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Surgical Nursing I > Practical Application of Asepsis > Flashcards

Practical Application of Asepsis Flashcards

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1
Q

Area where the incision is made

A

Surgical Site

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2
Q

Surgical site and sterile drapes surrounding it on the table

A

Sterile Surgical Field

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3
Q

Surface covered with a drape and intended to be used as a work area to hold instruments and supplies

A

Sterile Field

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4
Q

Sterile field, sterile surgical field, area of scrubbed personnel and the air space above all of these

A

Sterile Zone

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5
Q

A separate area for storage of sterilized items should be 5 things

A
  1. Dust Free
  2. Ventilated
  3. Germ free
  4. Insect free
  5. No temp/humidty extremes
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6
Q

If an item is stored in a closed cabinet in single wrapped muslin, it is good for

A

1 week

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7
Q

If an item is stored in a closed cabinet in double wrapped muslin, it is good for

A

7 weeks

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8
Q

If an item is stored in a closed cabinet in single wrapped crepe, it is good for

A

8 weeks

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9
Q

If an item is stored on open shelving in single wrapped muslin, it is good for

A

2 days

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10
Q

If an item is stored on open shelving in double wrapped muslin, it is good for

A

3 weeks

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11
Q

If an item is stored on open shelving in single wrapped crepe, it is good for

A

3 weeks

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12
Q

Heat sealed and plastic pouches stored on open shelves are good for

A

2 weeks

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13
Q

Heat sealed and plastic pouches stored in a closed cabinet are good for

A

1 year

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14
Q

If a sterilized pack becomes wet, tape is broken or loosened, date is illegible or missing, pack is punctured or torn, pack has been dropped on the floor then it is conisdered

A

contaminated

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15
Q

A pack label should contain 3 things

A
  1. Date of autoclaving
  2. Contents
  3. Name or initials of preparer
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16
Q

If an extreme emergency exists, you can _______ an instrument and use it

A

disinfect

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17
Q

How long should instruments sit in a cold soak sol’n?

A

Min. 15 mins

Ideally 3 hrs

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18
Q

How long should instruments sit in 70% alcohol

A

1 hr

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19
Q

How long should instruments sit in Betadine/Nolvasan?

A

3 hrs

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20
Q

How long should items be boiled?

A

3 hrs

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21
Q

Steam/gas may penetrate but no microbes

A

Selective permeability

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22
Q

Shouldn’t rip or tear easily

A

Resistant to damage

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23
Q

Should conform to shape of pack and stretch a little to resist tears

A

Flexibilty

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24
Q

Should easily return to a flat position after pack is open

A

Memory

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25
Q

Most economic is bulk roll or box

A

Cost

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26
Q

These can be used several 100 times but initial cost is expensive

A

Cotton Wraps

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27
Q

Type of wrap material that must be double wrapped and is more resistant to tears
Most already come double wrapped

A

Cotton Textile

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28
Q

Type of wrap material that is fairly resistant to damage

A

Paper

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29
Q

Type of paper that is cloth-like and reusable if not soiled or torn

A

Crepe

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30
Q

Type of paper that tears easily and is intended for 1x use

A

Non-crepe

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31
Q

When should instruments be soaked after Sx?

A

Immediately

32
Q

Prolonged exposure to blood or saline causes what on the surface of metal?

A

Pitting

33
Q

Instruments should be soaked and washed in what position

A

open

34
Q

When rinsing or spraying instrument milk, how long should it soak?

A

45 sec

35
Q

Works by using high-frequency sound waves and cleans areas a brush can not reach
Removes all previous lubricants

A

Ultrasonic cleaner

36
Q

You should use and ultrasonic cleaner when?

A

after manual cleaning

37
Q

Helps prevent rust and electrolysis from forming on points and edges of instruments
Should be used on all hinged, box lock, or ratchet instruments

A

Intrument lube aka milk

38
Q

This type of material can be spot cleaned if necessary and not torn

A

Paper

39
Q

Cloth drapes, hand towels, and gowns should be machine washed _____________ from other hospital items

A

separately

40
Q

4 drapes in each pack to border the incision site

A

4 corner drapes

41
Q

3 drapes in each pack to border the incision site

A

3 corner drapes

42
Q

Large enough to cover tray on stand, 2 in each pack

Some come prepackaged

A

Mayo Stand Drapes

43
Q

Come 1 per pack, folded and wrapped so it’s compact so it fits in autoclave

A

Gown

44
Q

1 per pack, folded accordion style

A

Hand towels

45
Q

These should be cleaned and thoroughly dried before placing in a safe seal pouch to autoclave

A

Hand brushes

46
Q

Purpose is to create a sterile area around the surgical site

Can be made of cloth or paper

A

drape

47
Q

Muslin square drape with a pre-cut hole

A

Fenestrated

48
Q

A hole can be made in 1 of the _ corner drapes

A

4

49
Q

2 people who have direct contact with the sterile field

A

Surgeon and sterile scrub nurse

50
Q

All hair should be

A

tied up and pulled up

51
Q

You should remove all

A

jewelry

52
Q

Apply ______ gear and mask

A

head

53
Q

How long should you use a surgical scrub on hands and arms?

A

5 mins

54
Q

After washing hands, they should be held where?

A

Above the waist

55
Q

Who will tie your surgical gown

A

Circulating nurse

56
Q

Gloving technique when hands are not seen outside of the gown

A

Closed

57
Q

Gloving technique used when prepping an animal for surgery with the 1st glove touching only the inside cuff and 2nd glove only touching the outside of the cuff

A

Open

58
Q

When a non-sterile personnel is opening packs, they should open them how far away from their body?

A

Arm’s length

59
Q

Before prep begins, you should always verify 4 things

A
  1. Pt ID
  2. Sex
  3. Procedure to be performed
  4. Confirm fasting
60
Q

You should obtain all necessary ____ results

A

test

61
Q

Begins after the pt has been anesthetized, stabilized, and hooked up to IV fluids

A

Pt prep

62
Q

Apply this to both eyes

A

lube

63
Q

How should you clip hair?

A

With grain then against

64
Q

When should you express the bladder?

A

Spays

65
Q

This nurse clips the hair, applies eye lube, expresses the bladder, vacuum hair, performs preliminary scrub in outer prep area, transfers pt to the OR, positions and ties pt to the table

A

Dirty prep nurse

66
Q

Antiseptic scrub should be used on the pt for how long and in what motion?

A

5 mins

Circling from inside out

67
Q

You should perform a minimum of how many scrubs?

A

3

68
Q

Final paint after scrub, going in the same motion

A

70% alcohol

69
Q

When positioning a pt, care must be taken to maintain ________ and maintain ____________ flow

A

airway, IV fluid

70
Q

Most routine position

Spay, neuter, exploratory, and cervical disc Sx

A

Dorsal

71
Q

AKA “frog” position
Can secure with sand bags or ties with legs over end of table
Used for lumbar disc, anal sacculetomy, and some cranial and ear Sxs

A

Sternal

72
Q

This position may need additional positioning aids such as towels, foam wedges, and sand bags
Used for kidney, lung, pelvis, extremities, and dentals

A

Lateral

73
Q

Used for orthopedic and amputation Sx

Affected limb is suspended overhead and allows for aseptic prep of entire limb

A

Hanging

74
Q

Prep/non-sterile assistant

A

Circulating nurse

75
Q

Surgical assistant

A

Scrub nurse

76
Q

Route in which a microorganism can infect and happens outside of the pt in the air, Sx instruments, pts skin, and surgical team

A

Exogenous

77
Q

Route in which a microorganism is obtained within the pt and reaches the wound via the blood stream

A

Endogenous

Surgical Nursing I (5 decks)

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