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ST > Test GG, HH > Flashcards

Test GG, HH Flashcards

1
Q

what is draping?

A

covering of the patient with sterile barriers, leaving only minimum skin exposed at the site of operation

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2
Q

what is the purpose of draping?

A

create and maintain sterile field during operation

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3
Q

problem solving for drape problems

A

ignore (only in extreme emergencies)
discard and replace
cover

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4
Q

how are drapes secured?

A

towel clips or staples

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5
Q

what do drapes prevent?

A

eliminating passage of MO’s between sterile and nonsterile areas

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6
Q

what are the four steps before draping is done?

A

anesthetized
foley catheter
positioned
prepped

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7
Q

what is the criteria for perfect drape

A

fluid resistant
abrasion resistant
lint free
flame retardant

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8
Q

what should drapes fit around?

A

patient
furniture
equipment

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9
Q

non woven-disposable paper

A

tear resistant
impervious
doesn’t need washing, folding

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10
Q

woven-reusable muslin

A

cotton
impermeable to liquids
repair holes
needs laundering

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11
Q

steri drape

A

clear plastic-adhesive backing applied directly over skin

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12
Q

ioban incise drape

A

impregnated with antimicrobial iodine agent

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13
Q

what is the purpose of iodine in ioban incise drape

A

slowly released to destroy bacteria produced by skin

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14
Q

fenestrated drapes

A

opening in drape

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15
Q

What are nonfenestrated drapes used for?

A

used to square off area

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16
Q

example of nonfenestrated drapes

A

towels

1/2 sheet

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17
Q

how should you open the drape?

A

away from you and in area where it will not touch anything when opened

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18
Q

how can you move drape once it is placed?

A

may be adjusted away from incision area, never towards incision

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19
Q

what should you do if drape is placed incorrectly?

A

discard

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20
Q

what should the ST do when handing skin towels to surgeon?

A

stand on the same side as the surgeon

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21
Q

pre op prep steps

A

transport
position
prep
drape

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22
Q

goals of skin prep

A

reduce SSI
inhibit rapid growth
reduce resident MO levels
remove transient MO’s

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23
Q

what is the most common cause of SSI?

A

the normal skin of the patient and surgical team members

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24
Q

principles of prep

A

note all allergies
inspect skin
define wide area to be prepped

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25
Q

routine preparation

A 
history and physical
chest xray
blood counts
urinalysis
enema
anesthesiologist
26
Q

when does checklist for preop start?

A

time of admission, finished in the holding room or in OR

27
Q

who’s job is it to finish checklist?

A

CN

28
Q

general consideration for pt during prep

A

cleanliness or dirtiness of patient
anatomical area
texture of skin involved

29
Q

shaving skin prior to surgery

A

removes hair from skin surface
decreases hair pulling by adhesive
must not have any nicks

30
Q

clipper

A

leaves a short stubble of hair, but causes less micro-abrasions

31
Q

depilatory cream (nair)

A

patients may have skin irritation from the chemical, not often used

32
Q

razor

A

be sure to use a new one if first one becomes dull

wet shave is always best

33
Q

how is skin prep always done?

A

by means of shaving, mechanical washing, chemical disinfection

34
Q

is pre op cleansing/shaving sterile?

A

no

35
Q

When is intra operative skin prep done?

A

performed after positioning and before the drape

36
Q

When is pre op prep done?

A

morning of surgery or in holding area

37
Q

what is the purpose of intra operative skin prep?

A

to make the skin as clean as possible

38
Q

mechanical washin

A

antiseptic

vigorous scrubbing-not cancer patients

39
Q

providone iodine (betadine)

A

never used around ears
can cause contact dermatitis
don’t use with babies

40
Q

why shouldn’t you use betadine around ears?

A

can cause deafness if tympanic membrane isn’t intact

41
Q

chlorhexidine gluconate

A

may cause allergic reaction
used with caution on mucous membranes
can cause deafness

42
Q

alcohol

A

flammable

doesn’t penetrate organic materials

43
Q

what is the rule with alcohol?

A

it must be dry before draping

44
Q

duraprep

A

harmful to fetuses or neonates

45
Q

gel prep

A

gel is applied to cover all skin in designated area, isn’t scrubbed

46
Q

areas considered dirty

A 
umbilicus
stomas
traumatic wounds
skin ulcers
vagina
anus
47
Q

considerations for dirty areas

A

isolate the area from the surgical site if at all possible

prep areas separately

48
Q

miscellaneous stuff for prepping

A

jewelry should be removed
limb holders are discouraged
don’t warm prep solution

49
Q

how do you start an abdominal prep?

A

use Q tips first

50
Q

degreasers

A

used after shaving head if greasy

51
Q

hair from a craniotomy

A

keep for patient!!!

52
Q

What thread count is woven Muslim?

A

140 x 2 double thickness

53
Q

What does the ST need to remember to do for supplies?

A

Have all supplies ready
Have all supplies in order
Be ready to assist

54
Q

What happens if the scrub solution pools?

A

Chemical burn

55
Q

What requires a Dr. order?

A

Required when removing hair

56
Q

Litho draping

A

UBD
2 diagonal towels
1 towel
Litho drape

57
Q

Laparotomy draping order

A

4 towels
Half sheet
Laparotomy sheet

58
Q

What is a U drape for?

A

Extremity

59
Q

7 sterile prep steps

A 
Position supplies - expose patient
Open glove
Place white towels
Scrub area
Dry area with towels
Paint area
Remove all prep supplies
60
Q

How many towel clips are used with lateral draping?

A

4 towel clips

ST (35 decks)

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