Sterile Techniques

Question 1

Purpose fo aseptic technique

Answer 1

Focus on cleanliness and eliminating of transfer of organisms

Question 2

Purpose of sterile technique

Answer 2

strict infection control

Question 3

Clean technique

- overview

Answer 3

• Modified aseptic technique.
• Proper hand hygiene, thorough hand-washing, clean gloves (non-sterile), clean environment.
• Uses non-touch practices: avoid touching key parts of objects (syringe tips, inside of sterile dressing, etc even when wearing gloves
• Used in outpatient settings
• Use with healthy patients without high risk of infection
• Ex: dressing change, suture removal, joint injection/aspiration

Question 4

sterile technique

- overview

Answer 4

o Similar to clean but more strict
o True 100% sterile only in OR
o Can be used outside a sterile environment such as bedside for procedures such as inserting a central line in the ICU

Question 5

Sterile technique

- technique

Answer 5

hand scrub, mask, hate, sterile gown, sterile gloves, bactericidal skin prep, sterile drapes

Question 6

Aseptic technique

- overview

Answer 6

• Less strict than sterile, can be performed anywhere
• Consists of
  • Barriers
  • Patient and equipment disinfection or sterilization
  • Environmental controls: sterile to sterile guidelines

Question 7

Aseptic technique

- technique

Answer 7

Wash hands, sterile gloves, skin prep, sterile drape (don’t need hat, mask, sterile gown)

Question 8

What procedures use sterile technique

Answer 8

• Central venous catheterization (not in OR)

- surgical procedures

Question 9

What procedures use aseptic technique

Answer 9

• LP
• Urinary cath
• Suturing
• Skin biopsies

Question 10

What procedures use clean technique

Answer 10

• peripheral venous catheterization
• wound care
• joint injections
• joint aspiration

Question 11

Basic universal precautions

- when use

Answer 11

• Use whenever an invasive procedure exposes the operator to potentially infectious body fluids
• Required for routine care of all patients despite isolation precautions of any time

Question 12

Basic universal precautions

- Rules

Answer 12

• Wash before and after pt contact
• Wash hands before and after procedures
• Gloves if contact with any blood or body fluid is likely
• Wear gloves once and discard
• Gown when splatter of blood or body fluid is likely
• Additional barrer protection for invasive procedures in which splatter or aerosol generation is likely. More common in OR, ER, ICU, invasive bedside procedures, CPR.
• Always wear a mask if goggles are called for and vice versa