Surgical Techniques - Scrubbing, Gowning, and Gloving 2-A Flashcards
Condition of the skin immediately after a surgical scrub in which the transient bacterial flora has been reduced within safe limits, though resident flora is not affected
surgically clean
process of reducing the number of microorganisms from the hands and arms to a safe level before participating in an operative procedure
surgical scrub
turned inside out
everted
uses friction of a brush in combination with water, soap, or detergent
mechanical cleansing
causes removal of microbes via antimicrobial or antiseptic solution
chemical disinfection
designated number of brush strokes for the nails, each finger, palm, back of hand, forearm, and elbow
numbered stroke method
utilization of a chemical antiseptic agent as an alternative to the other methods
waterless/brushless method
prescribed amout of time for scrubbing each hand, arm, and elbow area
timed method
List in sequential order the anatomical areas cleaned during a mechanical surgical scrub.
- finger nails
- fingers
- hands
- arm/forearm
- 2 inches above the elbow
Perform a surgical scrub before each operative procedure, since conditions undersurgical gloves are ideal for _____ growth.
bacterial
Initial scrub should generally be _____ minutes.
10
Subsequent scrubs should generally be ____ to _____ minutes.
3 to 5
Thoroughly dry hands and arms with a _____ towel after scrubbing to avoid strike-through contamination of the gown.
sterile
Dry using a _____ motion by moving the arms, not towel, and from fingertips to elbow without returning to any area.
circular
The gowning method is determined by the type of _____ and whether it is being performed before or during the procedure.
gloving technique
Most often the _____ sterile team member performs the self-gowning procedure.
first
The _____ self-gloving technique is most common.
closed
The _____ gloving technique is generally used during a procedure pr when no gown is required.
open
The _____ technique prevents outside of sleeves or gloves from touching the skin or hand, which are covered with the sleeves of the gown when gloves are put on.
closed
______ ______ refers to gloving by or for other personnel.
Assisted gloving
Lift gowns and gloves _____ _____ and away from the wrapper when gowning and/or gloving, ensuring that no part of gown or glove has contacted the wrapper edge.
straight up
Gowns are sterile only from ______ level to ______ level in front, including sleeves to 2” above the elbow.
table to chest
The ____ of a gown is always considered contaminated.
back
If a gown is puncturedm town or wet, it should be _____.
discarded
_____ the sterile field and step away from unsterile objects or people to avoid hitting them.
Face
When unfolding a gown, it is imperative not to allow gown _____ to touch below waist level.
sleeves
During an operation, a contaminated gown is always removed after stepping away from the sterile field by having the ______ step up from behind.
circulator
Gloves are removed _____ the contaminated gown is removed.
after
If gloves are packaged with dry starch, it is important to _____ _____ excess powder from external glove surfaces immediately after gloving.
wipe off
Change a sterile glove immediately if punctured or _____ to prevent any microbial exchange.
torn
Inter-operatively, the circulator is responsible for removing the contaminated glove by grasping the outside of the cuff about _____ inches below the top of the glove and pulling it inside out.
2
Post-surgery gloves are ______ so it is important to handle carefully to avoid splash.
contaminated
After an operation, grasp the outer cuff of both gloves with the opposite hand’s _____ and _____ _____ simultaneously pulling outward until gloves are inside out.
thumb
middle finger
