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Questions and Answers
How often should gloves be changed during surgical procedures?
How often should gloves be changed during surgical procedures?
Which scenario requires immediate glove changes?
Which scenario requires immediate glove changes?
What should be done immediately upon discovering contamination on the sterile field?
What should be done immediately upon discovering contamination on the sterile field?
What is the first step in the two-'cuffed' drape method for covering a sterile field?
What is the first step in the two-'cuffed' drape method for covering a sterile field?
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Which of the following is a rule for scrubbed team members in a sterile environment?
Which of the following is a rule for scrubbed team members in a sterile environment?
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Unscrubbed team members should avoid which of the following actions?
Unscrubbed team members should avoid which of the following actions?
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What must be done with sterile gloves after touching contaminated items?
What must be done with sterile gloves after touching contaminated items?
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What is the purpose of covering a sterile field?
What is the purpose of covering a sterile field?
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What is the primary purpose of performing surgical hand antisepsis?
What is the primary purpose of performing surgical hand antisepsis?
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Which of the following conditions affects event-related sterility?
Which of the following conditions affects event-related sterility?
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Which step should be taken before placing surgical instruments on the table?
Which step should be taken before placing surgical instruments on the table?
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What is the correct technique for opening a peel pack?
What is the correct technique for opening a peel pack?
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What should be inspected on the wrapped package before it is opened?
What should be inspected on the wrapped package before it is opened?
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How often should gloves ideally be changed during a surgical procedure?
How often should gloves ideally be changed during a surgical procedure?
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What should be done with the basket(s) after removing items from the container?
What should be done with the basket(s) after removing items from the container?
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Which environmental conditions are most critical for maintaining sterility of surgical items?
Which environmental conditions are most critical for maintaining sterility of surgical items?
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What is the primary reason for performing hand hygiene in a sterile environment?
What is the primary reason for performing hand hygiene in a sterile environment?
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When is it considered appropriate to cover a sterile field?
When is it considered appropriate to cover a sterile field?
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What should be done if there is doubt about the sterility of an item?
What should be done if there is doubt about the sterility of an item?
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Which of the following practices can help prevent cross-contamination in a sterile environment?
Which of the following practices can help prevent cross-contamination in a sterile environment?
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According to sterile techniques, when preparing the sterile field, it is ideal to do so:
According to sterile techniques, when preparing the sterile field, it is ideal to do so:
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What is a key indicator of whether a package of sterile items is still effective?
What is a key indicator of whether a package of sterile items is still effective?
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What should be the position of a sterile gown to be considered sterile?
What should be the position of a sterile gown to be considered sterile?
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What is the correct method for opening a rigid container?
What is the correct method for opening a rigid container?
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Study Notes
Sterile Technique - Final Exam Study Guide
- Outcome: 80% of nurses will demonstrate knowledge on preparing and maintaining a sterile field, evidenced by a 80% or higher score on the post-test.
Objectives
- Define surgical conscience.
- Summarize sterile technique principles.
- Describe opening sterile items (containers, wrapped packages, peel-packs).
- Describe practices to identify, address, and correct sterile field contamination.
Sterile Technique Principles
- Prepare the sterile field as close as possible to use time.
- Prepare in the location of use.
- Only one patient per sterile field.
- Use sterile items within the sterile field.
- A contaminated field is a field where unsterile items have contacted it.
- Question the sterility of doubtful items; consider them contaminated.
- Sterile gown is considered sterile from chest to sterile field / 2 inches above elbow.
- Areas below the table and bed are considered contaminated.
- Cover the field if not used immediately or during activity peaks (positioning).
- Use surgical drapes to establish fields.
- Limit movement around and within the field.
- Prevent cross-contamination by separating sterile fields/instrumentation for procedures with multiple wound classifications.
Hand Hygiene
- Hand hygiene is the most effective method to prevent transmissions of pathogens.
Opening Sterile Items
- Inspect packaging for integrity and proper indicators.
- Verify that the package is intact and sterility conditions have been met.
- Indicators include sterility and package/product integrity.
Additional Information
- Correctly opening rigid containers, small wrapped items, and peel packs is detailed, including steps and required actions.
- Items containing filters require further inspection for integrity.
- Packaging material quality, storage conditions, and handling affect sterility.
- Surgical hand antisepsis (scrub/rub) reduces skin microbes before sterile gown/gloves.
- Follow manufacturers' instructions for use.
- Factors that impact field sterility are included, like expiration dates, chemical indicators, and tampering evidence (locks, seals etc).
- Circumstances where you might need to contact infection preventionists are touched upon (policies regarding situations where items or persons may have been in contact with contaminants).
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Description
This study guide prepares nursing students for the final exam on sterile technique, focusing on principles, practices, and identifying contamination. Students will learn to define surgical conscience and apply sterile techniques effectively in clinical settings.
