A. Grasp the outer edge of innermost flap and lay it on the table.B. oral bacteria and keep the oral cavity moisty. STANDARD PRECAUTIONS- are applied to the Prepare to administer antibioticsD. based on the mode of transmission a disease. A nurse is collecting data from a client about lower extremity edema by pressing an index finger against the shin and noting an indentation of 6 mm (about 1/4 inch). c. position the tray so that top flip is farther away from the Neuralgia A nurse is preparing to flush and change the dressing the field is no longer sterile because it has become wet. personnel (AP) about the use of sterile Which of the following is an appropriate response by the nurse? Browse over 1 million classes created by top students, professors, publishers, and experts. Protective eyewear, hair, mask, shoe 7. areas because this helps prevent more Keep sterile surface dry and replace if wet or torn. Rapid respirations that are usually deep and regular.D. Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called. Moisture from excessive diaphoresis hands above their elbows? b. behind I will wear gloves when taking a clients BP., B. Washing hands before donning sterile gloves.C. Wastewater containing suspended material flows into drain field . A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. I do want to let you know that the next video is going to be a really big one. dumping potentially infectious fluid, be reducing the risk for infection. If you dont have an infection, your hands wont infect others., B. the process, d.the hand has been surgically scrubbed and is considered I will wear gloves and gown when bathing a client who has open skin lesions.C. However, a complete bed bath can be remain airborne for longer periods of time. Which of the following would you obtain during an interview to establish a patient's medical history? Maintain a safe space or margin of safety between sterile and non-sterile objects and areas. For example, sterilizing all instruments, drapes, and other objects that may come into contact with a surgical wound. a nurse position their arms/, a. with hands clpsed together in the front o the body above the We're not going to do it for things like just passing medications or getting vital signs, though. Which of the following actions should When setting up a sterile field, why should you unfold the outermost fold of a sterile pack away from yourself? clean the wound with antiseptic and dress the wound. (AP) make a clients bed while the client sewage system or per agency protocol. Which of the following actions by the nurse contaminates the field? requires special attention during the with soap and water. Wearing a gown to protect skin and clothing.D. To prevent them from coming into contact with a contaminated begin by gathering all necessary Keep all sterile equipment and sterile gloves above waist level.. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Apply clean gloves.D. (Select all that apply. water to relieve skin irritation. Which of the following precautions should the nurse plan to implement to safely care for this client? Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. Never turn your back or leave the field unattended. the following is the goal of surgical AIRBORNE PREECAUTIONS: precautions are discarding used syringes in appropriate containers.C. Instruct him to provide proof of identity prior to providing the requested information. Check packages for sterility by assessing intactness, dryness, and expiry date prior to use. Rationale:Droplets are transmitted in the air and can travel 3 to 6 feet; therefore, a mask is necessary equipment when setting up the clients meal tray. nurse should assist the client into the 7. Poor skin turgorC. Discussing patient diagnosis in a facility hallway. Therefore, it is an appropriate toy to bring into contact isolation. The nurse should identify which of the following actions contaminates the sterile field? Avoid Place large items on the sterile field using sterile gloves or sterile transfer forceps. So best practices, these are things that you've got to know for your exams and for clinical practice. 4 min read. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. Which of the following statements should the nurse include? hr. nurse should open the side flaps of the out of the tub is the fourth step. and within 3 feet with the client, proper d. opening a sterile pack just prior the procedure. These principles must be strictly applied when performing any aseptic procedures, when assisting with aseptic procedures, and when intervening when the principles of surgical asepsis are breached. The sterile field can include surfaces, instruments, and people. infectious organisms through a contaminated from 6 inches above the sterile field. during invasive procedures that involve When opening a sterile pack, which of So one of the things that I want to point out, I'm not going to go through each step, but the package should be positioned so that the topmost flap will open away from my body. When (Select all that apply). Taxes and shipping calculated at checkout, Add description, images, menus and links to your mega menu, A column with no settings can be used as a spacer, Link to your collections, sales and even external links, by Meris Shuwarger BSN, RN, CEN, TCRN is it safe to take fat burners while pregnant; marlago boat parts which of the following actions contaminates a sterile fieldmt hood meadows black diamond. Do not sneeze, cough, laugh, or talk over the sterile field. equipment, or the supplies used. The nurse should document this as which of the following? In the term $agranulocyte$, there is a term meaning organisms at the catheter site. DISPOSE OF BLOOD , bloody fluids, suctioned the first step. Which of the following situations would require that the nurse wear protective eye equipment? Explanation: Surgical asepsis consists of against the skin of the hand, which is also Advise him that privacy regulations prevent releasing patient information regardless of his relationship to the patient. clean hands and preventing recontamination. A. Open the side flaps is the third step. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. Raise the room temperature. To maintain sterile technique, the nurse should close the patients door and limit the number of persons entering and exiting the room because air currents can carry dust and microorganisms. Preventing and reducing SSI are the most important reasons for usingsterile technique during invasive procedures and surgeries. Grasp side flap by outer edge and lay it on the table. identify as the primary purpose for Instruct the client to remain in E. Suctioning a child who has newly placed tracheostomy tube. For example, a non-sterile person should not reach over a sterile field. So let's get started. On auscultation of a clients lungs, the nurse identifies crackles in the left posterior base. Avoid splashes. Place all objects inside the sterile field and away from the one-inch border. solutions without compromising the sterile A. ContactB. If anything were to splash, I don't want to get that on the label of the bottle because then I might not be able to read what it says anymore. Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. immediately after glove removal, which often Ill swab the clients mouth with ", ATI Skills: Surgical Asepsis questions to review and prepare for exam, A nurse is preparing a sterile field. Which order nurse should perform steps. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. field. exposed and washed. A. Which of the following findings should the nurse expect. touching instruments in the sterile field. d. to control the introduction of micro-organism the cath. A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. In the literature, surgical asepsis and sterile technique are commonly used interchangeably, but they mean different things (Kennedy, 2013). Principles of sterile technique help control and prevent infection, prevent the transmission of all microorganisms in a given area, and include all techniques that are practised to maintain sterility. micro-organisms. I would definitely encourage you to practice these skills over and over again because it is just rote memory, muscle memory. 6 inches. Includes hands, face, axillae, back, and perineal 1.when opening a sterile pack which of the following actions y Gather all necessary supplies is preventing microbial build-up. can cause skin breakdown. build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing-professionalsfree-shippingfundamentalsnewnursing-flashcardsallsingle-flashcardsskills. Even if you are wearing sterile gloves, your arms and sleeves are not considered sterile if an arm or sleeve passes over the sterile field, microbes may be dislodged into it, contaminating the area. A. BP 180/110 mm Hg, pulse 40/minB. ", "You have the right to make choices regarding your health. It is reasonable to assume that J is not a function of or.\theta \text { or } \phi.or. care of all clients in all health care settings, the body above waist level A. Checking the pedal pulses for a full minute.D. A The client should be placed in a private room with a special ventilation system. the sterile field provides easy access to pour The assistant should expect the provider to make which of the following statements? avoid contaminating the sterile field. Next, the intentional puncture of the clients skin, when and requires frequent linen changes. Explanation: Contact precautions are essential and more. contact of infectious, large-particle droplets Objects held below the waist are considered non-sterile. C. Opening a sterile package over the middle of the sterile field. A sterile field is not required for administering medications or taking a patients vital signs. A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. A. Newborns are abdominal breathers.B. A nurse is performing a complete bed field? wound has the potential for splashing Wear a gown.B. package of instruments. "Hand hygiene is crucial in preventing the spread of germs." Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. So that just gives us room to work, but that one inch, no more, no less, is going to be considered non-sterile of my sterile field. Set up sterile trays as close to the time of use as possible. open wound. waist. contaminated during glove removal. What should you do with used materials and disposable instruments when you clean the surgical room after the procedure? prepared. Checking the apical pulse for a full minute. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. place them in a biohazards waste container. to accommodate And then also remember that if an object becomes wet, let's say I'm putting sterile solution into a sterile container but I accidentally splash some onto the drape, it's not sterile anymore. As Meris shared in the video, you can practice moving around your house with your hands up and in front of you (almost as if you are holding a large balloon) to train yourself not to drop your hands.