Surgical Techniques - Principles of Aseptic Technique 1-A Flashcards
Which of the following is considered a break in technique?
a. a sterile person turns his or her back to an unsterile person or area when passing
b. a sterile person faces a sterile area
c. a sterile person folds his or her arms with his or her hands in the axillary region
d. an unsterile person avoids a sterile area
c. a sterile person folds his or her arms with his or her hands in the axillary region
Jewelry should not be worn by OR personnel because it presents challenges whn wearing non-sterile or sterile gloves.
a. true
b. false
a. true
Organisms that normally live in and on the bodies of healthy persons without causing harm are called _____ flora.
a. resident
b. noninfectious
c. transient
d. uncontaminated
a. resident
_____ are the only personnel allowed in a restricted area of an operating room.
a. Authorized personnel in street attire
b. Authorized personnel in street or scrub attire
c. Anyone who would like to observe
d. Authorized personnel in OR scrub attire
d. Authorized personnel in OR scrub attire
A surgical mask _____.
a. must be worn loosely over the mouth and nose.
b. must be worn at all times within the operating room.
c. may be removed in OR during the procedure.
d. may be removed as soon as the dressing is on the patient.
b. must be worn at all times within the operating room.
Wearing proper OR attire will _____.
a. proide for standardization of uniforms
b. prevent staining and contamination of personnel clothing
c. provide personal comfort for the personnel
d. prohibit contamination of the sterile field and operative wound
d. prohibit contamination of the sterile field and operative wound
Which of the following is NOT a restriction for operating room personnel during a surgical procedure?
a. body piercings
b. excessive perfume
c. covered tattoos
d. artificial nails
c. covered tattoos
Desquamation is a normal process in which the outer layer of the epidermis is sloughed off in fine scales.
a. true
b. false
a. true
Which of the following is the most important factor to be maintained throughout the operative procedure by all OR team members?
a. constant room temperature
b. aseptic technique
c. position
d. silence
b. aseptic technique
Sterile items dropped on the floor are _____.
a. sterile, if the floor is clean.
b. sterile, if the item did not become soiled.
c. contaminated and should be discarded
d. contaminated but can be used on septic procedures
c. contaminated and should be discarded
Which of the following statements regarding technique is FALSE?
a. Wrapper edges are unsterile.
b. Instruments or sutures hanging over the table are discarded.
c. Sterile persons pass each other back-to-back.
d. A sterile person faces an unsterile person when passing.
d. A sterile person faces an unsterile person when passing.
Which of the following statements regarding sterile technique is TRUE?
a. A sterile person may lean over an unsterile area.
b. An unsterile person may touch sterile areas.
c. Only the surface level of a table draped with a sterile drape cover is considered sterile.
d, Edges of anything that encloses sterile content are considered sterile.
c. Only the surface level of a table draped with a sterile drape cover is considered sterile.
During an operation, maintaining the principles of aseptic technique is the responsibility of _____.
a. the surgeon
b. the scrub nurse
c. the circulating nurse
d. all members of the OR team
d. all members of the OR team
Surgical gowns are considered sterile only in the front from neck to the table level and the sleeves from proximal cuff to 4 inches above the elbow.
a. true
b. false
b. false
When a sterile item is hanging or extending over the sterile table edge, the surgical technologist _____.
a. must watch closely that no one comes near it
b. does not touch the part hanging below table level and discards the item.
c. should pull it back onto the table so it does not become contaiminated
d. may use the item
b. does not touch the part hanging below table level and discards the item.
Which of the following are considered sources of contamination in an OR?
a. OR personnel
b. OR environment
c. patient
d. all of the above
d. all of the above
Sepsis may be defined as _____.
a. a state of being free from injection
b. the absence of pathogens in the blood or tissues
c. the presence of disease-causing microorganisms or other toxins in the bloodstream
d. the desired condition of a surgical wound
c. the presence of disease-causing microorganisms or other toxins in the bloodstream
Tables are sterile _____.
a. only on the front half of the table
b. completely, when draped, from tabletop to floor
c. to the bottom edge of the drape only
d. only at table-top level
d. only at table-top level
Which of the following is considered to be an unrestricted aseptic area of the hospital?
a. anesthesia room
b. sterile supply
c. operating room
d. laboratory
d. laboratory
When unsterile fluid comes into contact with a sterile surface such as a linen cloth wrapper, it carries bacteria with it and contaminates the cloth wrapper. This is called ____.
a. strike-through contamination
b. gross soiling
c. barrier proofing
d. mechanical contamination
a. strike-through contamination
What is the purpose of wearing proper OR attire?
a. to create a protective barrier
b. to prohibit contamination of the sterile field
c. to prevent the spread of microorganisms
d. all of the above
d. all of the above
_____ infections are a diverse group of infections acquired during hospitalization.
a. Surgical-site
b. Nonsocomial
c. Contact
d. Bloodborne
b. Nonsocomial
Nail polish prevents the surgical hand scrub from being performed correctly which can increase the risk of colonization of bacteria and surgical site infections.
a. true
b. false
a. true
Free from all live bacteria or other microorganisms and their spores
sterile
The ways by which infecting organisms are transmitted to sterile objects
Modes of contamination
Infection with disease-causing microorganisms or other toxins in the bloodstream
sepsis
Caused by factors within the body
endogenous
containing pus
purulent
The area around an operative site including furniture covered with sterile drapes and properly attired members of the surgical team
sterile field
An agent that causes contamination, pollution, or spoilage
contaminant
Organisms that notmally live in and on the bodies of healthy persons without causing them harm when located in specific sites, including the bacteria that are normally present below the skin surface in sebaceous glands and hair follicles and are usually harmless to their host but may be pathogenic to others
resident flora
contamination of a sterile field that occurs through the passage of fluid through or by a puncture into a sterile microbial barrier
strike-through contamination
a normal process in which the outer layer of the epidermis is sloughed off in fine scales
desquamation
absence of pathogens
asepsis
organisms that take up residence in or on the body temporarily in a location where they are not normally found through contact with other objects and can be easily removed by mechanical friction
transient flora
an invasion of a body by organisms and the reaction of the body to the presence of those organisms and to the toxins that they produce; the presence and multiplication of an organism that results in harm or disease to a host; the presence of pathogens in a wound site
infection
caused by factors or agents from outside the organism or system
exogenous
a condition of being soiled, stained, touched, or otherwise exposed to harmful agents, such as by entry of infectious or toxic materials into a previously clean or sterile environment, making an object potentially unsafe for use as intended
contamination
The patient can be a(n) _____ source of contamination in the OR.
endogenous
Sources of contamination in a patient include organisms found in the patient’s respiratory tract, _____, circulating blood, and GO tract.
skin
OR personnel and the OR environment are both _____ sources of contamination.
exogenous
To control _____ _____ contaminants in the OR, OR personnel should wear masks that cover the mouth and nose.
respiratory tract
To prevent the spread of resident and transient flora when skin particles are shed, OR personnel should cover their ___________ with sterile scrub attire.
skin and hair
To control microbial shedding of hair, OR personnel should cover the hair with a ______ or hood when in the OR.
surgical cap
To most effectively control shoe contaminants, OR personnel should wear _______ when in the OR.
shoe covers
_____ currents become vehicles of transport for microogranisms to open wounds and othe susceptible tissue. Every movement in the OR increases the chance that microorganisms can reach a patient’s wound and cause infection.
Air
Contaminants can be transmitted in _____ and circulate in the environment and on articles that are brought into the OR and used in the patient’s wound and inside the sterile field.
air ducts
Contaminants can be transmitted in _____ and circulate on air currents, in the environment, and on articles brought into OR.
smoke
When in doubt about the sterility of an item, consider it (sterile or unsterile).
unsterile
The back of a sterile gown is considered (sterile or unsterile).
unsterile
Sterile persons only touch (sterile or unsterile) items.
sterile
Sterile persons should avoid leaning over (sterile or unsterile) areas.
unsterile
Movement withint the (sterile or unsterile) field should be kept to a minimum.
sterile
Draped tables are sterile ( at or below) the table level.
at
Sterile packages are opened (within two hours of opening or as close as possible to the time of actual use).
as close as possible to the time of actual use
As a sterile package is opened, the edges of the wrapper are considered (sterile or unsterile).
unsterile
