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Module 2 (Skills) > Surgical Asepsis > Flashcards

Surgical Asepsis Flashcards

1
Q

Donning Sterile Gloving Steps

A

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

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2
Q

Sterile Field Steps

A

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

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3
Q

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

Common Latex Products

A

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

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4
Q

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

Cross Reactive Foods: High (4)

A

Banana
Avocado
Chestnut
Kiwi

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5
Q

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

Cross Reactive Foods: Moderate (7)

A

Apple
Carrot
Celery
Papaya
Potato
Tomato
Melons

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6
Q

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

Cross Reactive Foods: Low/Undetermined (33)

A

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

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7
Q

Modified sterile

A

sterile equipment but regular exam gloves

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8
Q

Medical asepsis
- Practice
- Technique
- Through

A

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

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9
Q

Clean technique

A

use of clean hand hygiene or exam gloves, clean supplies

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10
Q

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

A

Sterile technique
Modified
Clean

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11
Q

Cornerstone of Asepsis

A

-know dirty, clean, sterile
NEVER OVERLAP

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12
Q

Surgical asepsis

A

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

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13
Q

Asepsis

A

state of being free from disease-causing contaminants or microorganisms

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14
Q

Aseptic technique

A

using practices and procedures to prevent contamination

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15
Q

Where are microorganisms?

A

air, water, food, clothes

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16
Q

Microorganisms spread by

A

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

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17
Q

What percentage of alcohol-based solutions for routine hand cleaning

A

60

18
Q

What hygiene do you use for visibly soiled hands?

A

antimicrobial soap and water

19
Q

What disease requires soap and water?

A

Clostridium difficile

20
Q

5 moments for hand hygiene

A
  • before touching a pt
  • before clean/septic technique
  • after body fluid exposure/risk
  • after touching a pt
  • after touching a pt surroundings
21
Q

Standard Precautions

A

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

22
Q

Standard Precaution Infection Control

A

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

23
Q

Cornerstones of Medical Asepsis

A

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

24
Q

Medical Asepsis uses

A

alcohol, chlorhexidine, hydrogen peroxide

25
Q

Surgical Asepsis uses

A

steam, gas, radiation, chemicals

26
Q

Medical Asepsis practices

A

to confine or limit the growth of contamination or spread

27
Q

Sterile Technique

A

strict use of sterile gloves and supplies

28
Q

Clean technique

A

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

29
Q

Principles of Surgical Asepsis

A

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

30
Q

Elements of Surgical Asepsis

A

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

31
Q

Adding Sterile Items

A

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

32
Q

Sterile fluids are only viable for

A

24 hours after opening

33
Q

Principles of Adding Sterile Fluids

A

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

34
Q

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

A

Clorox wipes
Gloves

Allow to dry

35
Q

Preparing for a sterile procedure - Nurse’s Role

A

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

36
Q

If in doubt,

A

throw it out

37
Q

Opening a Sterile Field

A

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

38
Q

Sterile Gloving

A

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

39
Q

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

A

waist

40
Q

Glove Removal

A

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

41
Q

With sterile gloves, what can you touch

A

sterile field except for an inch of border

42
Q

Doffing Sterile Glove Steps

A

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

Module 2 (Skills) (12 decks)

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