Asepsis in Patient Care
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Questions and Answers

Differentiate between medical and surgical asepsis.

Medical asepsis is any practice that reduces the number and spread of microorganisms. Surgical asepsis is the process that eliminates completely all microorganisms and their spores from the surface of an object.

Match the need for medical or surgical asepsis to the following procedures:

Measuring Vital Signs = Medical Asepsis Administering an intravenous contrast agent = Surgical Asepsis Taking a flat plate image of the abdomen = Medical Asepsis Reapplying a dressing = Surgical Asepsis Catheterization of the urinary bladder = Surgical Asepsis

When entering a surgical suite and preparing to enter Zone 2, what must the radiographer do?

  • Just walk in without preparation
  • Wear regular clothes
  • Change into a scrub suit
  • Change into a scrub suit, don shoe covers, and cover his/her hair (correct)
  • List the three most common causes of contamination of a surgical site.

    <ul> <li>Microorganism blown into the surgical site</li> <li>Use of contaminated instruments or gloves</li> <li>A wet or damp sterile field</li> </ul> Signup and view all the answers

    Maintenance of the sterile field is the duty of only the circulating nurse.

    <p>False</p> Signup and view all the answers

    Disinfectants are categorized depending on their ability to disinfect. Alcohol is considered an intermediate-level disinfectant. This means that it:

    <p>May be used to disinfect thermometers and medication vials</p> Signup and view all the answers

    If there is a question about the sterility of an item, what must the radiographer do?

    <p>Consider it unsterile and replace it</p> Signup and view all the answers

    When opening a sterile wrapper, the fold closest to the radiographer is opened first.

    <p>False</p> Signup and view all the answers

    The purpose of the surgical scrub is:

    <p>To remove as many microbes as possible from the skin</p> Signup and view all the answers

    List three responsibilities of the radiographer in the operating room or special procedures room.

    <ol> <li>To protect himself or herself and all persons in the OR or special procedures room from exposure to radiation.</li> <li>To be knowledgeable concerning the areas that are sterile.</li> <li>To protect sterile areas and the patient from contamination.</li> </ol> Signup and view all the answers

    When preparing to enter the OR, the radiographer must don a lead apron and wear his radiation protection badge:

    <p>Outside the lead apron</p> Signup and view all the answers

    Any dressing removed in the imaging department must be considered:

    <p>Contaminated</p> Signup and view all the answers

    When sterile drapes are placed by the sterile person, the drape is placed:

    <p>In the area nearest the sterile person first</p> Signup and view all the answers

    If the radiographer is allergic to latex, he must:

    <p>Inform the staff and use non-latex gloves</p> Signup and view all the answers

    Sterile technique must be used during a dressing change only if the dressing is not contaminated.

    <p>False</p> Signup and view all the answers

    Study Notes

    Asepsis in Patient Care

    • Medical Asepsis: Reduces the number and spread of microorganisms.
    • Surgical Asepsis: Completely eliminates all microorganisms and their spores from objects.

    Procedures and Asepsis Requirements

    • Measuring Vital Signs: Requires medical asepsis.
    • Administering IV Contrast: Requires surgical asepsis.
    • Flat Plate Image of Abdomen: Requires medical asepsis.
    • Reapplying a Dressing: Requires surgical asepsis.
    • Catheterization of Urinary Bladder: Requires surgical asepsis.

    Preparation for Surgical Suite

    • Before entering Zone 2, radiographers must change into a scrub suit, don shoe covers, and cover their hair.

    Contamination Causes in Surgical Sites

    • Common causes include:
      • Microorganisms blown into the surgical site.
      • Use of contaminated instruments or gloves.
      • A wet or damp sterile field.

    Sterile Field Maintenance

    • Maintenance of the sterile field is not the sole duty of the circulating nurse; all team members share this responsibility.

    Disinfectant Use

    • Alcohol is categorized as an intermediate-level disinfectant, suitable for disinfecting thermometers and medication vials.

    Handling Sterility Concerns

    • If there is uncertainty regarding the sterility of an item, it should be considered unsterile and replaced.

    Sterile Wrapper Handling

    • The fold of a sterile wrapper closest to the radiographer should not be opened first.

    Purpose of Surgical Scrub

    • The primary objective of the surgical scrub is to remove as many microbes as possible from the skin.

    Radiographer Responsibilities in OR

    • Responsibilities include:
      • Protecting self and others from radiation exposure.
      • Being knowledgeable about sterile areas.
      • Protecting sterile areas and patients from contamination.

    Radiation Protection in OR

    • When donning a lead apron, the radiation protection badge must be worn outside the apron.

    Dressing Contamination

    • Any dressing removed in the imaging department is considered contaminated.

    Sterile Drapes Placement

    • Sterile drapes are placed by the sterile person starting from the area nearest to them.

    Latex Allergy Precautions

    • Radiographers allergic to latex must use non-latex gloves during procedures.

    Dressing Change Protocol

    • Sterile technique is required during a dressing change regardless of the dressing's contamination status.

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    Description

    This quiz covers the principles of medical and surgical asepsis essential for patient care. It includes information on asepsis requirements for various procedures, preparation for the surgical suite, common causes of contamination, and the maintenance of sterile fields. Test your understanding of these vital concepts in infection control.

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