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24 Cards in this Set
- Front
- Back
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Render the surgical site as free as possible from transient and resident microorganisms, dirt, and skin oil; inhibit the rapid regrowth of microorganisms; incision can be made with minimal danger of infection
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Purpose of surgical skin preparation of the PT
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Topical cleansing chemical use to decrease the microbial count on the skin surface.
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Antiseptic solution
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The surface area of the patients skin that encompasses a limb or other rounded tissue area
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Circumferential
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Topical chemical agent use to remove oils and non-water soluble material from the surface of the PT's skin.
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Degreaser
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Topical chemical agent use to remove hair from the Pt skin
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Depilatory
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the process of chemical and mechanical cleansing of the skin
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Skin Preparation
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Preformed as near to the time of incision as possible; when disposable razor ise, dispose after use in _____ _____.
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Razors. Sharp container
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Test PT for sensitivity prior to using skin patch test do not use around eyes and genitalia
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Chemical depilatories/ cream
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Contains fine teeth it cuts hair close to skin; clipper handle is cleaned and disnfected
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Electric clippers
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may be use before skin preparation to improve adhesion of self adhering drapes
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Skin degreasing
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Excellent cleansing agents; broad-spectrum antimicrobial agent non toxic and virtually nonirritating to skin should not be use with PT Allergic to iodine, shell fish, seafood
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Iodine and Iodophors (Betadine)
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Broad spectrum agents that denature protein cells; 70% concentration to satisfactory for skin antisepsis not applied to mucous membranes or open wound use to DEFAT the skin pripr to other scrubs and FLAMMABLE
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Alcohol (Isopropyl and ethyl alcohols)
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Rapid action, nontoxic, antimicrobial agent; irritant to the eye and ototoxic contraindicated for facial antisepsis use if PT is allergic to iodine
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Chlorhexidene Gluconate (HIBICLENS)
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has bactericidal properties some effective against some fungi, tuberculosis, and viruses
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Parachlorometaxylenol (PCMX)
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considered contaminated because it may harbor microorganisms in the detritus; cleaned with cotton tipped applicators (CTA)
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Umbilicus
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Sealed off from surgical site with a self-adhering towel drape or transparent adherent dressing; if not sealed, area is scrubbed last; open stoma may be packed with a prep solution-soaked sponge while surrounding area prepped
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Stoma (opening) of a colostomy or ileostomy
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general rule of scrubbing the most contaminated area _____ with separate sponges IE draining sinuses, skin ulcers, cagina, anus, mouth, and nose
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LAST
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adhesive, grease, tar and similar foreign materials are removed from skin before the area is prepped
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Foreign substance
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would irrigation may be part of the skin prep; solution irritating to a denuded area must not be used; the extent and type of injury will determine the appropriate procedure
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Traumatic wounds
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Donor site for a skin graft should be scrubbed with a _________ antiseptic agent
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Colorless antiseptic agent
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Includes Antiseptic solution (scrub and paint) sterile gloves, drapes, cotton tip applicators (CTA), sponges on a stick, and sponges
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Prep tray
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if prep tray is not available use what
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Small basins for solutions, gauze sponges (non radiopaque) (non counted gauze), cotton tipped applicators as necessary, and Hand towels X2
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to absorb excess solution; prevents pooling under electrodespersive pad, ekg pad, or tourniquet
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Chuxs pad
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placement is close as possible to surgery site, B J H I T S C C
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Bovie pad / grounding pad
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