SN1:Practical Application of Asepsis
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. What would you like to do?
Area where the insion site is made
Surgical site & sterile drapes surrounding it on the table
sterile sx field
Surface covered with drapes & intended to be used as a work area to hold instruments & supplies
sterile field, sterile sx field, area of scrubbed personnel and the airspace above all of these
How do sterile people pass each other?
back to back
If a pack becomes damp or wet from bleeding through it is considered what?
When a pack becomes contaminated from damp or wet bleeding through this is called..
How far from the edge of anything that encloses sterile contents have to be for it to still be considered sterile?
an inch from the outer edge
Non-sterile people pass a sterile area by:
facing the area
What are the main factors to take into consideration for storage of sterilized items?DF,V,GF,IF,NTHE
- dust free
- germ free
- insect free
- no temp or humidity extremes
A single wrapped muslin that is stored in a cabinet is sterile for how long?
A double wrapped muslin stored on open shelving is sterile for how long?
This wrapping has the longest sterility when placed in open shelving:
single wrapped crepe paper
A sterile single wrapped crepe paper lasts how long in a closed cabinet?
How long does double wrapped muslin last in a closed cabinet?
Single wrapped muslin on open shelving lasts how long?
Single wrapped crepe paper lasts how long on open shelves?
Single wrap = how many layers?
Heated-sealed and plastic puches are good for how long on an open shelf?
An sterilized pack is considered contaminated if: W,T,D,P,D
- tape broken or loose
- date illegible or missing
- punctured pack
- dropped on floor
In case of extreme emergency and you have dirty instruments what can you do so that the instrument can be used? CS,A,BNS,FS
- cold soak soln
- Alcohol 70%
- Betadine/Nolvassan Soln
- Flash sterilization
How long is the cold soak min and ideally how long is it?
How long should 70% alcohol be used?
How long should Betadine/Nolvasan soln be used?
What temp should flash sterilization occur at and for how long? (this is the fastest)
What are the ideal characteristics for wrap material? SP,RD,F,M
- selective permeability
- resistance to damage
What are the 2 types of wrap material?
What is another name for a cotton textile wrap?
What are the two types of paper wraps?
What should be done with instruments immediately after sx is completed?
instruments should be placed in soak and prepared to be washed
When rinsing or spraying an instrument with instrument milk it should be applied for at least how long?
How long is an ultrasonic cleaner used after the instrument has been hand washed?
When washing surgical materials in a washer machine we want to wash them with this substance:
What are four different drapes?
- 4 corner drapes
- 3 corner drapes
- mayo stand drapes
- fenestrated drapes
How many gowns and hand towels should be placed in a pack?
1 of each
Which people have the direct contact with the sterile field? 2
- sterile scrub nurse
When is an open gloving technique used?
when prepping the animal for surgery
Non-sterile personnel do what? OP,OB,OSM,TI
- open packs
- open blades
- open suture material
- transfer items
Before actual prep begins you always verify: I,S,P,F
- ID of patient
- procedure to be performed
- fasting comfirmation
What are some necessary test results? B,U,F,X,E,H,F
- blood work
This begins after the patient has been anesthetized, stabilized, & hooked up to IV fluids
actual patient prep
What blade number should be used when clipping a patient?
Who begins the sterile scrub?
sterile prep nurse
Why should positioning the patient be done carefully? 2 things to be maintained:
- maintain airway
- maintain IV fluid flow
This is the most routine position and is commonly used for abdominal surgeries and cervical disk surgery
This position is also known as the frog position and is used for lumbar disk surgery,cranial and ear surgery
Hanging prep positioning is commonly used for what type of surgery?
Happens outside the patient. Ex:air, sx instruments, and supplies
Happens within the patient reaching the wound through the blood stream. Ex:dermatitis, bacteria
Who determines the degree to which principles of asepsis are followed in each case?
What would you like to do?
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