Surgical Asepsis

Question 1

Donning Sterile Gloving Steps

Answer 1

Open Outside package
push in half
Open with middle borders
Thumb of glove is always lateral
Dont let flap go back on sterile field
Stand in front of the glove putting on
1) Grab the cuff of the glove and hold down the border at the bottom = slide hand in
2) Cuff under the glove
- Hitchhiker’s thumb
- Fixed fingers
- Pull from inside the hand for snugness

Question 2

Sterile Field Steps

Answer 2

Clean surface with gloves
Wash hands
Flap towards you
Open away from you (only touch inch border)
Open 4x4 like banana and toss onto sterile field
Don on sterile gloves
Always above waist height

Question 3

https://www.webmd.com/allergies/latex-allergies

Common Latex Products

Answer 3

Gloves (dishwashing)/Balloons/Condoms/Erasers
Bandages (Adhesives)
Therapy bands
Pacifiers/ Baby Bottle Nipples
Red rubber catheters/Elastic/ Rubber Bands
Blood Pressure cuffs
Stethoscope tubing
Tourniquets
Vial stoppers/Spandex

Question 4

https://www.webmd.com/allergies/latex-allergies

Cross Reactive Foods: High (4)

Answer 4

Banana
Avocado
Chestnut
Kiwi

Question 5

https://www.webmd.com/allergies/latex-allergies

Cross Reactive Foods: Moderate (7)

Answer 5

Apple
Carrot
Celery
Papaya
Potato
Tomato
Melons

Question 6

https://www.webmd.com/allergies/latex-allergies

Cross Reactive Foods: Low/Undetermined (33)

Answer 6

Pear. Mango, Sweet Pepper, Peach, Rye, Cayenne Pepper, Plum, Wheat, Shellfish, Cherry, Hazelnut, Sunflower seed, Pineapple, Walnut, Citrus fruits, strawberry, soybean, coconut, fig, peanut, check pea, grape, buckwheat, castor bean, apricot, dill, lychee, passion fruit, oregano, zucchini, nectarine, sage, perisimmon

Question 7

Modified sterile

Answer 7

sterile equipment but regular exam gloves

Question 8

Medical asepsis
- Practice
- Technique
- Through

Answer 8

clean technique
practices to confine or limit the growth of contamination or spread
through CHG, alcohol

Question 9

Clean technique

Answer 9

use of clean hand hygiene or exam gloves, clean supplies

Question 10

What are the different types of technique levels used for most invasive to least invasive procedures?

Answer 10

Sterile technique
Modified
Clean

Question 11

Cornerstone of Asepsis

Answer 11

-know dirty, clean, sterile
NEVER OVERLAP

Question 12

Surgical asepsis

Answer 12

sterile technique through steam, gas, radiation, chemicals
technique - only sterile gloves and supplies

Question 13

Asepsis

Answer 13

state of being free from disease-causing contaminants or microorganisms

Question 14

Aseptic technique

Answer 14

using practices and procedures to prevent contamination

Question 15

Where are microorganisms?

Answer 15

air, water, food, clothes

Question 16

Microorganisms spread by

Answer 16

touching someone infected
touching belongings/linens of contaminated person
sneezing/coughing
handling/consuming contaminated food, meds, water

Question 17

What percentage of alcohol-based solutions for routine hand cleaning

Answer 17

60

Question 18

What hygiene do you use for visibly soiled hands?

Answer 18

antimicrobial soap and water

Question 19

What disease requires soap and water?

Answer 19

Clostridium difficile

Question 20

5 moments for hand hygiene

Answer 20

• before touching a pt
• before clean/septic technique
• after body fluid exposure/risk
• after touching a pt
• after touching a pt surroundings

Question 21

Standard Precautions

Answer 21

1) practices used when coming into contact with any patient’s blood or body fluids
2) Principles designed to minimize exposure and transmission of microorganisms
3) Consider every patient a potential infection risk

Question 22

Standard Precaution Infection Control

Answer 22

Hand hygiene
Use of PPE (gloves, gowns, masks, eyewear)
Sharps safety
Respiratory hygiene
Safe injection practices
Sterile instruments and devices

Question 23

Cornerstones of Medical Asepsis

Answer 23

Know what is dirty
Know what is clean
Know what is sterile
Keep these conditions separate

Question 24

Medical Asepsis uses

Answer 24

alcohol, chlorhexidine, hydrogen peroxide

Question 25

Surgical Asepsis uses

Answer 25

steam, gas, radiation, chemicals

Question 26

Medical Asepsis practices

Answer 26

to confine or limit the growth of contamination or spread

Question 27

Sterile Technique

Answer 27

strict use of sterile gloves and supplies

Question 28

Clean technique

Answer 28

use of clean hands via hand hygiene or exam gloves, clean supplies

Question 29

Principles of Surgical Asepsis

Answer 29

1) Only sterile to sterile 2) one-inch border contaminated 3) Time Management - Sterile items expire - stored on clean, dry surfaces 4)Avoid talking, coughing, sneezing, reaching across a sterile field or object 5) Never walk away or turn back on the sterile field 6) at or above waist level 7) Avoid spilling any solution on a cloth or paper used as a field for sterile setup 10) sterile field always in sight 11) Consider an object contaminated if you have any doubt of a break in sterility 12) If you see someone contaminate a sterile field or object, make it known 13) personal nurse hygiene - keep fingernails short & clean - No Polish or Artificial Nails - Avoid wearing jewelry that dangles - Keep long hair pulled back & No stray strands

Question 30

Elements of Surgical Asepsis

Answer 30

1) Wash hands first - gather supplies & determine if assistance is needed 2) Supplies are packaged in a clean wrapper, But the inside is sterile 3) Handle sterile equipment only with sterile gloves

Question 31

Adding Sterile Items

Answer 31

1) Sterile items may be “flipped” on to the sterile field if it does not touch the outer 1” border 2) Items added to a sterile field demand strict awareness Sterile transfer

Question 32

Sterile fluids are only viable for

Answer 32

24 hours after opening

Question 33

Principles of Adding Sterile Fluids

Answer 33

1) Remove the bottle cap and place face up on the surface 2) Hold the **bottle with a label in the palm of your hand** so the solution does not run-down label 3) "Lip" small amount then pour the required amount of sterile solution into the available receptacle 4) Pour solution onto the dressing or site without the bottle making contact

Question 34

When cleaning off a pt's bedside table, what do you use to clean the table?

Answer 34

Clorox wipes Gloves **Allow to dry**

Question 35

Preparing for a sterile procedure - Nurse's Role

Answer 35

Determine **allergy** status to **latex** or **antiseptic** used Assess pain level & readiness before starting – ALWAYS Position patient, bed, etc.*** Initiate sterile consciousness Perform hand hygiene Gather sterile items Check expiration date and assess package integrity Place bedside table where the sterile field is always in sight Ensure workspace is flat & waist level Clean and ensure the surface is dry* Hand Hygiene

Question 36

If in doubt,

Answer 36

throw it out

Question 37

Opening a Sterile Field

Answer 37

Remove Outer Package Take 1st flap facing you & fold back/away* Open each side flap Bring the last flap toward you Do Not cross over Sterile Field at any time when opening flaps* Items are typically packed/arranged in order of use Remove Outer Package Take 1st flap facing you & fold * Open each side flap Bring last flap towards you Do Not cross over Sterile Field at any time when opening flaps* Apply serile gloves then proceed Items are typically packed/arranged in order of use

Question 38

Sterile Gloving

Answer 38

Select correct size Check for latex sensitivity Determine package integrity Medical hand hygiene Place package on a clean, dry flat surface Open package without contamination

Question 39

During sterile gloving hands always remain at __________ level and in sight

Answer 39

waist

Question 40

Glove Removal

Answer 40

Grasp outside of gloved hand, palmer side, with other gloved hand (glove to glove) Pull glove off, turning inside out Place dirty glove just removed tightly into palm of remaining gloved hand Place finger of bare hand inside CUFF of other glove (skin to skin). Peel off, inside out over dirty glove and discard both

Question 41

With sterile gloves, what can you touch

Answer 41

sterile field except for an inch of border

Question 42

Doffing Sterile Glove Steps

Answer 42

Wad up the 1st glove into the 2nd hand Next skin to skin, dispose of gloves