Surgical Asepsis Flashcards
Sterile technique
practices used to render and keep objects and areas free from microorganisms
A sterile object remains sterile only when?
touched by another sterile object
Sterile touching sterile =
sterile
sterile touching clean=
contaminated
sterile touching contaminated=
contaminated
sterile touching questionable=
contaminated
only sterile object may be placed on?
a sterile field
Package that is torn, punctured, wet or open is?
unsterile
A sterile object or field out of the range of vision, or an object held below a person’s waist or above the chest is?
Contaminated
Sterile objects should be kept in front with?
hands as close together as possible
A sterile object or field becomes contaminated by prolonged exposure to air
avoid excessive air movements or moving linens
do not talk, laugh, sneeze, or cough over sterile field or when gathering and using sterile equipment
When a sterile object comes in contact with a wet, contaminated surface, the object becomes contaminated by?
capillary action
The edges of a sterile field or container are considered to be?
contaminated
What width around the border is considered contaminated and why?
one inch border, the edge touches an unsterile surface
The edges of a container become exposed to air after being opened and are considered?
contaminated
Disinfection destroys all pathogenic organisms except?
spores
Disinfection is used when?
used when preparing the skin for a procedure or cleaning a pieces of equipment that does not enter a sterile part of the body
Sterilization destroys?
all microorganisms, including spores
Sterilization is usually preformed on?
equipment that is entering a sterile portion of the body
Isolation
protective procedure that limits the spread of infectious diseases among hospitalized patients, hospital personnel, and visitors
Transmission-based precautions
used in addition to standard precautions for patients in hospitals with suspected infection with pathogens that can be transmitted by airborne, droplet, or contact routes
Airborne Precautions
Tuberculosis
Varicella
Rubeola
Possibly SARS
Droplet precautions
Rubella
Mumps
Diphtheria
Contact Precautions
infected or colonized by a Multidrug- resistant organism VRE MRSA KPC Influenza virus
Order to don PPE
gown
mask
goggles
gloves
COCA
color, odor, consistency, amount
Serous
clear, watery plasma
Purulent
thick, yellow, green, tan, or brown
serosanguineous
pale, red, watery: mixture of clear and red fluid
Sanguineous
bright red: indicates active bleeding
Inspect wound site for?
size, appearance, and drainage, status of sutures/staples, closures strips, or drains
Inspect surface of skin
edges approximated (closed)- pull together with sutures or staples Healing minimal scar formation edematous warmth redness irritation
Healing by primary intention
the wound is closed
Clean wound from?
top to bottom
center to outside
Use new gauze for?
each wipe or squeeze sterile water directly over incision
Once wound is dry and clean, then?
dry using a gauze sponge in the same manner
Order of removing contaminated PPE
gloves, wash hands, remove goggles, gown, mask, wash hands
