Scrubbing In!

Question 1

Asepsis

Answer 1

Absence of pathogenic microorganisms that cause infection

Question 2

Asepsis makes the environment surgically clean but NOT ___.

Answer 2

Surgically clean but NOT STERILE

Question 3

Sterile

Answer 3

Absence of any living microbes or spores

Question 4

Surgical conscience

Answer 4

• Commitment of vet team to adhere strictly to aseptic tech.
• Acknowledge breaches in tech & correct contamination (even if there are no witnesses!!).

Question 5

A sterile field is any area that has been covered with a ___ ___, including the area ___ & ___ the field/pack.

Answer 5

1. Sterile barrier
2. Above and around the field/pack

Question 6

What are six things you should do before assisting in a Sx?

Answer 6

1. EAT! Carbs or protein are best
2. Drink water!
3. Pee (go piss girl)
4. Shower
5. No perfume. Can mask iso leak.
6. Wear clean scrubs. Tucked shirt can prevent skin cells from shedding into Sx.

Question 7

Who should wear caps and masks during Sx?

Answer 7

All people in the Sx suite

Question 8

Why do we wear caps over our hair? (2)

Answer 8

Reduce airborne contamination with:
1. Dander
2. Hair

Question 9

List two reasons we wear masks in Sx

Answer 9

1. Stop droplets from being spread
2. Keep splashes & sprays from reaching mouth & nose

Question 10

Describe how you should wash & dry your hands for scrubbing in (6)

Answer 10

1. Turn on water and sterilely grab your scrubbing brush.
2. Starting from fingers and working your way down to your elbows.
   - Wash using 4 side method of each extremity.
3. Drop brush when finished.
4. Rinse hands starting from fingers to elbows.
5. Using a sterile towel, dry one hand (fingers to elbow).
6. Dry hand grabs end of towel and repeat with wet hand.

Question 11

T/F: Hands should always be held above your elbows after scrubbing in

Answer 11

True!!

Question 12

Hand rubs
1. Base of sanitizer
2. Effectivity

Answer 12

1. Ethanol based
2. Alt may be MORE effective than traditional scrub tech.
   - Better skin health
   - Carry less bacteria
   - Chlorhexidine resistance has been reported (idk if that’s important)

Question 13

Describe closed gloving (7)

Answer 13

1. Don Sx gown
2. Keep hands inside of gown.
3. Begin with non-dominant hand first.
4. Hand in sleeve, use left hand to place right glove palm side down on right hand.
5. Left hand grasp glove & gown and lift over sleeve. Leave some of the glove fold undone. Glove does not need to be all the way on right hand.
6. Repeat on left hand.
7. Adjust gloves as needed

Question 14

Assisted gloving (4)

Answer 14

**Personnel assisting must already be gloved.
1. Assistant stretches glove cuff open
2. Palms toward glovee, locate thumbs first
3. While glovee slips in, assistant pulls glove cuff over gown sleeve
4. Repeat

Question 15

Aseptic glove removal - assisted (2)

Answer 15

1. Non-sterile assistant grabs glove & gown cuff underneath the glove together.
2. Pull glove off so it turns inside out.

Question 16

How to open a sterile Sx pack (3)

Answer 16

1. Open first flap AWAY from you. Never reach over the pack after this has been opened!
2. Open other flaps
3. Only touch corners of the wrap

Question 17

While opening sterile pouches, you should use the ____ motion.

Answer 17

Pull apart motion
Not banana or wrist rolling

Question 18

T/F: Those who are scrubbed should always face the sterile field

Answer 18

True! This way the “dirty” back of the gown won’t touch the sterile site (etc)

Question 19

How to don a gown (7)

Answer 19

1. Lift inside of the folded gown from package.
   - Same tech for sterile towels.
2. Step AWAY from the table!
3. Find neckline of gown.
4. Hold gown away from body and let it unfold by holding the inside of the shoulder seams.
5. Simultaneously, both arms advance into gown.
6. Hands do not pass all the way thru the sleeves.
7. Non-sterile assistant pulls gown over shoulders.
   - W/O breaking sterility, assistant will help close you into the gown.

Now time to close glove!

Question 20

Sterile areas on the Sx gown (2)

Answer 20

1. Chest to level of sterile field.
2. Sleeves are sterile from two inches above elbow to top of cuff.

Question 21

Non-sterile areas of Sx gown (6)

Answer 21

1. Neckline
2. Shoulders
3. Cuff of gown sleeves due to perspiration
4. Back of gown
5. Lower portion of gown
6. Inner cuffs of gown due to hands passing thru them

Question 22

What should be worn in the Sx suite? (5)
All personnel: (1-3)
Scrubbed in personnel: (4 & 5)

Answer 22

1. Hair net/cap
2. Mask
3. Shoe covers
4. Gown
5. Sterile gloves

Question 23

What order should Sx attire be put on? (3)

Answer 23

1. Cap, mask, & shoe covers
   - Scrub hands raw -
2. Gown
3. Gloves