Surgical Sterility and Techniques
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Questions and Answers

Which is not considered part of a sterile field?

  • Gloves of sterile person who has folded his arms (correct)
  • Only the center of a sterile wrapper
  • Gown from waist to shoulders in front, and the sleeves
  • Draped table only at table level
  • The presence of only one living microorganism means an object is:

  • Disinfected
  • Contaminated (correct)
  • Aseptic
  • Sanitized
  • Which statement concerning masks is not true?

  • Air must filter through the mask, not escape around it
  • Ties may be tied crisscross on top of head (correct)
  • Ties must be tied one on top and one behind
  • As the mask becomes moist, filtration effectiveness decreases
  • In draping a table, the scrub nurse drapes from ______ to ______, protecting her gloves ______.

    <p>front, back, by cuffing drape edge</p> Signup and view all the answers

    The purpose of the hand scrub by the surgical team is to render their skin:

    <p>Surgically clean</p> Signup and view all the answers

    After steam sterilization, which items should not be considered sterile?

    <p>All of the above</p> Signup and view all the answers

    Because there is less chance of contamination, the preferred method of gloving is ______. For changing only a glove during a case, this method ______ be used.

    <p>closed, cannot</p> Signup and view all the answers

    Which directive for loading a pressure steam sterilizer is incorrect?

    <p>Load liquids first to prevent spillage on packs</p> Signup and view all the answers

    Which statement is not true?

    <p>The inside of wrapper edges are sterile</p> Signup and view all the answers

    If the prep site contains a colostomy or draining sinus which cannot be sealed off, it should be scrubbed:

    <p>Last with sponges used once and discarded</p> Signup and view all the answers

    Operating room floors should be flooded with ______ and ______ at the end of each ______.

    <p>germicidal, detergent germicide, day</p> Signup and view all the answers

    Study Notes

    Sterile Field and Contamination

    • A sterile field minimizes contamination risk; incorrect items disrupt sterility.
    • Gloves that are folded and not in use are not considered part of a sterile field.
    • An item is deemed contaminated if it has even one living microorganism; sterilization eliminates all microbes.

    Masks and Their Usage

    • Masks must fit correctly to ensure proper filtration and minimize escape of air around the mask.
    • Moisture reduces mask effectiveness; ties should be secured one on top and one behind the neck for optimal fit.

    Draping Techniques

    • The scrub nurse drapes tables from front to back while cuffing the drape edge to protect gloves from contamination.
    • Surgical hand scrub aims to render skin surgically clean, reducing microbial load but not guaranteeing sterility.

    Steam Sterilization Practices

    • Items like suction tips and asepto syringes may not remain sterile without proper handling after sterilization.
    • Closed gloving is preferred for minimizing contamination; open gloving is utilized for changing single gloves during procedures.

    Pressure Steam Sterilizer Loading

    • Liquids should be loaded last in a steam sterilizer to prevent spillage and contamination of other items.
    • Proper loading practices include placing linen packs upright and keeping canisters on their sides.

    Sterility Guidelines

    • Any doubt about sterility should lead to treating the object as non-sterile.
    • Edges of wrappers are not considered sterile; sterile personnel must avoid unsterile areas and should turn away when passing them.

    Surgical Prep Site Considerations

    • If a prep site has a colostomy or draining sinus, it should be scrubbed last with single-use sponges to avoid contamination.

    Operating Room Cleaning

    • Operating room floors must be cleaned with a germicidal solution to eliminate microorganisms effectively.
    • High standards for cleanliness in operating rooms require thorough disinfecting practices, ensuring the absence of potential contaminants.

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    Description

    Test your knowledge on essential surgical practices including sterile fields, mask usage, and draping techniques. Understand the importance of steam sterilization and how to maintain a sterile environment during surgical procedures. This quiz is crucial for those preparing for surgical nursing or medical roles.

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