Medical Assisting Ch. 21

Front 1

surgical asepsis(sterile technique)

Back 1

to free an area or item from all microorganisms, including pathogens and other microorganisms. it should be used in all and any office surgical procedures.

Front 2

disinfection

Back 2

killing or rendering inert most but not all pathogenic microorganisms

Front 3

sterilization

Back 3

process, act, or technique for destroying microorganisms using heat, water, chemicals or gases.

Front 4

any break in sterlie technique ..

Back 4

can lead to infection that the body can't fight

Front 5

medical asepsis

Back 5

destroys microorganisms after they leave the body

prevents transmission of microbes from one person to another

hands and wrists are washed for 1-2 minutes

Front 6

surgical asepsis

Back 6

destroys microorganisms before they enter the body

prevents entry of microbes into the body during invasive procedures

hands and forearms are washed for 5-10 minutes with a brush

Front 7

sanitation

Back 7

maintenance of a healthful disease free environment

Front 8

how do sanitization, disinfection and sterilization differ?

Back 8

sanitation and disinfection are adequate for maintaining medical asepsis in the medical office, these practices are not sufficient to process instruments and equipment used during sterile procedures.

Sterilization is the complete elimination or destruction of all forms of microbial life including spores forms.

Front 9

ethylene oxide

Back 9

gas used to sterilize surgical instruments and other supplies

Front 10

steam under pressure

Back 10

autoclave

Front 11

CLIA

Back 11

Clinical Laboratory Improvement Amendments

Front 12

Why is the properly working autoclave more effective at sterilizing equipment compared to boiling water?

Back 12

The autoclave can reach temperatures higher than the boiling water there can sterilize them more effectively.

Front 13

how should you load the autoclave?

Back 13

Load the autoclave loosely to allow steam to circulate place empty wrapped containers or bowls on their sides with the lids wrapped separately. If containers are upright in the autoclave, air will settle in the interior of the container and keep them from circulating to the inner surfaces. place all packs on their sides to allow for maximum steam circulation and penetration.

Front 14

What is the temperature, pressure and time for items in the autoclave?

Back 14

250°,30 minutes at 15 pounds of pressure

Front 15

Why is it important to set the timer on the autoclave during a cycle only after the correct temperature has been reached?

Back 15

Some microorganisms, such as spores, are killed only if exposed to high enough temperatures for specific amount of time. So you need to let the autoclave reach that high temperature and then set the timer to assure that everything is sterilized properly.

Front 16

Forceps

Back 16

Surgical instrument used to grasp handle, compress, pull or join tissues, equipment or supplies

grasping, clasping or holding

Front 17

Scissors

Back 17

Sharp instrument composed of two opposing cutting blades held together by a central pin in which the blades pivot

Front 18

Scalpels

Back 18

Small pointed knife with a convex edge for surgical procedures

Front 19

Hemostat

Back 19

Surgical instrument with slender jaws used for grasping blood vessels

Front 20

Needle holder

Back 20

type of surgical forceps used to hold and pass sutures through tissue

Front 21

Serration

Back 21

Groove, either straight or criss cross, etched or cut in to the blade or tip of an instrument to improve its bite or clasp

Front 22

Ratchet

Back 22

Notched mechanism, usually at the handle end of an instrument, that clicks into position to maintain tension on the opposing blades or tips of the instrument

Front 23

types of scissors

Back 23

suture scissors
bandage scissors
sharp-sharp scissors
sharp-blunt scissors
blunt-blunt scissors

Front 24

types of scalpels

Back 24

Reusable steel scalpel- handle can hold different blades for surgical procedures

Straight or pointed blades- incision and drainage procedures

Curved blades- excise tissue

Front 25

Towel clamps

Back 25

towel clamps are used to maintain the integrity of the sterile field by holding the sterile drapes in place

Front 26

Probes and directors

Back 26

A probe shows the angle in depth of an operative area, and a director guides the knife or instrument once the procedure has begun

Front 27

Retractors

Back 27

Retractors hold open layers of tissue exposing the areas beneath

Front 28

What are the most common instruments used in a medical office?

Back 28

forceps, scissors and scalpels

Front 29

What types of instruments are used to remove tissue during a biopsy?

Back 29

punch biopsy

Front 30

What should you do if you drop a surgical instrument accidentally?

Back 30

Carefully inspected it for damage. damaged instruments can usually be repaired and should not be discarded unless repair is not fixable

Front 31

What 6 items should be included on a sterilization record

Back 31

Date and time of the sterilization cycle

General description of the load

Exposure time and temperature

Name or initials of the operator

Results of sterilization indicator

Expiration date of the load (usually after 30 days)