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45 Cards in this Set
- Front
- Back
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patient care |
obi |
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does this work? |
mybe |
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omg |
omg |
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medical asepsis |
methods of reducing pathogenic microorganisms in the evironment and intervening in teh process by which microorgaisms are spread |
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surgical asepsis |
the process of creating and maintaining an area that is completely free of pathogens |
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sterilization |
the complete destruction of all organsisms and spore from equipment used to perform pt care or proceedurs |
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chemical sterilization |
the immersion and soaking of clean objects in a bath of germicidal solution followed by a sterile water rinse |
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why is chemical sterilization not reccommended for surgical asepsis? |
one of the less satisfactory methods as control of effectivemenss factors (time, solution, strenth, and temp, and contaimination detection) is difficult. |
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what is autoclaving |
a device that provies steam sterilization under pressure |
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what is the most commonly used sterilization method |
autoclaving |
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what method of sterilization is quickest and convienient means for items that can withstand heat and moisture |
autoclaving |
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what is the method that uses a mixture of gases heated to 135 F |
conventional gas sterilization |
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what method is used for items that cannot be autoclaved?
what are these items |
conventional gas
electrical, platic, rubber, optical ware, telephones, stethoscope, bp cuff, |
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what are the 3 drawbacks to conventional gas sterilization |
gasses used are poisionus
must be dissipated by aeration in a controlled environment
process is time consuming |
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what method is safer then gas sterilization?
how does it work ?
wht are benefits and downfalls |
gas plasma technology able to sterilize heat/moisture sensitive items in greater vol
more cost effective cannot complete replace gas bgecause not as effective cannot be used on cellulose items (linens) |
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dry heat
where is it used more what are types what are temps
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great britian and tropical countries
vacuum chamber is most popular
329-338
less expensive then autoclaves |
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what are adv.to dry heat |
needs only heat to penetrate , wheras other methods must come into drect contact with the surfaces of the objects to be effective.
more effictive for articles in sealed tubes or containers adn for powders and ointments |
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what are dis. to dry heat |
requres 1 to 6 hours
some objects cannot withstand high temps |
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what are sterility indicatiors? |
chemical indicators that change color when sterilization has occured
used to identify whether a pack has been sterilized
placed nside and outside the pack to show tht the gas, heat, steam, or gas lasma has benetrated all surfaces |
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what is the color of sterility indicatiors? |
originally plain, light color.
stripes appeared on teh tape when conditions for sterility were acheived |
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what is a sterile field |
microorganism fre area prepared for the use of sterile supplies and equipment |
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what are teh 6 steps to establish a sterile field? |
1. place pack on a clean surface within reach of the physician 2. just before proceedure begins, break teh seal and open pack 3. unfold first corner away from you, then unfold the two sides 4. pull the front fold down toward you and drop it. dont' touch inner surface. 5. do same for inner wrap |
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how does area become contaminated? |
if it touches an unsterile object |
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can you reach accross a sterile field? |
no |
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if you suspect an item is contaminated, what do you do? |
discared it |
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should you pass between physican and pt?
should you leave a field umatteneded?
what is teh perimete? |
no
no
one in boarder "buffer zone" |
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what are the 6 steps to skin prep |
1. get skin prep set and antiseptic bottle for painting. need basin, liquid soap, pHisoderm, gauze, razor, towel, forcepts, medicine cup 2. perform hand hygiene 3. place pt in comfy position 4. explain what is to be done 5. expose area slightly larger then prep site, 6. fill basin with water ` |
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skin prep steps 7-114 |
7. wet area with gauze sponge and form lather 8. shave 9. rise, remove hair 10. rise and refill basin with water 11. wash area using circular motion and scrub making wider circles |
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skin prep steps 12-19 |
12. sue sponge to remove soap using circular pattern, which avoids recontamination 13. pore antiseptic into waste to clear lid 14. fill medicine cup with antiseptic 15. grab sponges with forcepts and dip into solution 16. paint skin start in center and work outward in cicrcular 17. dry 19. open pack with sterile tape . |
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surgical hand scrub steps 1-6 |
1. don coap, mask, goggles, 2. use foot or knee lever, adjust water flow and temp 3. wet hands, add soap to make lather 4. wash hands and forearms. use brsh an dsoap to clean nails and under nails 5. rinse hands kep hands higher then elbows
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how many nail bed stroke requrired for suregical hand scrub |
nails 30 20 strokes to each area of skin |
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surgical hand scrub steps 7-12 |
8. hands aboe elbos, keep good lather, discard brush 9. rinse 10. dry, grasp corner sterile towel and step badck, towel fall open . bend at waist and hold hands outward .
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surgical hand rub steps 1-5 |
1. don cap, hood, googles 2. use foot/knee lever to adjust water flow 3. wash hands with nonantimicrobial soap 4. clean underfingernails, use nail cleaner 5 rinse under running water |
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surgical handrub steps 6-10 |
6. dry hands and arms 7. dispense 2 mL of antiseptic in hand. do not use water 8. dip fingertips into prep and work under nails 9. spread remaining hand prep evenly over hand, forearm, elbow 10. usin gmore 2mL, repeat for otherhand |
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surgical hand ru steps 11-13 |
11. dispense an additional 2 mL of antiseptic hand prep into eaithe rpam and reapply to all aspets of arm 12. continue doing this until dry 13. keep scrubed hands in view to avoid contamination and dry completly before puttin gon gloves |
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sterile gowning with closed glove steps 1-5 |
1. assistant opens gloves and sterile gown pack 2. lift folded strile gown and step back from table. allow gown to unfold completely 3. insert arms into sleeves 4. do not allow hands to go through cuffs 5. assitant fasten neckline |
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sterile gowning with closed gloves steps 6-10 |
7. wit dominant hand remaining inside sleve, pick up glove for nondominant hand 8. insert nondominant hand into glove 9. stretch cuff of glove over cuff of gown 10.with nondominant hand, pick up second glove |
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sterile gowning with closed gloves steps 11-15 |
11. stretch cuff over cuff of gown 12. closed glove is complete 13. separate waist tie from gown and pass tie with tap to assistant 14. turn in a circle to wrap tie around waste 15. sharp tug on tie will separate it from contaminated tab, allowing you to fasten the tie without contamination |
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open glove technique step 1-5 |
1. perform hand hygeine . get gloves, check for correct size. 2. open outer wrap and remove folded inner wrap 3. expose goves with open ends facing you 4. open inner wrap completely taking care not to contaminate gloves or wrap immediately surroung gloves 5. with one hand, grip cuff fold of glove for opposite hand |
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open glove technique steps 6-11 |
6. put on fist glove, touching only inner surface 7. ysub ggkived gabdm grasp second glove cuff 8. insert hand into second glove 9. put on second glove 10. insert finers under cuff of first glove and unfold cuff 11. finished |
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steps to dressing removal |
1. perform hand hygiene 2. inform pt. of what doing 3. dont cross contaminate wound and yourself 4. remove dressing gently 5. put soiled in plastic bag and seal and put in biohazard container 6. remove gloves 7hand hygiene |
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wht are the supplies needed for appying a sterile dressing? |
sterile gloves, drapes, gauze, tape, normal saline |
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what are the steps to applying a sterile dressing? |
1. tell pt what bout to do 2. hand hygiene 3. tear several strips of tap einto convientent length 4. open sterile drape pack, place drape near pt 5. partially open drape by pulling from corners . 6. open dressing packing and add the sterile dressing to sterile field |
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appying sterile dressing dressing steps 7-10 |
7. if need to clean wound, drop sterile gauze spone into field for this purpose . 8. moisten sponges with normal saline solution,. recheck label, do not let soak through towel . 9. don sterile gloves using open method 10. use moist sponges to gently clean around wounde |
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applying sterile dressing steps 11-16 |
11. allow time to dry 12. appy dressing over wound, secure it in place with tap e 13. cover pt 14. dispose of waste 15. remove gloves 16. perform hand hygiene |
