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Questions and Answers
What is the primary purpose of monitoring trends in surgical wound infections?
What is the primary purpose of monitoring trends in surgical wound infections?
Fingernails should be long and manicured for surgical hand scrubs.
Fingernails should be long and manicured for surgical hand scrubs.
False
What nursing action should be taken if a staff member has allergies to soap or disinfectants?
What nursing action should be taken if a staff member has allergies to soap or disinfectants?
Report to the clinical instructor and O.R. Supervisor immediately.
Before washing hands, one should remove all ______, including watches and rings.
Before washing hands, one should remove all ______, including watches and rings.
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Match the steps of surgical hand scrubbing with their descriptions:
Match the steps of surgical hand scrubbing with their descriptions:
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What is one expected outcome of following proper surgical hand hygiene protocols?
What is one expected outcome of following proper surgical hand hygiene protocols?
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Sleeves should remain at wrist level during surgical procedures.
Sleeves should remain at wrist level during surgical procedures.
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What is the purpose of inspecting the condition of cuticles, hands, and forearms before surgery?
What is the purpose of inspecting the condition of cuticles, hands, and forearms before surgery?
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What is a key reason for removing jewelry before a surgical procedure?
What is a key reason for removing jewelry before a surgical procedure?
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Scrubbed hands and arms are at risk of contamination from loose garments.
Scrubbed hands and arms are at risk of contamination from loose garments.
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List one expected outcome after the completion of a surgical procedure.
List one expected outcome after the completion of a surgical procedure.
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To reduce the transfer of microorganisms, it is essential to wash the _______.
To reduce the transfer of microorganisms, it is essential to wash the _______.
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Which of the following is NOT a component of surgical attire?
Which of the following is NOT a component of surgical attire?
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Match the following actions with their purpose in surgical settings:
Match the following actions with their purpose in surgical settings:
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What is the primary purpose of rinsing the brush and hands during the hand hygiene protocol?
What is the primary purpose of rinsing the brush and hands during the hand hygiene protocol?
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The entire hand scrub should last at least 5 minutes.
The entire hand scrub should last at least 5 minutes.
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Wearing a two-piece pant and scrub suit helps prevent contamination by keeping the top secured at the waist.
Wearing a two-piece pant and scrub suit helps prevent contamination by keeping the top secured at the waist.
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Identify one risk factor that nursing diagnoses may relate to in surgical patients.
Identify one risk factor that nursing diagnoses may relate to in surgical patients.
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What actions should be taken after noticing signs of infection at the surgical site?
What actions should be taken after noticing signs of infection at the surgical site?
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After rinsing, you should drop the brush and rinse your hands and arms allowing water to flow from __________ down to the elbow.
After rinsing, you should drop the brush and rinse your hands and arms allowing water to flow from __________ down to the elbow.
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Match the following postoperative observations with their possible signs of infection:
Match the following postoperative observations with their possible signs of infection:
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Which of the following describes the drying technique after hand scrubbing?
Which of the following describes the drying technique after hand scrubbing?
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No recording is required for hand washing.
No recording is required for hand washing.
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How should water be turned off after rinsing your hands?
How should water be turned off after rinsing your hands?
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Study Notes
Surgical Hand Scrub Protocol
- Inspect hands, cuticles, and forearms for abrasions, cuts, or open lesions to prevent infection.
- Broken skin allows microorganisms entry, increasing infection risk.
- Ensure top of scrub suit is secured and tucked into pants to avoid contact with sterile fields.
Nursing Diagnoses
- Common nursing diagnoses include risk of infection and risk for injury.
- Assessments are individualized based on patient's condition and needs.
Planning Outcomes
- Expected outcome: Patient remains free from surgical wound infection post-procedure.
- Remove jewelry to minimize harboring of microorganisms and enhance skin cleaning access.
- Wash hands to reduce microorganism transfer and ensure cleanliness before procedure.
- Prepare necessary equipment to facilitate smooth operation.
Implementation Steps
- Don scrub attire: shoe covers, cap, facemask, and protective eyewear to prevent contamination.
- In case of surgical wound infections, infection control teams will analyze patterns and perform cultures on staff and environment.
- Adhere to institutional guidelines for hand washing duration and techniques.
Surgical Hand Scrub Procedures
- Hands must be clean, short nails are mandatory, and check for any soap allergies.
- Wet hands, apply detergent, scrub up to 2 inches above elbows for at least 2 minutes.
- Use statistical scrubbing with a brush for thorough cleansing of hands and forearms.
- Rinse to remove resident bacteria and prevent contamination from touched surfaces.
- Elevate hands while exiting scrub area, minimizing contact with attire.
Drying Procedure
- Use a sterile towel to dry hands from fingers to elbows while rotating, ensuring the cleanest areas are dried first.
- Lean forward during drying to avoid arm contact with clothing.
- Discard towel properly to prevent contamination.
Evaluation of Patient
- Monitor for signs of localized infection post-operation within 2 to 3 days, including redness, heat, swelling, pain, and drainage.
Documentation
- No specific recording needed for handwashing, but document postoperative surgical site conditions for future monitoring.
- Note any unexpected surgical site outcomes, such as redness or swelling, and implement appropriate wound care interventions.
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Description
This quiz focuses on the inspection and management of skin conditions pertinent to clinical instructors and O.R. supervisors. It includes information about identifying abrasions, cuts, and other lesions that could harbor pathogens. Understanding these aspects is crucial for maintaining hygiene and preventing infections in healthcare settings.
