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AORN Periop class > Surgical Antisepsis and scrub attire > Flashcards

Surgical Antisepsis and scrub attire Flashcards

1
Q

What should traffic flow be like in semi-restricted areas?

A

should be unidirectional - clean to dirty, and prevent the mixing of clean-sterile-dirty items.

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2
Q

What kind of area is sterile processing considered?

A

semi-restricted area

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3
Q

What room is included in the restricted area?

A

operating room

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4
Q

What 2 rooms are included in the semi-restricted area?

A
  1. corridors leading from unrestricted to restricted areas

2. sterile processing areas

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5
Q

What 2 places are included in the unrestricted area?

A
  1. patient waiting room

2. staff lounge

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6
Q

What 2 reasons do we wear surgical attire?

A
  1. provides a high level of cleanliness and hygiene

2. promotes patient and worker safety

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7
Q

What are 4 considerations for jewelry?

A
  1. Leave jewelry at home or lock it up
  2. remove jewelry before providing patient care
  3. remove all jewelry from the hands and wrists before performing hand hygiene
  4. Jewelry prevents effective cleaning of skin surfaces
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8
Q

When should you don a head covering?

A

Before entering the semi-restricted area (hallway, scrub sink areas, sterile processing department)

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9
Q

When should you cover a beard?

A
  1. a restricted area

2. the clean assembly area of the sterile processing department

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10
Q

When do you wear a surgical mask and eye protection?

A

in a restricted area

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11
Q

What are 2 considerations for personal items?

A
  1. follow your facility’s policy and procedure

2. Follow the manufacturer’s IFU for cleaning electronic devices

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12
Q

Before entering the semi-restricted area, what should be put on?

A
  1. clean scrubs
  2. head covering
  3. protective shoes
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13
Q

Fingernails should be what?

A
  1. natural
  2. short and clean
  3. Freshly polished and without chips, if nail polish is allowed by the facility policy and procedure
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14
Q

What has been linked to infection outbreaks and are not recommended?

A

artificial nails

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15
Q

What is a consideration for lotion?

A

Use facility-approved lotion

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16
Q

What can lotion interfere with?

A

glove integrity and antiseptic products

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17
Q

What is the single most effective method of infection prevention available?

A

hand hygiene

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18
Q

How long does the CDC recommend washing your hands?

A

20 seconds

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19
Q

What should you follow when using an alcohol-based hand rub?

A

manufacturer’s IFU

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20
Q

When should you wash your hands?

A
  1. when hands are visibly soiled
  2. hands have been exposed to blood or bodily fluids
  3. after using the restroom
  4. when caring for patients with norovirus or spore-forming organisms such as C. Diff
21
Q

What is the preferred fingernail length?

A

2 mm

22
Q

What is a higher level of leaning of the hands, wrists, and forearms before donning a sterile gown and gloves?

A

surgical hand antisepsis

23
Q

Why is surgical hand antisepsis performed?

A

to reduce microorganisms, remove transient microorganisms, and prevent contamination of patient and sterile field.

24
Q

What is important to remember for after surgical hand antisepsis is performed?

A

skin is clean, not sterile

25
Q

What are the 2 recommendations for surgical hand antisepsis?

A
  1. surgical hand rub

2. surgical hand scrub

26
Q

What is the proper steps for putting on alcohol based solution?

A
  1. remove jewelry from hands, wrists, and forearms
  2. with clean hands, don a surgical mask
  3. Clean underneath the fingernails using a disposable nail cleaner under running water
  4. Dry hands and arms thoroughly with a disposable paper towel
  5. apply the surgical hand rub to the hands and arms
  6. allow hands and arms to dry completely before donning a gown and gloves
27
Q

12 steps for surgical hand scrub

A
  1. remove jewelry from hands, wrists, and forearms
  2. with clean hands, don a surgical mask
  3. Clean underneath the fingernails using a disposable nail cleaner under running water
  4. apply amt. of surgical hand scrub product recommended to the hands and forearms
  5. visualize each finger, hand, and arm as having four sides. Wash all four sides effectively - keep hands elevated
  6. scrub for length of time recommended. Scrub should be timed to allow adequate product contact w/skin.
  7. Water conservation - turn off water when scrubbing.
  8. Avoid splashing surgical attire
  9. Discard the sponge into a trash receptacle
  10. Rinse hands and arms under running water in one direction from fingertips to elbows- be careful to avoid any objects.
  11. Hold hands higher than the elbows and away from surgical attire
  12. In the OR, dry hands and arms with a sterile towel using sterile technique b4 gloves and gowns
28
Q

What do sterile gowns protect the wearer from?

A

exposure to blood, body fluids, and other potentially infectious materials during an invasive procedure.

29
Q

What is level 1 gown class?

A

minimal

30
Q

What is level 2 gown class?

A

low

31
Q

What is level 3 gown class?

A

moderate

32
Q

@hat is level 4 gown class?

A

high

33
Q

Who developed a rating system for gown classes?

A

ANSI and AAMI

34
Q

What do the gown classes describe?

A

the level of protection

35
Q

What must be done before putting on a sterile gown nd glove after doing a surgical hand scrub?

A

hands are dried

36
Q

What must be done before putting on a sterile gown nd glove after doing a surgical hand rub?

A

hands must dry

37
Q

How should 2 sterile gloves fit?

A
  1. the inner glove can be a half-size larger than the outer glove
    OR
  2. both gloves can be the same size
38
Q

What was formerly known as closed assisted gloving?

A

assisted gloving with gown cuffs at the fingertips

39
Q

What 2 areas of the gown are considered sterile?

A
  1. front of gown - from chest to the level of the sterile field
  2. gown sleeves from the cuff to 2 inches above the elbow, circumferentially are considered sterile
40
Q

What 4 areas are non sterile?

A
  1. axilla
  2. cuffs
  3. neck and shoulder
  4. back of gown
41
Q

What does it mean if your hands are numb after putting on gloves?

A

too tight

42
Q

What does it mean if you have glove wrinkling?

A

too loose

43
Q

What are 3 considerations for gloves that fit right?

A
  1. do not cause numbness
  2. do not slide or roll
  3. do not expose gown cuffs
44
Q

When may gloves be changed?

A
  1. before handling implants
  2. after draping is complete
  3. when moving to a clean portion of a surgery following a dirty portion
45
Q

What is the perforation indicator system?

A

an inner glove a contrasting color to the outer glove allows for early detection of holes, rips, and tears in the outer glove.

46
Q

What is the perforation indicator system?

A

an inner glove a contrasting color to the outer glove allows for early detection of holes, rips, and tears in the outer glove.

47
Q

What 3 things do you want to do before leaving the OR?

A
  1. remove the sterile gown and gloves
  2. remove soiled show covers
  3. remove your mask and perform hand hygiene
48
Q

After you have donned your initial gloves, what should you do?

A

closed gloving

AORN Periop class (23 decks)

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