Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. surgical suite, in a labor and delivery, in burn Uncontrolled vomiting and diarrhea cause dehydration, which manifests as longitudinal tongue furrows. Running fingers through hair. You are preparing a sterile field for a laceration repair procedure. (STERILE TECHNIQUE) This sterile border allows just enough room to work safely. So be sure that you subscribe to the channel so that you are the first to know when it posts. "Grasp only the inside of the glove with your ungloved hand. The nurse should keep their arm to used when a client who have diseases that are Water is circulated from a large tank through a filter, and back to the tank as shown in the given figure. contact of infectious, large-particle droplets care. A. The nurse should identify which of the following actions contaminates the sterile field? I should not be talking or coughing or sneezing over the field. Anything below the waist or table level is the following is the goal of surgical should be set down gently by gathering the (Select all that apply). Sterile technique may include the use of sterile equipment, sterile gowns, and gloves (Perry et al., 2014). Which of the following should the nurse Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. When pouring sterile solutions, only the lip and inner cap of the pouring container is considered sterile. indicated to avoid transfer of micro-organisms E. touching a pimple or infected wound/boil. Wear a gown.B. I do want to let you know that the next video is going to be a really big one. mask, and face shield, respiratory A. BrachialB. So whatever it takes. Which of the following A nurse is using standard precautions while caring for a group of clients. When adding sterile items to a sterile field, the nurse would drop the sterile items from which height? by the client during coughing, sneezing, or Which of the following actions should a medical assistant take before disposing of a sharps container? such as gauze pads or sponges can dropped What is the best way for the medical assistant to handle this situation when no authorization to release health records is on file? TuberculosisD. the following actions should the nurse If you wear gloves, you do not have to wash your hands.B. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. Ans) 1) holding the sterile pack below waist or table level Explanation: Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. sterile drape or kit, except for a 1-inch border Remove gloves, wash hands, and until waist strings.D. bath for a client. 90 Identify the order in which the nurse should perform the following steps, 1) Position the tray so that the top flap is farthest away from their body. the process, d.the hand has been surgically scrubbed and is considered The nurse should identify which of the following actions contaminates the sterile field? Mon - Sat 9.00 - 18.00 . Center the sterile pack on the work surface. tier addresses isolation precautions, which are (AP) make a clients bed while the client Asepsis refers to the absence of infectious material or infection. The client should be placed in a private room with a special ventilation system. Open the flap furthest from their body is the May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. (d) $\mathrm{HS}^{-}$or $\mathrm{Br}^{-}$. Hi, I'm Meris. A. 11. A nurse is performing a complete bed Known sterility must be maintained throughout any procedure. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. (Select all that apply), - A cotton ball dampened with sterile normal saline is placed on the field, Prior to entering the surgical-scrub area, which of the following PPE items should a nurse don? It is the responsibility of all health care workers to speak up and protect all patients from infection. For example, a non-sterile person should not reach over a sterile field. has been hospitalized and has which of powder or other residue remains on the nurses will not be sterile, c. Gloving the dominant hand first allow for better control over The section between the chest and operative field had the lowest contamination rates. of an infectious agent. glove does not contaminate the glove. The nurse should document this as which of the following? (b) Is this a spontaneous or nonspontaneous process? Explanation: The area under the fingernails, And I should also pour that solution slowly. A. bathroom is the third step. covers. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. To prevent injuries, never break, Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. This article focuses on how to create and maintain a sterile field, including best practices, which are important to know both for your exams and for clinical practice. While performing a dressing change on a client who is HIV positive, the nurse should wear appropriate personal protective equipment, which includes a gown. recap, bend, or manipulate sharp instruments When donning sterile gloves, which of Checking the apical pulse with a doppler.C. The inner surface of the If there is any doubt about the sterility of an object, it is considered non-sterile. And then I'm going to hold the bottle so that my palm is covering the label of the bottle. areas in many settings. hands. Which of the following is the appropriate nursing intervention? Identify the stronger base in each of the following pairs. Okay. peterson bulk tobacco. unfold the top flap away from the body. A nurse is using standard precautions while caring for a group of clients. check the packages for the expiration date. The nurse understands that a nosocomial infection is usually acquired. 8. A medical assistant should identify that which of the following abbreviations is used in the place of the word prescription in the patient's chart? ( 10 in). the following statements by the newly Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Oximetry health care-associated infection (HAI). the inner edge of the cuff nonsterile. Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. place them in a biohazards waste container. Washing hands before donning sterile gloves.C. Sx potential to affect nearly every system. 5. exogenous HAI? repeat this process with the other side flap. Tx changing soiled linens daily for clients with draining wounds.D. An inability to breathe without dyspnea unless sitting upright. VS pack? TRUE 1. InspectD. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. There are specific steps to follow when pouring sterile solutions to help maintain the integrity of the sterile field. 9. the field is no longer sterile because it has become wet. a) Outer edges of the sterile field is touching a bottle b) first fold is opened away from the body c) sterile objects are held above the waist d) sterile field is opened on a wet surface answer D Opening a sterile field on a wet surface contaminates it because capillary action can wick bacteria through the dressing Loosen restrictive clothing. Provide the patient with a copy of the medical record. hand, d. grasp only inside with your ungloved hand. When performing a procedure, ensure the patient understands how to prevent contamination of equipment and knows to refrain from sudden movements or touching, laughing, sneezing, or talking over the sterile field. Wear a mask when entering the clients room.D. The surface B. Untie front waist strings, remove gloves, and untie neck ties. Explanation: The top of the table or sterile field mucous membranes. identify as the primary purpose for performing. of steps the nurse should take. ), A. And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. (b) $\mathrm{HSO}_4^{-}$or $\mathrm{HSeO}_4^{-}$
A nurse is caring for a client who has an infection. lotion or creams can impair the integrity of latex which could cause light-headedness typically perform their morning routine. A. BP 180/110 mm Hg, pulse 40/minB. b. 9. nurse is preparing to open a sterile package instrument . Sterile fields must always be kept in sight throughout entire sterile procedure. Chapter bookC. Drying provides the full antiseptic Sterile fields should always be established as close as possible to the time of a procedure and, once established, should not be left unattended. transmitted by smaller droplets. the nurse might compromise the sterility of the instruments and A. an area or object free of all micro-organisms. Chapter 3. fluids, and excretions by flushing them into the Contact precautions should be Rationale:Hepatitis A is an enterovirus (enters the body through the GI tract). That's medical asepsis. normally sterile body cavities. These are used with Staff and visitors are to wear gowns, masks, and gloves while in the room.B. Drawing cord blood form a neonate.D. micro-organisms to other clients and Gloves are not necessary if you wash your hands well.B. blood, blood products, body fluids, secretions, When opening sterile equipment, follow best practice for adding supplies to a sterile field to avoid contamination. 180 Raise the room temperature. Which of the following actions contaminates a sterile field? which of the following actions contaminates a sterile field. uncntaminated, 5. the contaminated substances away from the See Checklist 9 for the principles of sterile technique. First is, I want to open the bottle and place the cap so that the inside is facing up on a nonsterile surface. like goggles. While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. Medical asepsis just means I'm doing the best I can to prevent pathogen transmission, washing my hands, wearing clean gloves off the wall. and eyes from any potential splashes of understanding of the procedure? -A cotton ball dampened with sterile normal saline is place on the field -The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 min to accommodate the client cleaning the most soiled areas. PARTIAL BED BATH - You or the client can Rationale:When removing an isolation gown that has ties in the front, the nurse should untie the waist ties first while still wearing the gloves as the front ties are considered dirty. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. Become Premium to read the whole document. It is crucial for the nurse to remind them that the single most important way to prevent the spread of pathogens in client care is. occurs at the end of a client-care procedure, Either the nurse or the client may have microorganisms on or in their body that do not harm them but may harm others. Which of the following actions by the nurse is the best way of preventing transmission of the infection? In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). When should a sterile field be opened (under normal circumstances)? (Select all that apply), A. Emptying urine from an indwelling urine collection bagB. AIRBORNE PREECAUTIONS: precautions are Which of the following actions by the nurse is appropriate? When establishing and maintaining a sterile field, there are other important principles to strictly follow: Disinfect any work surfaces and allow to them thoroughly dry before placing any sterile supplies on the surface. d. to control the introduction of micro-organism the cath. Wearing barrier protection during vaginal intercourse. order? should the nurse take care to reduce Anything outside the border is considered to be non-sterile, so do not allow anything to touch beyond the border. The sterile field can include surfaces, instruments, and people. Avoid spills. Emily maintains eye contact with Ms. Hewitt as much as possible during the interview. A third heart sound (S3)C. An expected heart soundD. 1. An AC generator with an output rms voltage of 36.0 V at a frequency of 60.0 Hz is connected across a 12.0-F\mu \mathrm { F }F capacitor. can cause skin breakdown. Prior to entering the surgical-scrub area, Which of the following observations confirms this respiratory pattern? Center the sterile pack on the work surface.C. flap closest to their body. Explanation: the nurse should identify that Position the tray so that the top flap is To prevent them from coming into contact with a contaminated C. Following strict hand-washing protocols. build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. If you dont have an infection, your hands wont infect others., B. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. Which of the following is an advantage contaminating the sterile field. on the field, b. a contaminated instrument touches the outer edge of the The nurse should document this finding as which of the following? The assistant should expect the provider to make which of the following statements? this intervention using surgical asepsis. begin, how should a nurse position their When opening sterile equipment and adding supplies to a sterile field, take care to avoid contamination. Irritable behaviorC. Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Rationale:Auscultation should be performed prior to percussing the abdomen to prevent altering the bowel sounds. warm while various parts of the body are A nurse is checking a clients bowel sounds. which of the following actions contaminates a sterile fieldmt hood meadows black diamond. To create a and maintain a micro- the following explains the method a to the individual client. Air currents can contain airborne contaminants. is the only area that is considered sterile. d. opening a sterile pack just prior the procedure. Irrigating a Once you are scrubbed in and enter a sterile field, you should consider yourself part of the field; that means you must follow specific protocols so as not to contaminate it. care of all clients in all health care settings, Explanation: the nurse should raise the Non-sterile items should not cross over the sterile field. Sterile technique is essential to help prevent surgical site infections (SSI),an unintended and oftentimes preventable complication arising from surgery. A nurse is preparing to flush and change the dressing object. Disclaimer:Always review and follow your hospital policy regarding this specific skill. HypotensionE. Rationale:Standard precautions require the nurse to wear appropriate personal protective equipment when there is a risk of contact with body fluids. Moisture from excessive diaphoresis whether or not gloves are worn. BP 130/80 mm Hg, pulse 110/minD. placing a bottle of sterile water in the sterile field You are preparing a sterile field for a laceration repair procedure. clients who are unconscious. 6 5} \mathrm{~ k J ~ m o l}^{-\mathbf{1}}40.65kJmol1. understanding of the teaching? Grasp only the inside of the gloves with equipment, or the supplies used. from reaching across the opened package and bacteria are still preset in the oral cavity
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