Aseptic Technique 2

Card Set Information

Aseptic Technique 2
2012-03-25 17:12:38
Clinical Practice

Clinical Practice
Show Answers:

  1. What should the surgery room be used for?
    only exams or treatment
  2. Should you prep the patient for surgery in the surgery room?
  3. What should be stored in the surgery room?
    minimum contents...just what is necessary for general storage
  4. When should the surgery room be cleaned?
    before and after surgery
  5. How should you clean the surgery room?
    dust, wipe, disinfect all flat surfaces (tables, anesthesia machines, stands, etc)
  6. Should the trashcan used in the surgery room be used anywhere else?
    no, stays in the surgery room
  7. When should the trashcan in the surgery room be cleaned?
    emptied and disinfected between surgeries
  8. Should the mop and broom we use in the surgery room be used in other places of the clinic?
  9. Should we use a vaccum in the surgery room? Why or why not?
    no, spreads out the dust
  10. What should should be cleaned periodically (usually once a month) in the surgery room?
    clean air vents, walls, ceiling, inside and outide of cabinets
  11. How should we check for contamination in the surgery room?
    routinely culture surfaces
  12. What is the prep room?
    • where the patient and surgeon are prepared for surgery
    • separate room from the surgery room
  13. Where do the surgeon and assistant scrub and gown up?
    prep room
  14. What is involved in patient prep?
    induce anesthesia, clip, scrub
  15. Can we use a vacuum in the prep room?
  16. What is involved in preparing for surgery?
    • patient prep before anesthetic induction
    • set up the surgery
    • induce anesthesia
    • patient prep after anesthesia induction
    • preparation of surgeon and assistants
    • drape the patient
  17. What should happen the day before surgery?
    • history and PE
    • lab tests
    • fasting
    • bathe
    • enemas
    • antibiotics
  18. Why do we do the history and PE the day before surgery?
    less rushed and can be more thorough
  19. Why do we do lab tests the day before surgery?
    so we can evaluate results before anesthesia and surgery
  20. How long should we fast the patient?
    8 - 12 hours before surgery
  21. Should we do organophosphate dips before anesthesia? Why or why not?
    no, may reach to drugs
  22. If we bath the patient, do they need to be dry before surgery? Why or why not?
    yes, prevents them from getting too cold
  23. When would we need to use an enema?
    GI surgery, radiology
  24. Why do we do enemas in advance?
    have a chance to clean up and allows time for the colon to go back to normal
  25. When are antibiotics usually given before surgery?
    • dental procedures
    • pre-existing infection
  26. What should be done the day of surgery?
    • anything that wasn't done the day before
    • brief exam
    • walk dogs, remove collar
    • pre-anesthetic injections
  27. What materials should we lay out for surgery?
    • packs
    • gowns
    • gloves
    • sutures
    • blades
  28. Describe inducing anesthesia.
    • montior patient
    • intubate
    • attach to anesthesia machine and monitoring equipment
    • stabilize in maintenance phase before proceeding
  29. When and why is it necessary to express the bladder?
    • especially for abdominal surgery
    • allows for more room in abdomen
    • less chance of urination and contamination during surgery
  30. What are the exceptions to expressing the bladder?
    • pyometra
    • dystocia
    • cystotomy
    • blocked tom
  31. What kind of clipper blade do we use to clip hair for surgery?
  32. Why do we use lubricants in clipper?
    • decreases heat
    • to reduce wear on equipment
  33. How do we clip hair?
    • clip with the grain of the hair first
    • clip against the grain of the hair last
  34. What could a dull clipper blade cause?
    thermal heat
  35. How do we prevent thermal burns?
    • lubricate often
    • change blades as needed
  36. What could cause abrasions from clipper blades?
    • dull blades
    • too rough, not careful
    • going against grain of hair on first pass
  37. How do we handle long hair?
    • do not let long hair lie over surgical site
    • clip wider than usual
    • may taper edges of the clipped area
    • wet long hair away from surgical site with water or alcohol
  38. Do we clip bird feathers?
    no we pluck them
  39. What do we use for antiseptic scrub?
    iodophor + detergent
  40. How long should we scrub the patient?
    3 - 5 minutes
  41. How do we scrub patient?
    • begin scrub at incision site with antiseptic scrub and gauze sponge
    • start at center
    • work out and away form incision site
    • do not take dirty sponge over clean area
  42. Should we use friction when scrubbing patient? Why or why not?
    yes, important to contact, kill, and remove more microbes
  43. How many times do we scrub patient alternating antiseptic scrub and alcohol?
    3 times