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Lesson 25
Surgical Asepsis
33
Nursing
Professional
10/08/2012

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Term
Medical asepsis:
Definition
as clean as possible
Term
Surgical asepsis:
Definition
sterile technique – prevents contamination of an open wound, serves to isolate the operative area from the unsterile environment, and maintains a sterile field for surgery.
Term
Use surgical asepsis in the following:
Definition
During procedures that require intentional perforation of the client’s skin, such as insertion if IV catheters, or central lines; When the skin’s integrity is broken as a result of trauma, surgical incision, or burns (dressing changes); During procedures that involve insertion of a urinary catheter or surgical instruments.
Term
Pouring sterile solutions –
Definition
hold onto the label side to prevent dripping on it. “lipping” is pouring a little sterile solution off the top into a trashcan to prevent contamination.
Term
Moisture may cause
Definition
contamination.
Term
Handle liquids carefully near_________to prevent splashing
Definition
sterile fields
Term
Place wet objects on
Definition
sterile, waterproof surfaces, such as sterile basins
Term
Microorganisms travel easily through
Definition
capillary action/strike through/ wicking action
Term
NEVER assume that an object is
Definition
sterile!
Term
Check to see that is labeled as
Definition
sterile
Term
ALWAYS check the integrity of
Definition
the packaging
Term
ALWAYS check the ___________ on the package
Definition
expiration date
Term
If there is ANY doubt about the sterility of an object, it’s considered
Definition
UNSTERILE!!
Term
S + S =
Definition
S
Term
S + clean =
Definition
contaminated
Term
S + contaminated =
Definition
contaminated
Term
S + unsure =
Definition
contaminated
Term
ALWAYS face the
Definition
sterile field
Term
The area defined as sterile for the purpose of the procedure is the
Definition
‘field’.
Term
Objects that are out of the line of vision may be
Definition
inadvertently contaminated and their sterility is never guaranteed
Term
Sterile articles may touch ONLY
Definition
sterile articles or surfaces if they are to maintain their sterility.
Term
Sterile equipment or areas
Definition
MUST be kept ABOVE THE WAIST and ON TOP OF the sterile field.
Term
Drapes hanging over the edge of the table are
Definition
not considered sterile.
Term
Waist level is the
Definition
limit of good visual field.
Term
By defining only the _______ of the field as sterile, maximum visibility of all sterile objects used in the procedure is ensured.
Definition
top
Term
A sterile object becomes unsterile if gravity causes a contaminated liquid to flow
Definition
over the object’s surface.
Term
Prevent ______________ around the sterile area.
Definition
unnecessary traffic and air currents
Term
Opened, unused sterile articles are __________ after the procedure.
Definition
no longer sterile
Term
A person who is sterile who becomes contaminated must
Definition
reestablish sterility.
Term
If a scrubbed person leaves the area of the sterile field,
Definition
they must go through the procedure of rescrubbing, gowning and gloving.
Term
Surgical Technique is a_________effort.
Definition
TEAM
Term
What is the best method of enhancing sterile technique?
Definition
A collective and individual “STERILE CONSCIENCE”
Term
Team members must be open to
Definition
critiques by other members regarding contamination of an object.
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