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heather.dundas
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area where incision is made
sx site
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surgical site and sterile drapes surrounding it on the table
sterile sx field
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surface covered w. drapes
to be used as a work area to hold instruments and supplies
sterile field
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sterile field & area of scrubbed personnel & air space above all of these
sterile zone
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all articles in any procedures have been ____ previously
sterilized
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people who are ___ touch sterile items and people or are ___ touch non-sterile items.
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if in doubt, consider it ____
non sterile
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____ people do not reach over a sterile field
non sterile people
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tables are sterile only at ___ level
table
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gowns are considered sterile only from the ___ to ____ in front and the ____
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the edge f anything that encloses sterile contents is ____ (greater than an inch)
not sterile
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all personnel pass a sterile area by facing ____ it
towards
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sterile people pass a non sterile area with their ____ towards it
back
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sterile people pass each other ______
back to back
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moisture may cause ____.
if a pack becomes wet it is ____
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when bacteria cannot completely be eliminated, they must be kept at an ____ ____
irreducible minimum
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what are the 6 requirements of the storage area for sterilized items?
DGIVTH
- dust free
- germ free
- insect free
- ventilated
- temp extremes limited
- humidity extremes limited
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closed cabinets are ____ than open shelving
better
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how long does a single wrapped muslin pack last in a closed cabinet?
1 w.
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how long does a double wrapped muslin pack last in a closed cabinet?
7 w.
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how long does a single wrapped crepe paper pack last in a closed cabinet?
8w. (2 mo.)
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how long does a single wrapped muslin pack last on an open shelf?
2 d.
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how long does a double wrapped muslin pack last on an open shelf?
3 w.
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how long does a single wrapped crepe paper pack last on an open shelf?
3 w.
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heat sealed and plastic pouches are good for ___, any longer and it should be re-wrapped
1 year
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every ___ months we rewrap everything
6
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what are the 7 things that will make a pack contaminated?
WTDPTDO
- wet
- tape is broken/lose
- date is illegible/missing
- punctures
- tears
- dropped
- opened and not used
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what 3 things are required to be on a pack?
DTN
- date of autoclaving
- type of pack
- name/initials
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if an emergency exists, the tool can be ____
disinfected
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instruments should be ___ before placed in a cold pack, alcohol, betadine, or boiling water for sterilization
washed
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a cold pack sterilization emergency should sit for ___ mins
15 mins
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flash sterilization in ___% alcohol should sit for ___ hours and air dry
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flash sterilization in betadine/nolvasan solution should sit for ___ hours
3 hours
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flash sterilization in boiling water should sit for ___ hours
3 hours
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what is the preferred method of flash sterilization?
what are the parameters that are required?
- autoclave flash
- 270 ° F for 3 mins @ 32 psi unwrapped
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what are the 5 things we need to know how to wrap?
PGHHD
- packs (instruments)
- gowns
- hand brushes
- hand towels
- drapes
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what 2 items need to be wrapped by us w/ drape/cloth?
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what 3 things can be put into the plastic wraps?
HHD
- hand brushes
- hand towels
- drapes
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what side of the mask faces out?
blue side
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all hair on the ___ and ___ needs to be covered
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what 3 things must be worn into the sx prep room?
CMB
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what are the 5 ideal characteristics of a wrap material?
SRFMC
- selective permeability
- resistance to damage
- flexibility
- memory
- cost
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selective permeability-
steam/gas can penetrate, not microbes
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resistance to damage-
- shouldnt rip easily
- if torn, discard
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flexibility-
should conform to shape of pack and stretch just a little
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memory-
should easily return to flat
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cost-
- economical- bulk/rolls
- cotton can be reused w/ a high initial cost, but they can be reused several 1000 times
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cotton textile aka-
musin
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instruments should be placed in a ___ ASAP after sx
soak
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what are the 7 steps of cleaning instruments and making packs?
- soak in sink of warm water and inst. detergent
- wash in open postition, use soft bristle brush
- rinse
- rinse/spray w. inst. milk (if soaking, @ least 45 sec)
- dip dry
- check for defects
- assemble and wrap
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what can also be used to clean the inst.?
ultrasonic cleaner
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the US cleaner uses high frequency ___ to reach areas that the brush ___ reach
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US cleaners remove all previous ___
lubricants
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all ___, ___, or ___ instruments should get an instrument milk
hinged, box lock, or ratchet
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how long should the inst. be in the US cleaner?
10 mins
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what are the 4 things that should be spot cleaned or machine washed alone?
GDHH
- gowns
- drapes
- hand towels
- hand brushes
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what are 4 corner drapes?
4 drapes positioned around the incision site
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what is the other type of corner drape pack?
3 corner drapes
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___ ___ ___ are large enough to cover the tray on the stand
mayo stand drapes
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how many mayo drapes are in a pack?
2
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what 2 people may come in direct contact with the sterile field?
- surgeon
- sterile scrubbed nurse
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remove all ___ before going into any sx related area
jewlery
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how long should you scrub for?
5 minutes
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what is proper scrubbing a combo of?
proper contact time and scrubbing action
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never go back to ___ after drying the arms
hands
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closed gloving- hands are ___ ___ ___ ___ ___
not seen outside the gown
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open gloving is used when ____ ____
prepping animal
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who performs the prep of the sx pt?
preanesthetist
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