Principles Of Sx: Aseptic Technique Flashcards

1
Q

Antisepsis

A

Prev of infection by exclusion, destruction, or inhibition of growth from body tissues or skin

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2
Q

Antiseptics

A

Inorganic compounds that inhibit microbe growth on skin

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3
Q

Asepsis

A

Absence of microorganisms that cause disease

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4
Q

Decontamination

A

Cleaning, disinfection, or sterilization processes that make contaminated items safe to touch

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5
Q

Disinfection

A

Chemical/mechanical destruction of pathogens

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6
Q

Irreducible minimum

A

Can’t reduce amt of bacteria any further

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7
Q

Spatial relationships

A

Be aware of your surroundings & whats sterile/not sterile

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8
Q

What to do in OR

A

DO: minimize talking & moving; scrubbed team face sterile field; sx team remain in OR

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9
Q

What not to do in OR

A

Reach over sterile field if not scrubbed in

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10
Q

If you question the sterility, then…

A

Object is contaminated

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11
Q

Sterile area on Sx gowns

A

Waist to shoulder

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12
Q

3 levels of critical sterility

A
  • critical
  • semi-critical
  • non-critical
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13
Q

Critical sterility

A
  • objects enter the body
  • MUST BE STERILIZED
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14
Q

Semi-critical sterility

A
  • contacts the skin or mmfor sx purpose
  • no penetration of body
  • CLEAN & DISINFECT
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15
Q

Non-critical sterility

A
  • object contacts mm and skin
  • not directly assc. w/ sx
  • CLEAN & DISINFECT
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16
Q

T or F: items in a wet container are sterile

A

False, they are not

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17
Q

If you start sx seated, you must finish it…

A

Seated

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18
Q

Patients w/ known pathogenic microbes should be…

A

Isolated

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19
Q

What disinfectant can’t be used on skin?

A

Chlorhexidine

20
Q

What disinfectant can be used on mm?

A

Iodine

21
Q

Use of isopropyl alcohol? Is it a good disinfectant &/or antiseptic?

A
  • spot cleaning; injection site prep
  • good disinfect
  • very good antiseptic
22
Q

MOA of alcohol

A
  • protein denaturation
  • cell lysis
  • interruption
23
Q

Chlorine compounds

A
  • good disinf.
  • fair antisept.
  • release free chlorine & O2
  • corrosive to metal
24
Q

Iodine compounds

A
  • good disinfectant/antiseptic
  • stains
  • iodination & oxidation of essential molecules
25
Q

Glutaraldehyde: 2% alkaline solution

A
  • disinfect lenses & delicate instruments
  • good disinfectant & sterilizer
  • not an antiseptic
  • protein & nucleic acid alkylation
  • lil stinky, so rinse
26
Q

6 sterilization methods

A

Pressurized steam, Ethylene oxide, Plasma, Paracetic acid sterilization, Ionizing radiation, Cold chemical

(Use proper indicator strips)

27
Q

Wraps should be penetrable to ______ & impenetrable to ______

A
  • penetrable to gas or steam
  • impenetrable to microbes
28
Q

Woven wraps

A
  • penetrate pack
  • shorter shelf life
  • higher thread ct= higher shelf life
29
Q

Double wrapped packs have a _______ shelf life compared to the singles

A

Longer

30
Q

Non-woven wraaps

A
  • water resistant
  • increased shelf life
  • made of cellulose
  • weaker
31
Q

After autoclaving, packs should be…

A

Allowed to dry & cool

32
Q

What determines the shelf life of sterilized packs?

A

Events

33
Q

Common contaminants during sx (7)

A

Staph, Strep, Corynebacterium, Pityrosporum, E. Coli, Enterobacter, Clostridium

34
Q

If implants are involved, then infection can happen in….

A

30 days-1 yr

35
Q

Most common sx infection site

A

Skin

36
Q

Fasting for general sx

A

6-12 hrs prior

37
Q

Fasting times for neonates

A

2 hrs prior

38
Q

Is H2O restricted pre-sx?

A

No

39
Q

Always allow animal to do what before Sx?

A

Pee & poop

40
Q

You should confirm what pre- Sx?

A

Patient, procedure, sx site

41
Q

It doing a lower GI surgery, then give

A

Abx as needed

42
Q

Before doing abdominal sx on males, you should

A

Do preputial flush w/ iodine solution

43
Q

How many cycles of cleansing scrub should you use?

A

3

44
Q

Hanging leg prep

A
  • Circumferential clipping
  • cover distal limb
  • drape out of field
45
Q

Abdominal incision specifics

A

From xiphoid to pubis