Surgical Field

Question 1

The surgeon is preparing to place plaster cast on the patient after the ORIF. According to rule of confine and contain what should happen next? How should the perioperative nurse respond?

Answer 1

Ask the surgeon to remove his gown and gloves

To prevent blood from getting on the cast and irritation to the hands from the lime content the surgeon should done non sterile disposable
gloves.

Question 2

Principles of sterile technique

Answer 2

1. only sterile items are used within the sterile field.
2. Items of doubtful sterility must be considered unsterile.
3. Whenever a sterile barrier is permeated it must be considered contaminated.
4. Sterile gowns are considered sterile infront from the chest to the level of the sterile field, and at the sleeves from 2 inches above the elbow to the cuff

Question 3

Principles of sterile, technique continued

Answer 3

5. sterile drapes are used to create a sterile field
6. Item should be dispense to the field in a manner that preserves the sterility of the item and the integrity of the sterile field.
7. Sterile individuals touch only sterile items and areas; unsterile individuals touch only unsterile items and areas.
8. Movement within or around a sterile field must not contaminate the field.

Question 4

Aseptic technique

Answer 4

Also known as clean technique

Question 5

Water temperature for washing hands

Answer 5

70 to 80° 

Question 6

Hand scrub agent

Answer 6

Broad-spectrum
Fast acting
Persistent
Time is as recommended by manufacturer
Alcohol-based

Question 7

Subungual area

Answer 7

“Nail beds”
Only area for brushes

Question 8

Surgical attire material

Answer 8

Spun bound polypropylene
No cotton

Question 9

How often should outer gloves be changed?

Answer 9

Every 90 to 150 minutes
Collects microcontaminated, which increase risk of contamination

Question 10

Changing contaminated gloves

Answer 10

Somebody else gloves you
Gown cuff is considered contaminated after initially gowning and gloving

Question 11

Surgical drapes if perforated

Answer 11

contaminated
Example: staples, perforating towel clamps

Question 12

Event related sterility

Answer 12

Not related to time
-Package integrity
-Storage conditions
-Transport
-Handling
-Environmental control

Question 13

Isolation technique

Answer 13

-Also known as bowel technique or contamination technique
-Instruments touched inside of bowel isolated
-No longer touched by sterile team members
-Clean instruments used to close