SN1:Practical Application of Asepsis

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SN1:Practical Application of Asepsis
2013-05-28 21:20:46

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  1. Area where the insion site is made
    sx site
  2. Surgical site & sterile drapes surrounding it on the table
    sterile sx field
  3. Surface covered with drapes & intended to be used as a work area to hold instruments & supplies
    sterile field
  4. sterile field, sterile sx field, area of scrubbed personnel and the airspace above all of these
    sterile zone
  5. How do sterile people pass each other?
    back to back
  6. If a pack becomes damp or wet from bleeding through it is considered what?
  7. When a pack becomes contaminated from damp or wet bleeding through this is called..
    strike through
  8. 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
  9. Non-sterile people pass a sterile area by:
    facing the area
  10. What are the main factors to take into consideration for storage of sterilized items?DF,V,GF,IF,NTHE
    • dust free
    • ventilated
    • germ free
    • insect free
    • no temp or humidity extremes
  11. A single wrapped muslin that is stored in a cabinet is sterile for how long?
    1 week
  12. A double wrapped muslin stored on open shelving is sterile for how long?
    3 weeks
  13. This wrapping has the longest sterility when placed in open shelving:
    single wrapped crepe paper
  14. A sterile single wrapped crepe paper lasts how long in a closed cabinet?
    8 weeks
  15. How long does double wrapped muslin last in a closed cabinet?
    7 weeks
  16. Single wrapped muslin on open shelving lasts how long?
    2 days
  17. Single wrapped crepe paper lasts how long on open shelves?
    3 weeks
  18. Single wrap = how many layers?
    • 2
    • double wrap = 4 etc
  19. Heated-sealed and plastic puches are good for how long on an open shelf?
    1 year
  20. An sterilized pack is considered contaminated if: W,T,D,P,D
    • wet
    • tape broken or loose
    • date illegible or missing
    • punctured pack
    • dropped on floor
  21. 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
  22. How long is the cold soak min and ideally how long is it?
    • 15 min
    • 3 hrs ideally
  23. How long should 70% alcohol be used?
    1 hour
  24. How long should Betadine/Nolvasan soln be used?
    3 hrs
  25. What temp should flash sterilization occur at and for how long? (this is the fastest)
    • 270 degrees
    • 3 minutes
  26. What are the ideal characteristics for wrap material? SP,RD,F,M
    • selective permeability
    • resistance to damage
    • flexibility
    • memory
  27. What are the 2 types of wrap material?
    • cotton textile
    • paper
  28. What is another name for a cotton textile wrap?
  29. What are the two types of paper wraps?
    • crepe
    • non-crepe
  30. What should be done with instruments immediately after sx is completed?
    instruments should be placed in soak and prepared to be washed
  31. When rinsing or spraying an instrument with instrument milk it should be applied for at least how long?
    45 seconds
  32. How long is an ultrasonic cleaner used after the instrument has been hand washed?
    5-10 min
  33. When washing surgical materials in a washer machine we want to wash them with this substance:
  34. What are four different drapes?
    • 4 corner drapes
    • 3 corner drapes
    • mayo stand drapes
    • fenestrated drapes
  35. How many gowns and hand towels should be placed in a pack?
    1 of each
  36. Which people have the direct contact with the sterile field? 2
    • surgeon
    • sterile scrub nurse
  37. When is an open gloving technique used?
    when prepping the animal for surgery
  38. Non-sterile personnel do what? OP,OB,OSM,TI
    • open packs
    • open blades
    • open suture material
    • transfer items
  39. Before actual prep begins you always verify: I,S,P,F
    • ID of patient
    • sex
    • procedure to be performed
    • fasting comfirmation
  40. What are some necessary test results? B,U,F,X,E,H,F
    • blood work
    • urinalysis
    • fecal
    • x-rays
    • EKG
    • HWT
    • FeLV/FIV
  41. This begins after the patient has been anesthetized, stabilized, & hooked up to IV fluids
    actual patient prep
  42. What blade number should be used when clipping a patient?
    #40 blade
  43. Who begins the sterile scrub?
    sterile prep nurse
  44. Why should positioning the patient be done carefully? 2 things to be maintained:
    • maintain airway
    • maintain IV fluid flow
  45. This is the most routine position and is commonly used for abdominal surgeries and cervical disk surgery
  46. This position is also known as the frog position and is used for lumbar disk surgery,cranial and ear surgery
  47. Hanging prep positioning is commonly used for what type of surgery?
    orthopedic sx
  48. Happens outside the patient. Ex:air, sx instruments, and supplies
    exogenous route
  49. Happens within the patient reaching the wound through the blood stream. Ex:dermatitis, bacteria
    endogenous route
  50. Who determines the degree to which principles of asepsis are followed in each case?
    the surgeon