Aspesis Midterm 1

Question 1

What is the advantage of understanding why procedures are performed in specific ways then it comes to creating an aseptic environment?

Answer 1

People are more willing to comply if they know the reason as to why they have to do it

Question 2

Which of the statements regarding requirements for asepsis is false?

Answer 2

There are different levels of asepsis required due to a variety of microorganisms many of which are normal flora

Question 3

Pathogens require a portal of entry in order to cause a disease?

Answer 3

True

Question 4

Individual resistance in a patient is due in part to non-specific factors that are meant to exude any pathogen which of the following is apart of non specific resistence?

Answer 4

Epithelial barrier

Question 5

Explain the potential danger of using anitmicrobial agents in context of asepsis protocols?

Answer 5

Can create antimicrobial resistance

Question 6

Give one reason why veterinary personnel are often less than vigilant when it comes to dealing with potentially infectious organisms?

Answer 6

Because a lot of them aren’t zoonotic

Question 7

What is the basic reason we take extreme steps to control infectious organisms in vet facilities?

Answer 7

Don’t want to cause nosocromial infections

Question 8

Certain microorganisms are difficult to control because they form a thick gel-like covering

Answer 8

True

Question 9

Five signs of inflammation

Answer 9

Redness
Pain
Swelling
Loss of function
Heat

Question 10

Why are these signs are important when it comes to pathogens?

Answer 10

They help with fighting the pathogens or so it doesn’t spread

Question 11

Nosocromial infections are

Answer 11

Infections originating from microorganisms within the hospital environment

Question 12

A temp of 40C equal?

Answer 12

40 times 9/5 + 32
104F

Question 13

The temp of free living steams is insufficient to sterilize all compatible equipment?

Answer 13

True

Question 14

Why is an autoclave used to sterilize items for specific procedures?

Answer 14

Because it can create high pressures only that are easy to use /learn
Creating a high temp that can kill all bacteria

Question 15

The proper temp for a standard autoclave is 121.5C?

Answer 15

False

Question 16

Why is dry heat not commonly used to sterilize surgical instruments?

Answer 16

Causes oxidation

Question 17

Explain why all facilities that sterilize items for use in aseptic procedures should use biological sterilization indicators?

Answer 17

Because it will tell you if its truly sterile

Question 18

S city at an altitude of 3000ft should adjust autoclave pressure to be ?

Answer 18

16.5 PSI

Question 19

Why is it important for ran autoclave to remove air within the chamber before sterilization time begins?

Answer 19

Air decreases pressure to remove air and seam and wont allow steam to fully penetrate
Gravity displacement

Question 20

Letra violet light is not effective at sterilization because?

Answer 20

Doesn’t fully penetrate

Question 21

Define antiseptic?

Answer 21

A disinfectant that inhibits growth/ reproduction of microorganisms

Question 22

Before using ethylene oxide for sterilization of surgical supplies ,what must be understood? ?

Answer 22

That it kills microorganism and oxidates
That is poisonous to us, its flammable and we must wait 24hrs to use the surgical supplies

Question 23

Which agent would be a better chemical for use instrument disinfection.

Answer 23

Gluteraldehyde

Question 24

Describe an ideal method for cleaning the floor in an operating room

Answer 24

Using a wet-vacuum and adding a disinfectant to it. Or having a 2 bucket and mop, one for rinsing and the other to wet the mop

Question 25

A mop should be left standing in a bucket of water throughout the day because there is disinfectant in the water?

Answer 25

False

Question 26

The doctor has just completed a surgery and the instruments need to be prepared for the next surgery. List the steps required to eat them ready for wrapping prior to sterilization

Answer 26

1. Take them to the washing area and place in a basin. 2. Using a brush scrubs off any blood or tissues that might be in the instruments using water 3 towel dry them and then you can get ready to wrap

Question 27

Terminal disinfection means blank

Answer 27

Cleaning the area where the patient was, once they’re left the hospital

Question 28

An individual not directly involved with a surgical procedure can enter the suite without gonning a cap and mask?

Answer 28

False

Question 29

Low density 140 textiles used for surgical drapes or wraps have been shown to be

Answer 29

Immediately permeable t bacteria if moist or wet

Question 30

Paper draping material is uneconomical and inferior to cloth materials

Answer 30

True

Question 31

Ultrasonic cleaning sterilizes by formation and collapses of microbubbles

Answer 31

False

Question 32

How many times should cloth drapes and gowns be used

Answer 32

75 cycles or as long as it doesn’t have a hole or is seee through

Question 33

Sterilization tape is an effective indicator for pack sterilization

Answer 33

False

Question 34

Fluids used in aseptic procedures can be autoclaves

Answer 34

True

Question 35

Briefly describe autoclave protocol for surgery instruments

Answer 35

Make sure autoclave has distilled water Disinfect instruments and then ready for wrapping One properly wrapped place in autoclave and follow the directions on hot torun it

Question 36

Describe how to wrap a surgery pack

Answer 36

Adding our disinfected instruments to a clean drape, place drape in a diamond shape, place correct instruments, take one o fate sides and fold in covering instruments and leaving the tip facing outward. Do the same to all the other sides. Once were on the last side you should be able to tuck that inside the other sides you ve made. Place another clean drape in a diamond shape shape folding it the same as the previous leaving a tab out so we can unfold. Place tape on it, label,date, then follow directions to autoclave

Question 37

Explain advantages of chlorhexidine over betadine as a surgical scrub

Answer 37

Chlorhexidine binds to cells so it can’t be washed away with alcohol ad take 2 minutes of contact to clean area. Betadine can be washed away with colchón and takes 5 minutes of contact time

Question 38

A sterile pack should be considered contaminated based on what 4 conditions

Answer 38

Dropped Wet Tape is unfolded No date

Question 39

State the minimum contact time for povidone iodine surgical solution

Answer 39

5 minutes

Question 40

Describe the method of preparing a patient site for a surgical procedure

Answer 40

Make sure patient is clean and doesn’t have debri on them Clip hair, know what type of surgery it going to be so you can shave off the correct area, can do a prep scrub Express bladder, do surgical prep scrub in prep area and then move into or and repeat surgical scrub

Question 41

Positioning a patient for a surgical procedure requires considerations

Answer 41

Respiration Neurological Circulation Temp of

Question 42

Closed gloving is used when sterile gown is worn

Answer 42

True

Question 43

When should towel clamps be used to secure drapes prior to a surgical procedure

Answer 43

When doing the 1st layer of drapes four corner drape

Question 45

Name two methods of scrubbing hands prior to donning surgical apparel

Answer 45

Timed anatomical method Counted brush

Question 46

It is considered acceptable to place a sterile pair of gloves over the contaiminated pair if they are donned appropriately

Answer 46

True

Question 47

State two rule of asepsis

Answer 47

Know sterile field If contaminate = fix it

Question 48

As a non-sterile assistant what are two basic etiquette rules?

Answer 48

Minimize talking Lower coughing or sneezing

Question 49

Describe what you should do if you must sneeze or cough while scrubbed in and standing at the surgical table

Answer 49

Step away from surgical table,sneeze/cough without turning your head

Question 50

Pouring sterile fluids into a bowl for use in a surgical procedure can be done with the bowl on the corner of the table as long las it isn’t moved

Answer 50

False

Question 51

Describe the septic method of opening a eel pouch held in the hands

Answer 51

Hold pouch in hands, make sure sides are undone for easier opening. Start peeling back the pouch make sure to have a good hold on the packet so it doesn’t fall out of your hands. Present it to thee sterile surgeon once that they have a hold of it fully, open ,while backing away as to not touch the sterile field