Exam 8 Concepts of Sterility

Question 0

Objects and surfaces in the healthcare environment are disinfected promoted through:

Answer 0

Maintaining a clean environment, maintaining clean hands, following Center for disease control (CDC) guidelines.

Question 1

Preventing infection: implementing medical asepsis

Answer 1

“A state of cleanliness that decreases the potential for the spread of infections”

Question 2

Goal of Medical Asepsis

Answer 2

Keep all public and client areas within the facility clean and free from dust, debris, and contamination.
inhibits Microbial growth.

Question 3

Ways to promote medical asepsis

Answer 3

Keep the client area as clean and free of clutter as possible
Do not stock client rooms with unnecessary equipment
Do not return linen to the Linen cart
Consider supplies brought into a clients room contaminated
Immediately clean spilled liquids, dirty surfaces, and contaminated areas
Wash your hands/use hand sanitizer
Wear gloves

Question 4

Are you suppose to lay your items on patient bed?

Answer 4

NO

Question 5

Difference between medical asepsis and sterility?

Answer 5

Medical asepsis is clean, usually with a disinfectant.
Sterile item has been cleaned with a disinfectant and exposed to heat or chemical rendering it free of any micro organisms.

Question 6

Disinfection

Answer 6

Removes pathogens by physical or chemical means, including steam, gas, chemical and ultraviolet light.
Reduces microbial populations.
Does not guarantee that all pathogens are eliminated.
Certain viruses and other pathogenic microbes can remain.

Question 7

The elimination of all micro organisms (except prions) in or on an object is call?

Answer 7

Sterilization

Question 8

When is sterilization use?

Answer 8

When absolute purity of an object or surface is critical.

Question 9

Prions are

Answer 9

The protein particles that cause severe neurological degeneration in animals and humans (an infectious agent)

Question 10

What may be sterile?

Answer 10

In animate objects such as: gauze, surgical equipment, towels, drapes,and gloves, etc.

Question 11

What will always have pathogens in and on their bodies?

Answer 11

Humans

Question 12

What does sterile mean?

Answer 12

Without life

If an object is sterile it contains no life and therefore no infectious organisms.

Question 13

Purpose of sterility

Answer 13

To create an environment that is free from live bacteria or other micro organisms.
To prevent infection

Question 14

Principles of surgical asepsis

Answer 14

Creation of a sterile environment and use of sterile equipment
Prevent the patient from coming in contact with Any microorganisms.
All items used with in a sterile field must be sterile.
More complex than medical asepsis and not required for use with all clients.
A sterile barrier permeated by moisture must be considered contaminated.
Once a sterile packet is open the edges are considered unsterile (contaminated)

Question 15

Once gown is put on what part is sterile?

Answer 15

The front from chest to waist or table level, sleeves from 2 inches above elbows to ends of fingertips.

Question 16

What area of a draped table is considered sterile?

Answer 16

Only the top.

Question 17

If you have questions on an items sterility what do you do?

Answer 17

Don’t use it. It is considered not sterile.

If you have any questions or doubt; you throw it out.

Question 18

Implementing surgical asepsis includes:

Answer 18

Creation of a sterile environment.
Use sterilized equipment/supplies.
Sterilization of reusable supplies.
Surgical hand scrub, surgical attire.
Sterile gloves, sterile field.
Use sterile technique.
Operating room labor and delivery area and burn units
Procedure areas – cardiac catheterization lab and gastrointestinal endoscopy
Client bedside ( procedures such as central venous catheter insertion,Foley catheter insertion and thoracentesis.

Question 19

Factors to consider

Answer 19

Positioning of the client
Full cooperation of the client
Explain the procedure
Explain what is expected of the client
If client cannot maintain the position required for the procedure, get a helper to hold the client

Question 20

Create and maintain a sterile field

Answer 20

An area that provides a sterile surface for placement of sterile equipment

Question 21

Persons with sterile barriers (gowns, gloves) can only come in contact with?

Answer 21

Sterile items/areas

Question 22

Persons without sterile barriers can only come in contact with?

Answer 22

Unsterile areas/items.

Question 23

Only the _______________________________ is considered sterile.

Answer 23

Horizontal plane

Question 24

Movement around and in the sterile field must not?

Answer 24

Compromise or contaminate the sterile field.

Question 25

How far away from the sterile field must a non-sterile person remain?

Answer 25

1 foot

Question 26

Never turn your _____________ to a sterile field.

Answer 26

Back

Question 27

Complications of contamination

Answer 27

Nosocomial  infections (preventable with use of aseptic technique/principles)
Expense of new equipment (sterile packages).
Prolonged time under anesthesia.
Anxious patient (if not under anesthesia already).
Anxious family due to prolonged time.
Delay in cases.

Question 28

Applying and removing sterile gloves.

Answer 28

Acts as a barrier against the transmission of pathogenic micro organisms.
Are applied before performing any sterile procedure.
Does not replace hand hygiene.
Be careful not to contaminate gloved hands
Contaminated gloves must be changed immediately.

Question 29

Sterile gloves

Answer 29

Select the correct size
Available in different sizes and types of material
Must perform vigorous hand hygiene before gloving and after removing gloves.
Are applied for procedures that do not require full sterile attire.

Question 30

purpose, goal and expected outcome of surgical wound care.

Answer 30

Protect the patient from infection transmitted by healthcare workers (nosocomial infection).
outcome is healing.

Question 31

Nursing diagnosis for sterile procedures

Answer 31

Risk for infection
Risk for imbalanced body temperature
Risk for perioperative positioning injury.
Impaired skin/tissue integrity.
Risk for allergy to latex.
Risk for possible contamination
Fear/anxiety