Chapter 14 Patient Care Flashcards
What is a fenestrated drape?
A drape with one or more openings
When wearing a lead apron during a radiographic exam, where should the radiation detection monitor be located?
Outside the apron at the collar level
The three zones of the surgical suite are Zone 1: An unrestricted zone, Zone 2: A semirestricted zone, and Zone 3: A restricted zone. In which zone must ALL persons wear scrub dress, shoe covers, and masks?
Zone 3
Why is catheterization considered to be an invasive procedure?
Sterile technique must be observed
What are Alcohol (70%), chlorine compounds, and glutaraldehyde considered to be?
Disinfectants
What is the practice that helps reduce the number and spread of microorganisms?
Medical asepsis
During the performance of radiographic procedures, everyone in the adjacent area (in the room) should be wearing protective radiation apparel, such as a lead apron. In the surgical suite during the operative procedure, which persons should be wearing protective radiation apparel?
Everyone who remains during x-ray exposures
Generally, when radiographer/s are in the operating room, they are not scrubbed-in, but must follow general Zone 3 dress and what else?
Handwashing for 3 minutes plus scrub suit, shoe covers, cap, and mask (gloves are not usually needed)
What is the complete removal of microorganisms and their spores?
Surgical asepsis
In regards to surgical asepsis, what are the responsibilities of a radiographer?
Maintain a sterile field and perform skin prep, and perform surgical scrub
What is the assumption when the sterility of an object is in question?
Do not use, it is considered contaminated
Which corner of a sterile pack is opened first?
The corner farthest away
When the sterile person begins placing the sterile drapes, which drapes are placed first?
The drapes closest to the sterile person
How is the skin prepped for a sterile procedure?
Begin at the inside of the site and scrub in a circular motion to the outside
A wet area on a sterile field is considered contaminated. If this occurs what should be done?
Place several thicknesses of sterile towels over the wet area
What is the most effective sterilization technique?
Moist heat
When portable x-ray units are brought into the operating room, what is the essential preparation that must be performed?
Wipe the unit with disinfectant (just dusting it off is not enough)
When preparing to pour liquids into a container on a sterile field, precautions must be taken to prevent the solution from splashing and drips from landing on the tray, what are some of these precautions?
Place lid face upward and well above the sterile tray and pour off a small amount before pouring remainder into the sterile container
In designing an operating room, many possible hazards are considered and protections put into place, such as explosions and electrical shocks. What is the greatest hazard that cannot be placed into the physical design?
Contamination
How should persons in sterile dress pass each other?
Back to back
Where on the front of the gown is the area considered sterile?
In front above the waist including the arms
When in sterile dress, where should the sterile gloved hands be kept?
Above the waist
If no one is in the room, is it acceptable for the sterile field to be left unattended?
No!
In order to prevent explosions in the operating room, what precautions are generally taken?
Use antistatic cleaners for equipment, use the specially designed electrical plugs, and wear apparel with antistatic/flame retardant materials (shoe covers and other garment have antistatic strips made in them