Midterm Aseptic technique Flashcards
Define autoclave.
Define autoclave.
a machine that sterilizes instruments through heat and steam
Microorganisms must be introduced into the surgical site for infection to develop. By what 2 routes are they introduced?
endogenous route
exogenous route
Per the Endogenous route, sources are?
patient and reaches the wound as a result of bacteremia (through the bloodstream)
Per the Exogenous route, sources are?
air, surgical instruments and supplies, the patient’s skin, and the surgical team
Define sterilization.
the elimination or destruction of all living organisms (including viruses) from a material being sterilized
Define disinfection.
the destruction of vegetative forms of bacteria but not the spores
Both sterilization and disinfection are used to prepare ______ and _____ instruments.
medical and surgical
What materials are used for packs?
steam-permeable wrappers - such as double-thickness muslin (crepe paper)
How do you prepare a patient’s skin for surgery?
- often given a general anesthesia before transport into operating room
- skin preparation
- surgical clip using a #40 clipper blade (standard)
- 5 - 15 cm around proposed incision site
- clip potentially infected areas last
How do you clean patient’s skin for surgery?
- use of surgical scrub
- presurgical scrub alternates antiseptic scub with alcohol or sterile saline 3 or more times
- clean middle to outside
- Canine abdominal surgery, flush prepuce
- final sterile surgical scrub after animal is positioned on the operating table
- sterile gloves, sterile gauze sponges
Note: region will be flammable until dry
As a lavage solution for open wounds, chlorhexidine must be diluted ____:____ with sterile water or saline to produce a 0.05% solution
1:40
How you position a patient for surgery is described by the ____ of the body that contacts the table.
region
In orthopedic surgery, the affected leg is often _____ from an overhead support or intravenous (IV) stand during skin preparation and initial surgical draping.
suspended
When surgical team is preparing for surgery what are the steps to preparing for a surgical hand scrub?
- cap and mask should be donned
- remove jewelry
- clean each fingernail using a nail pick
- open gown pack and gloves before scrub
- hand scrub: fingers to forearm
- 10-25 strokes/4 times or 5 min. first scrub, 2-3 min. if needed through out the day
What is an alternative to traditional scrubbing?
waterless hand antiseptics