Fuller Chapter 9 Aseptic technique

Aseptic technique

_________ is the foundation of infection control
Involves specific practices and rules and is used in all treatments and procedures in which the skin or mucous membrane is penetrated.

Barrier

One of the foundations of aseptic technique is the concept of a _________ between sources of Contamination and a sterile surface.

Center

The Draped Patient is the __________ of the sterile field during surgery.

table height

Sterile tables are considered sterile only at __________

reaching over

When opening sterile packages, the nonsterile team member must offer the items to the scrubbed personnel or deposit them on sterile surfaces in such a way as to avoid ___________ previously opened goods.

Strike-through

When water comes in contact with a sterile drape or gown, it can cause ___________ contamination.

water droplets, direct contact

When sterile supplies have been opened, the sterile setup is vulnerable to Contamination by
Dust, ___________, Insects, and _______________

OSHA

Protective eyewear/face shields are required by ___
as part of the Bloodborne pathogens standard
to protect workers exposed to splashing by blood and bodily fluids

Physical

Protective eyewear provide _________ protection during proced. where bone is drilled or cut with power instruments

Completely

Eyewear must ________ cover the eyes and temples,
Including the BROWS.

event-related

Routine hand washing not related to surgical procedures is an __________ practice.
(Performed before and after a specific task or event)

Routine hand washing

Antiseptic liquid soap dispensed from wall mounted containers is used in the health care setting for
_____________

Beginning and end
Contaminated
Soiled
eating

When to perform Routine Hand wash:
-At the ________&____ of each workday
-After Any surgical case
-Between contacts with potentially ________ areas of the patient
-Before contact with sterile packages
-Whenever the hands are visibly ________
-After removi

Surgical hand antisepsis

________________ is a technique that reduces the number of microbes on the hands and arms to an irreducible minimum
-The process does NOT sterilize the skin
-Studies show using alcohol based liquid is as, or more effective than traditional scrub.

Traditional surgical scrub
Antiseptic hand rub

Two methods of surgical hand antisepsis are acceptable:
-_____________-using liquid antiseptic soap,sponge, and water
-____________-using surgical-grade antiseptic liquid(Ex. avaguard)

alcohol-chlorhexidine

A fast-drying __________________ hand rub is preferred over all other antiseptics for the surgical hand rub

Grossly soiled

Many studies have demonstrated that, when performed properly, the antiseptic hand and arm rub is as effective as the traditional surgical scrub, unless the hand or arms are ______________

15 to 20

Depending on the
complexity of the surgery,
the amount of equipment to be prepared,
and the degree of emergency
the scrub and circulator open the case in about __ to __ minutes before the start of surgery

water

If _______ is found in a basin when the sterile wrapper is opened, the basin may be contaminated.
Caused by a problem in steam sterilization

Scalpel blades, sharps

__________ and other ______ should be passed Directly to the scrub or unwrapped in an open area where they are in plain view

Instrument trays

Blades, trocars, and other sharps should not be opened onto ________, because the sharps can be hidden by other instruments.
If a sharp is accidentally covered during opening, warn the scrubbed team of its location to prevent injury during setup.

Evidence-Based practice

_____________ provides rationales for all the standards and recommendations made by professional organizations in
Disease transmission, biotechnology, patient safety, and advances in surgical practice