Ch 22

Question 1

______ _____, the method used to prevent contamination during invasive procedures or procedures that involve entering the body cavities

Answer 1

Surgical asepsis

Question 2

____ is the process used to kill blood borne pathogens and the growth of organisms that cause infection

Answer 2

Disinfection

Question 3

_____ uses steam under pressure, gas, or radiation to kill all pathogens and their spores

Answer 3

Disinfection

Question 4

______ : this method delivers steam under pressure, with heat ranging from 250-270F, to sterilize instruments that will not be harmed by heat and water under pressure (most reliable method)

Answer 4

Autoclaving

Question 5

_____: this method of boiling instruments and supplies in water for 10 minutes kills non spore forming organisms but does not kill spores

Answer 5

Boiling

Question 6

_______ ______: this method kills pathogens on sutures; some plastics, and biological materials that cannot be boiled or autoclaved

Answer 6

Ionizing radiation

Question 7

________ _____: this method is used to kill pathogens on equipment and supplies that cannot be heated. An example is a chemical such as cidex which is used to sterilize rubber based catheters used in urological procedures

Answer 7

Chemical disinfection

Question 8

_______ _____ disinfection is a method that kills pathogens on supplies and equipment that are heat sensitive or must remain dry. Ethyline oxide gas

Answer 8

Gaseous disinfection

Question 9

Evidence that the wrapper has been wet appears as a discolored like at the level reached by the fluids is referred to as a _____-____

Answer 9

Strike through

Question 10

It is sometimes needed that the staff remove street clothes upon entering the unit. Examples of restricted areas would be surgical suites, heart catherterization, delivery rooms, neonatal intensive care units, burn units, transplantation intensive care units and oncology units

Answer 10

Know this

Question 11

____ refers to the potential presence of pathogens on a sterile field or sterile object due to the contact with an unsterile surface

Answer 11

Contamination

Question 12

A _____ _____ is an area that is free from all microorganisms where additional sterile items can be placed until they are ready for use

Answer 12

Sterile field

Question 13

______ _____: this means always being aware of potential or certain contamination of the sterile field or sterile objects and taking appropriate steps to correct the situation, such as replacing the contaminated object or reassembling the sterile field with new supplies

Answer 13

Sterile conscience

Question 14

When opening sterile supplies be sure to

1. Check the expiration date
2. Check the sterilization tape, if present, for color change—— has marks should be dark
3. Check the packaging for any holes or tears, which would make content unsterile

Answer 14

Know

Question 15

When setting up the sterile field you must
1. The outer 1 inch of the sterile drape is considered contaminated because you must touch it as you set it up.
2 anything below the surface of the draped table is considered unsterile because you cannot see if it has been touched by unsterile surfaces
3 all parts of the sterile drape below the table are unsterile Bc they cannot be kept in your line of sight.
3 if the sterile field is damp or wet it is no longer sterile. The exception is if a drape is backed with a moisture proof material

Answer 15

Know

Question 16

When adding items to the sterile field
* add sterile items to the field by opening the peel apart packs and dropping the item onto the field staying away from the contaminated 1 inch border.
* when adding sterile liquids to a basin in a sterile field by holding the bottle so that the label is against the palm of your hand to prevent dripping onto the label. Pour liquid by holding the bottle 4-6 inches above the basin. Pour slowly
Only after you donned sterile gloves can you touch the sterile field

Answer 16

Know

Question 17

_____ ____, which is above the waist level, below eye level and infront of your body at all times

Answer 17

Safety zone

Question 18

____ nurse is a registered nurse who assists in the OR by obtaining needed equipment. And supplies. She is not scrubbed in on the case she may leave the room to obtain needed items

Answer 18

Circulating nurse

Question 19

____ nurse assist the healthcare provider throughout the surgery by handling instruments, holding retractors, and performing other tasks that require sterile garb.

Answer 19

Scrub nurse or surgical tech

Question 20

Steps when making a sterile field
1. Open the first flap of the wrapper away from you then open the side flaps. Open the last flap toward you
To avoid reaching across the sterile field

Answer 20

Know

Question 21

If your establishing a sterile field it’s a drape from a commercial pack
open the sterile container and remove the drape touching the outer 1 inch margin only. Avoid touching any other items located in the pack, underneath the sterile drape.
Allow the drape to unfold and place it on the selected service without contaminating the top working surface of the drape
Add the sterile time to the sterile field open the peel apart pack and drop the contents onto the drape

Answer 21

Be careful not to touch the items or drape with your bare hands and the two sides surfaces of the peel apart pack which are sterile. Should the sides be exposed to sterile silvers as you drop the sterile item onto the field hour nonsterile hands should be behind the sterile surface as the item is dropped
To add liquids to a sterile container- check the container for expiration date most facilities it can be used 24 to 48 hours later
Hold container with label in your palm. Remove our and place it on the edges up on a clean surface but not the sterile field

Question 22

Finishing pouring the liquids into the sterile basin:
Pour a small amount into trash to prevent dust or microorganisms that may be present to prevent them being washed into sterile basin. It’s called “lipping”
Hold the bottle 4-6 above sterile basin. If you splash on the sterile drape your field is contaminated: unless you have a barrier style drape that has a plastic moisture proof backing on it. Don sterile gloves then you can touch items on the sterile field

Answer 22

Know

Question 23

Doing a surgical hand scrub

1. Turn on water to a comfortable warm temp. If water is to cold it does not wash off soap or destroy bacteria and causes chapping
2. Rinse each hand and arm from finger tips to the elbows keep your finger tips above your elbows as you wash and rinse to prevent water from your arms running over clean hands
3. Obtain a palmful of antibacterial soap using a foot control
4. For the first hand wash lather your hands up to your arms to 2 inches above the elbow

Answer 23

Using running water, use a clean orange wood stick or anyone tool to clean your nails and around the cuticles
6. Rinse your hands and arms. Again from finger tips to elbows using the hands kept above elbows
7 scrub for a total of 2-5 minutes