Surgical asepsis

Surgical asepsis includes _____

procedures used to eliminate all microorganisms

When is surgical asepsis used?

1. during procedures that require intentional perforation
2. When the integrity of the skin is broken
3. During procedures that involve invasive procedures into sterile body cavities

How can a patient avoid contaminating sterile items?

-avoid sudden movements of body parts covered by sterile drapes
-refrain from touching supplies, drapes, nurse's gloves and gown
-avoid coughing, sneezing, or talking over sterile area

A sterile object only remains sterile when touched by

another sterile object

Only ________ can be placed on a sterile field

sterile objects

The package or container holding a sterile object must be ___________________

intact and dry

A sterile object or field out of _____________ is contaminated

out of the range of vision

A sterile object or field below ___________ is contaminated

a person's waist

A sterile object or field becomes contaminated by prolonged what?

exposure to air

When a sterile surface comes in contact with a wet, contaminated surface, the sterile object becomes contaminated by _________

capillary action

Fluid flows in the direction of

gravity

Why do surgeons hold their hands above elbows after washing hands and dry from fingers to elbows with hands held up?

fluid flows in the direction of gravity and can cause contamination

The _______ of a sterile container are considered contaminated

edges

A __________ border around the sterile surface is considered contaminated

1 in

What should be worn for any general sterile procedure on a nursing unit

surgical mask and eyewear

What is worn for sterile surgical procedures?

apply a clean cap
surgical mask
eyewear

When is the only time eyewear is worn?

risk for body fluids splashing into the eyes

What order is PPE removed?

gloves
face shield/goggles
gown
mask

What should the nurse do before opening a sterile package?

perform hand hygiene
inspect supplies

Can sterile gloves touch the wrappers of supplies?

No

True or false: the inside of the bottle cap is sterile

true

How should a cap be placed?

sterile side up

Is it okay to set a cap on a sterile surface?

no

How should the nurse hold a bottle that will be poured?

label in hand to prevent solution from wetting or fading the label

what type of gloving do nurses use on units?

open

When is the surgical gown applied?

after the mask, surgical cap and handwashing