second test Flashcards
surgical site
area where incision is made
strike-through
moisture causes contamination. splashing
the condition under which packs are stored will affect
the length of time the contents can be assumed to remain sterile
how long are heat-sealed and plastic pouches good for open/closed shelf
2 weeks- open
1 year- closed
a sterilized pack is considered contaminated if//
it becomes wet, tape is broken or loosened, date is missing, pack is punctured, dropped on floor.
labeling packs
date of autoclave, contents, initials
how long do contaminated instruments sit in betadine/nolvasan
3 hours
how long to sit in cold sol’n minimum
15 min
how long to sit in alcohol
1 hour and allow to dry
5 sterile items to prepare
packs, gowns, hand brushes, hand towels, drapes
which type of wrap material is muslin
cotton textile
cotton textile must come _____, more resistant to____
must come double wrapped, more resistant to tears
cloth-like material that is reusable
crepe
material that tears easily
non-crepe
fairly resistant to damage
paper
what to do with instruments directly after Sx
place them in soak.
prolonged exposure to blood and saline -
causes pitting on surfaces of metal
use a wire bristle brush to
remove rust from instruments
rinse or spray with ____ to inhibit rust formation
instrument milk
if rinsing with instrument milk- how long
45 seconds
how long is the instrument milk cycle
20-30 min (with drying and autoclave)
clinics now use what for instrument clean up
ultrasonic cleaner
how do ultrasonic cleaners work
use high frequency sound waves to clean unreached areas
must do what before autoclaving
lube
must be thoroughly __ __ and __ before autoclaving
rinsed, dried, lubricated
lube should be applied to
to all hinged, box lock, or ratchet instrument
aside from preventing rust, what else does lube prevent
electrolysis
3 corner drapes are normally used for
canine neuters
mayo stand drapes can be used how many times
once
2 people who have contact with the sterile field
surgeon, sterile scrub nurse
how long is bloodwork good for
30 days
what tube to use for hematologies
purple top tube EDTA
what tube for manual clotting
blue top tube
how to clip hair
clip with grain of hair then against
express bladder on who if necessary
all spays- no neuters
dont express bladder for what kind of Sx
abdominal- cystotomies, exploratories, pyometra
dirty prep nurse adds what kind of scrub
nolvasan/betadine scrub
surgical prep nurse starts with what scrub
antiseptic- betadine/nolvasan
what do surgical prep nurse use to rinse as a final paint
sterile water or 70% alcohol
why to rinse until scrub is gone
can irritate mm of vulva or prepuce
care must be taken during positioning of pt to-
maintain airway and maintain IV fluid flow at all times
dorsal position for what surgeries
abdominal- spay/neuter/exploratory. cervical disc sx
sternal position for what surgeries
lumbar disc sx, anal sacculectomy, cranial and ear sx
frog position
sternal position
most routine position
dorsal position
lateral position surgeries
kidney, lung, pelvis, extremities, dentals
which way do the feet go when flipping animal
under the pt, to prevent bloat
hanging prep is often used with
orthopedic sx, amputation
how is hanging prep normally suspended
from an overhead support or IV stand during prep
advantage of hanging prep
allows aseptic prep of the entire circumference of limb
microorganisms must be introduced into the surgical site in order for
infection to develop
exogenous route, endogenous route
outside patient, inside patient
the surgery team has the most control over
infection within the patient
how much contact time between skin and surgical scrub
5 minutes
