Fundamentals Final

Front 1

As a sterile package is opened, the edges of the wrapper are considered sterile/unsterile

Back 1

unsterile

Front 2

when in doubt about the sterilit of an item, consider it

Back 2

unsterile

Front 3

Never turn your ___ to the sterile field

Back 3

back

Front 4

t/f Susceptibility refers to the weakened state of the body that allows the transmission of infections to have a higher impact

Back 4

True

Front 5

Pathogens or carriers of microorganisms spread via airborne contaminants or direct contact

Back 5

True

Front 6

T/F One potential area for contamination containment and prevention is at the surgical site.

Back 6

True

Front 7

T/F methods of infection prevention used before, during, and after surgery is referred to as the aseptic technique

Back 7

True

Front 8

T/F The OR is divided functionally by support services for surgery and the surgical site

Back 8

True

Front 9

T/F The anesthesia room is considered restricted

Back 9

True

Front 10

T/F The laboratory is considered unrestricted

Back 10

True

Front 11

List four sources of contamination in an OR

Back 11

Respiratory tract
clothes and shoes
skin
hair

Front 12

List 3 environmental sources of contamination

Back 12

dust
air
articles used in the would and on the sterile field

Front 13

T/F contaminants can be transmitted through moisture in the air

Back 13

True

Front 14

T/F Articles used in the wound in a sterile field are potential sources of contaminants that can be transmitted directly to the patient's blod

Back 14

True

Front 15

T/F Perspiration that penetrates the gown are a potential source of contamination

Back 15

True

Front 16

T/F Smoke from a laser plume during an operation is a potential source of contamination

Back 16

True

Front 17

List the purposes of OR attire

Back 17

Protection of self and others from disease and infection and
reduces the spread of infection and
create a protective barrier between personnel and patient

Front 18

List the 4 purposes of the surgical scrub and or surgical had preparation

Back 18

to make skin surgically sterile
remove dermis from hands and forearms
presence of microorganisms to absolute minimum
keep population of microorganisms to minimal during operation by suppression of growth

Front 19

Describe two processes used to remove microbes from the skin

Back 19

mechanical cleaning
chemical disinfection

Front 20

T/F transient flora are organisms present on the epidermis which have been picked up through contact with other objects

Back 20

True

Front 21

T/F The subungual area under the fingernails is very difficult to clean and particularly prone to contamination

Back 21

True

Front 22

T/F Skin cannot be sterilized, but it can be made surgically clean by reducing the number of microbes

Back 22

True

Front 23

List in sequential order anatomical areas cleaned during a mechanical surgical scrub

Back 23

nail
finger
hand
forearm
elow

Front 24

Initial scrub should be how many minutes

Back 24

10 minutes

Front 25

subsequent scrubs should be generally how many minutes

Back 25

3 to 5 minutes

Front 26

Assisted gloving means

Back 26

gloving by or for other personnel

Front 27

The closed gloving refers to

Back 27

technique which prevents outside of sleeves or gloves from touching the skin or hand, which are covered with the sleeves of the gown when gloves are put on

Front 28

open gloving

Back 28

is a technique generall used during a procedure when no gown is required

Front 29

The first necessary step is to inspect any package for ____ and ____ that would indicate contamination

Back 29

damage or wetness

Front 30

When unfolding a gown, it is imperative not to allow gown sleeves to touch below ____

Back 30

waist level

Front 31

Gowns are sterile only from the

Back 31

Chest to the waist level, including 2" above the elbow

Front 32

T/F Gloves are removed after the contaminated gown is removed

Back 32

True

Front 33

This type of Steam Sterilizer (autoclave) relies on gravity to remove air from chamber as steam is injected into the chamber

Back 33

Gravity - Air displacement sterilizer

Front 34

This is a small version of the gravity air displacement sterilizer, because of its size it is capable of reaching higher temps

Back 34

High Speed Pressure Sterilizer

Front 35

this sterilizer pulls air out of chamber by a vacuum and steam is injected to replace it

Back 35

Prevacuum (or high vacuum)

Front 36

This sterilizer uses agitated water with detergent to loosen soil; then steam displaces the water and items are sterilized at 132 C 270 F for three minutes

Back 36

Washer-Sterilizer

Front 37

How are microorganisms destroyed during steam sterilization

Back 37

through a process of denaturation and coagulation of the enzyme-protein system within the cell

Front 38

Steam sterilization is preferred to other methods because

Back 38

It is least expensive and most efficient, safest method of processing heat, on moisture-stable items

Front 39

Water is heated and converted to

Back 39

Steam

Front 40

Steam is submitted to increasing pressure which increases what

Back 40

the temperature

Front 41

Steam drives the heavier air out an escape valve at the

Back 41

bottom of the chamber

Front 42

Saturated steam permeates the material within the chamber and transfers

Back 42

heat to the material

Front 43

Items are sterilized according to

Back 43

time, temp, pressure chart