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Area where the insion site is made
sx site
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Surgical site & sterile drapes surrounding it on the table
sterile sx field
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Surface covered with drapes & intended to be used as a work area to hold instruments & supplies
sterile field
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sterile field, sterile sx field, area of scrubbed personnel and the airspace above all of these
sterile zone
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How do sterile people pass each other?
back to back
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If a pack becomes damp or wet from bleeding through it is considered what?
contaminated
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When a pack becomes contaminated from damp or wet bleeding through this is called..
strike through
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How far from the edge of anything that encloses sterile contents have to be for it to still be considered sterile?
an inch from the outer edge
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Non-sterile people pass a sterile area by:
facing the area
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What are the main factors to take into consideration for storage of sterilized items?DF,V,GF,IF,NTHE
- dust free
- ventilated
- germ free
- insect free
- no temp or humidity extremes
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A single wrapped muslin that is stored in a cabinet is sterile for how long?
1 week
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A double wrapped muslin stored on open shelving is sterile for how long?
3 weeks
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This wrapping has the longest sterility when placed in open shelving:
single wrapped crepe paper
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A sterile single wrapped crepe paper lasts how long in a closed cabinet?
8 weeks
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How long does double wrapped muslin last in a closed cabinet?
7 weeks
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Single wrapped muslin on open shelving lasts how long?
2 days
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Single wrapped crepe paper lasts how long on open shelves?
3 weeks
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Single wrap = how many layers?
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Heated-sealed and plastic puches are good for how long on an open shelf?
1 year
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An sterilized pack is considered contaminated if: W,T,D,P,D
- wet
- tape broken or loose
- date illegible or missing
- punctured pack
- dropped on floor
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In case of extreme emergency and you have dirty instruments what can you do so that the instrument can be used? CS,A,BNS,FS
- cold soak soln
- Alcohol 70%
- Betadine/Nolvassan Soln
- Flash sterilization
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How long is the cold soak min and ideally how long is it?
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How long should 70% alcohol be used?
1 hour
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How long should Betadine/Nolvasan soln be used?
3 hrs
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What temp should flash sterilization occur at and for how long? (this is the fastest)
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What are the ideal characteristics for wrap material? SP,RD,F,M
- selective permeability
- resistance to damage
- flexibility
- memory
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What are the 2 types of wrap material?
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What is another name for a cotton textile wrap?
muslin
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What are the two types of paper wraps?
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What should be done with instruments immediately after sx is completed?
instruments should be placed in soak and prepared to be washed
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When rinsing or spraying an instrument with instrument milk it should be applied for at least how long?
45 seconds
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How long is an ultrasonic cleaner used after the instrument has been hand washed?
5-10 min
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When washing surgical materials in a washer machine we want to wash them with this substance:
bleach
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What are four different drapes?
- 4 corner drapes
- 3 corner drapes
- mayo stand drapes
- fenestrated drapes
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How many gowns and hand towels should be placed in a pack?
1 of each
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Which people have the direct contact with the sterile field? 2
- surgeon
- sterile scrub nurse
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When is an open gloving technique used?
when prepping the animal for surgery
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Non-sterile personnel do what? OP,OB,OSM,TI
- open packs
- open blades
- open suture material
- transfer items
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Before actual prep begins you always verify: I,S,P,F
- ID of patient
- sex
- procedure to be performed
- fasting comfirmation
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What are some necessary test results? B,U,F,X,E,H,F
- blood work
- urinalysis
- fecal
- x-rays
- EKG
- HWT
- FeLV/FIV
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This begins after the patient has been anesthetized, stabilized, & hooked up to IV fluids
actual patient prep
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What blade number should be used when clipping a patient?
#40 blade
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Who begins the sterile scrub?
sterile prep nurse
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Why should positioning the patient be done carefully? 2 things to be maintained:
- maintain airway
- maintain IV fluid flow
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This is the most routine position and is commonly used for abdominal surgeries and cervical disk surgery
dorsal
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This position is also known as the frog position and is used for lumbar disk surgery,cranial and ear surgery
sternal
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Hanging prep positioning is commonly used for what type of surgery?
orthopedic sx
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Happens outside the patient. Ex:air, sx instruments, and supplies
exogenous route
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Happens within the patient reaching the wound through the blood stream. Ex:dermatitis, bacteria
endogenous route
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Who determines the degree to which principles of asepsis are followed in each case?
the surgeon
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