Patient Care Exam Review #2

Medical Asepsis

Any practice reducing the number and spread of microorganisms

Surgical Asepsis

Complete removal of all microorganisms and their spores

Direct Contact

Blood/body fluids

Indirect Contact

touching an infected object

Fomite

infected inanimate object

Vehicle

Diseased food or water

Airborne

Inhalation of diseased microorganisms

Droplet

sneezing or coughing

Vector

insect or animal

3 Zones in the OR or special lab and what is required to wear in each zone

Z1: Unrestricted: may enter in street clothing

Z2: Semi-restricted: OR scrubs with hair and shoes covered

Z3: Restricted: OR scrubs with hair and shoes covered MUST WEAR MASK

Name 3 people that are part of the surgical team and what are their responsibilities

Surgeon Assistant: Assist Surgeon

Circulating Nurse: Keep records, get supplies, and oversee pt safety

RT: take interoperative and final images

The RT should be wearing 5 of these items in the OR

• hospital issued scrubs

• cap

• mask

• lead apron

• shoe covers

3 methods of sterilization

1. Steam under pressure: MOST EFFECTIVE items double wrapped and placed into an autoclave

2. Chemical sterilization: Antimicrobial and sporicidal must be used

3. Ethylene oxide: toxic gas used on equipment that cannot withstand high temperatures

What is the shelf life if the pack is wrapped in cloth or paper?

30 day shelf life

What is the shelf life if the pack is wrapped in sealed plastic?

6-12 month shelf life

Can we cut or pierce sterile packs with a knife or sharp object ?

NOOOOOOOOOOOO

Is it the RT’s responsibility for protecting themselves and others in the OR or special lab?

YES

The RT should be aware of and protect the sterile field

YES

RT must wear their radiation monitor ________ of the lead apron and ________ their sterile gown during imaging procedures

outside; under

What is the purpose of skin prep?

Remove as many microorganisms as possible to reduce chances of infection

Skin should be disinfected with?

Antiseptics

What are 3 examples of Antiseptic solutions

1. alcohol

2. betadine

3. hibiclens

Items that cannot be sterilized must be __________

Disinfected

2 examples of disinfectants

LYSOL

BLEACH

Is it considered Unsterile from the waist down?

YES

Be able to label the parts of a needle

The needle gauge is the size of the needle. If the gauge is large, is the needle smaller or bigger?

SMALLER