and sharp objects in (c)___________ containers.
There are 3 answers
- (a) gloves
- (b) face shields
- (c) puncture-resistant
____________ are recommended for doctors, nurses, patients, and health care support workers who are required to come into contact with patients or bodily fluids. This include staff and others who may not come into direct contact with patients.
Universal precautions
Universal precautions should not be confused with _______ which goes beyond universal precautions.
standard precautions
Note:
- Universal Precautions focus mainly on preventing bloodborne pathogen transmission (like HIV, Hepatitis B, and Hepatitis C). It assumes that all blood and certain body fluids are potentially infectious.
- Standard Precautions go beyond Universal Precautions by covering all body fluids, secretions, and excretions (except sweat), non-intact skin, and mucous membranes, regardless of infection status. It applies to all patients to prevent the spread of all types of infections.
IN SHORT:
- Universal Precautions = Bloodborne precautions
- Standard Precautions = Broader infection control covering all fluids and contact risks
Pathogens fall into two broad categories.
What are these?
Blood-borne and airborne
Universal precautions should be practiced in any environment where workers are exposed to ________, such as:
- Blood
- Semen
- Vaginal secretions
- Synovial fluid
- Amniotic fluid
- Cerebrospinal fluid
- Pleural fluid
- Peritoneal fluid
- Pericardial fluid
bodily fluids
Bodily fluids that _________ such precautions include:
- Feces
- Nasal secretions
- Urine
- Vomitus
- Perspiration
- Sputum
- Saliva
do not require
Note:
- These bodily fluids do not require Universal Precautions because they are not considered high-risk for bloodborne pathogen transmission unless they are visibly contaminated with blood.
- However, they can still contain other infectious agents (like bacteria or viruses), which is why Standard Precautions still apply—meaning you should use gloves, hand hygiene, and other protective measures when dealing with them.
Universal precautions are the infection control technique that were recommended following the (a)____________ in the (b)________.
THERE ARE 2 ANSWER
- (a) AIDS outbreak
- (b) 1980s
UNDER UNIVERSAL PRECAUTIONS
- Every patient is treated as if _________ and therefore precautions are taken to minimize risk.
infected
Essentially, universal precautions are good _____________, such as hand washing and the use of gloves and other barriers, correct sharps handling, and aseptic techniques.
hygiene habits
_______________ are used in addition to universal precautions for patients who are known or suspected to have an infectious condition, and vary depending on the infection control needs of that patient.
Additional precautions
UNDER UNIVERSAL PRECAUTIONS
- Additional precautions are needed for blood-borne infections, unless there are complicating factors.
TRUE OR FALSE
FALSE
Note:
- Additional precautions are not needed for blood-borne infections, unless there are complicating factors.
UNDER UNIVERSAL PRECAUTIONS
Conditions indicating additional precautions:
- Diseases with air-borne transmission like __________.
tuberculosis
UNDER UNIVERSAL PRECAUTIONS
Conditions indicating additional precautions:
- Diseases with droplet transmission like __________.
There are 4.
- Pertussis
- Influenza
- Rubella
- Mumps
UNDER UNIVERSAL PRECAUTIONS
Conditions indicating additional precautions:
- Transmission by direct or indirect contact with ________.
dried skin
UNDER UNIVERSAL PRECAUTIONS
- Protective clothing includes but is not limited to:
- Barrier gowns
- Gloves
- Eyewear (goggles or glasses)
- Face shields
What do you call the wearing of PPE?
Donning
What do you call the removal of PPE?
Doffing
What is the correct sequence of (Donning) putting on PPE?
- Gown
- Mask
- Goggles
- Gloves
What is the correct sequence of (Doffing) removing of PPE?
- Gloves
- Goggles
- Gown
- Mask
You should do __________
- After touching blood, body fluids, secretions, excretions and contaminated items.
- Immediately after removing gloves.
- Between patient contact.
HANDWASHING
You should wear ________
- For contact with blood, body fluids, secretions and contaminated items.
- For contact with mucous membranes and non intact skin.
GLOVES
You should wear ________, ________, and ________
- Protect mucous membranes of eyes, nose, and mouth when contact with blood and body fluids.
MASKS, GOGGLES, FACE MASKS
You should wear ________ to
- Protect skin from blood or body fluid contact
- Prevent soiling of clothing during procedures that may involve contact with blood or body fluids.
GOWNS
- Handle soiled ______ to prevent touching skin or mucous membranes.
- Do not pre-rinse soiled ______ in patient care areas.
Linens
THIS IS UNDER ____________.
- Handle soiled equipment in a manner to prevent contact with skin or mucous membranes and to prevent contamination of clothing or the environment.
- Clean reusable equipment prior to reuse.
PATIENT CARE EQUIPMENT
THIS IS UNDER ___________.
- Routinely care, clean and disinfect equipment and furnishings in patient care areas.
ENVIRONMENTAL CLEANING
THIS IS UNDER ________.
- Avoid recapping used needles.
- Avoid removing used needles from disposable syringes.
- Avoid bending, breaking or manipulating used needles by hand.
- Place used sharps in puncture-resistant containers.
SHARPS
THIS IS UNDER _______.
- Use mouthpieces, resuscitation bags or other ventilation devices to avoid mouth-to-mouth resuscitation.
PATIENT RESUSCITATION
THIS IS UNDER __________.
- Place patients who contaminate the environment or cannot maintain appropriate hygiene in private rooms.
PATIENT PLACEMENT