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28 Cards in this Set
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process of removing as many microorganisms as possible from the hands and arms by washing and chemical antisepsis; skin is never render sterile
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Surgical Scrub
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Organisms acquired by direct contract; loosed on skin surface by removed through washing with soap or detergent and water
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Transient microbes
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2 methods in surgical hand scrub
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brush stroke method and timed method
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prescribed number of brish strokes; applied lengthwise of brish or sponge, use for each surface: fingers, hands, and arms
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Brush stroke method
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prescribed amount of time to anatomice area or step of the procedure
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timed method
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2 processes of surgical hand scrub
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Mechanical and chemical
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Removes soil and transient organisms with friction
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Mechanical
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reduces resident flora; inactivates microorganisms with an antimicrobial or antiseptic agent
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Chemical
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ototoxic and can cause corneal damage if splashed in the eye
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Chlorhexidine Gluconate (hibiclens)
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povidone-iodine (betadine); fulfills criteria for effective surgical scrub
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Iodophors
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used if sensitive to other antiseptics
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Triclosan
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Scrub time
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5-10 minutes
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Gowns Sterile composed of 100% cotton or cotton polyester, 270-280 thread count tightly woven material, withstand about 75 launderings and sterilization cycles, moisture repellent finish
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Reusable sterile gowns
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Composed of 100% polyester advantages soft, lint free, Impervious to moisture, Manufactured packaged, and sterilized Disadvantage Costly
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Disposable sterile gowns
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Used for changing a glove or gown during a surgical procedure Open gloving on sterile field, only one hand contaminated must re-glove off sterile field after both hands contaminated
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Open gloving
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Used when donning a gown for a surgical procedure; Method affords assurance against contamination no bare skin is during procedure, preferred method except when changing a glove
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Closed gloving
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strand of material for ligationg or approximating tissue; to sutore derives the act of bringing tissue together and holding them untill healing has taken place
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Suture
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suture is tied aaround blood vessels to occlude lumen for hemorrage control or for organ or extremity removal
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ligature or tie
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Strand of suture attached to needle before used
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Suture Ligature (stick tie)
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Single strand of suture passed to the surgeon use to ligate a vessel
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Free tie
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Single strand of suture loaded onto an instrument, usually crile hemostat, schnidt tonsil clamp or right angle clamp
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tie on a Passer
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Strand of of suture material consisting of a single thread
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monofilament
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Strand f suture consisting of more than one twisted or braided thread
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Multifilament
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Suture that can be digested or broken down by the body during the healing process
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Absorbable Suture
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suture that cannot be digested by the body and remains in the body permanently unless removed.
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Nonabsorbable Suture
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amount of weight necessary to break a suture
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Tensile strength
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Suture's ability to remember its configuration during storage
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Memory
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Continuous strand of suture mounted on a spool
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Lifature Reel
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