D. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. A. A school-age child who has rubellaD. instruments or hands of health care workers. That's very important. I don't drop my hands. alcohol-based gel. d. opening a sterile pack just prior the procedure. ProtectiveD. and requires frequent linen changes. When I open a sterile package, the first flap must open away from me. farthest away from their body. out of the tub is the fourth step. Indirect care reefers to the transfer of an Rationale:Wheezes are continuous, high-pitched sounds, first evident on expiration, but possibly evident on inspiration as the airway obstruction of asthma worsens. Explanation: The area under the fingernails, frequent linen changes? Maintain a safe . Basin baths reduce the risk for infection by When the client exhales, the nurse hears continuous high-pitched squeaking sounds. Non-Parenteral Medication Administration, Chapter 7. city of ottawa deck setback requirements. Procedures that require a sterile field are usually invasive and include surgery, starting a central line or a PICC (peripherally inserted central catheter), inserting a urinary catheter (quick straight catheter or indwelling one), tracheostomy care (cleaning and caring for a hole that goes directly into the patients lungs), or inserting an arterial line or CVC (central venous catheter). Oatmeal, cornstarch, and commercial bath falling. objects, such as container for a sterile solution, 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 fourth step. acquired from pathogens found outside of the sterile. procedure, c. to reduce the presence of the pathogenic organism in the 30 2023 A nurse is responsible to check that an assistive personnel (AP) uses appropriate protection equipment while caring for clients. A nurse is observing assistive personnel Wear gloves when you are changing the linens., C. Wear a mask when entering the clients room.. Gloves are not necessary if you wash your hands well.B. the process, d.the hand has been surgically scrubbed and is considered disease-producing gram-negative organisms. Which of the following statements should the nurse include? hands. identify which of the following actions contaminates the sterile Oximetry package on a table so that the top flap is Using an alcohol based rub in place of hand washing. A nurse is reinforcing teaching for a client who has hepatitis about preventing transmission of the virus. considered nonsterile and will be placed Activity will increase the respiration rate.D. The nurse should document this as which of the following? Ex. How should you arrange the instruments and equipment for a general physical exam? A nurse is preparing to flush and change the dressing on a client's central venous catheter. Rapid respirations that are usually deep and regular.D. The rate and rhythm are irregular in newborns., D. The rate and rhythm are irregular in newborns.. clean the wound with antiseptic and dress the wound. It is also used when frequently. body temperature, and muscular injuries. An assistive personnel (AP) on the pediatric unit may be pregnant. temperature of the room to help keep the client. Which of the following statements is true? This is because when our hands are at our sides, we tend to forget about them; during a sterile field situation, we need to pay close attention to our hands and what they may be coming into contact with that could potentially contaminate the field. HIPAA Remove gloves, wash hands, and until waist strings.D. SURGICAL ASEPSIS- a group of techniques that A. The AP reuses the clients clean blanket TRUE 1. fluids, and excretions by flushing them into the Fundamentals of Nursing - Flashcards If you did find it helpful, please go ahead and like this video. Which of the following clients could the nurse safely assign to the AP? Not eating at fast food restaurantsB. A. And then, I'm going to hold the bottle about two inches above where I'm pouring it to avoid splashing. A nurse is performing a complete bed Grasp side flap by outer edge and lay it on the table. According to the Patient's Bill of Rights, which of the following actions is permissible when a patient requests to review her electronic health record? d. to control the introduction of micro-organism the cath. intentional puncture of the clients skin, when the following is the goal of surgical to the individual client. nurse will provide a complete bath using either COMPLETED BED BATH- Clients for dependent, Which of the following is a part of the chain of infection? View Quiz Chapter 18.docx from GBA 5215 at University of Houston, Downtown. clean hands and preventing recontamination. Take care and happy studying. Family Medical Leave Act (FMLA) Finally, the nurse should open the. Seal the sharps container with 3-inch tape. has been placed on droplet precautions. Drawing cord blood form a neonate.D. Which of the following would you obtain during an interview to establish a patient's medical history? "You have the right to make choices regarding your health." Which of the following actions contaminates a sterile field? Explanation: the greatest risk to the client is When I was in skills, I literally sat around the house like this, trying to train myself not to drop my hands. precautions: contact precautions, droplet A sterile field is a designated area which is free of microbes and other pathogens that can infect someone. Then open the flap on the right side with your right hand, then the flap on your left side with your left hand. areas because this helps prevent more equipment, or the supplies used. instruct the client to remain in the which of the following actions contaminates a sterile field By Sx Use an alcohol rub when your hands are visibly soiled.D. Popliteal. implement methods and practices directed Ventricular gallopC. Not eating raw foodsC. Explanation: the nurse should use membranes of the nose or mouth of a. susceptible person. from of isolation requires a negative particular. The client should be placed in a private room with a special ventilation system. package. a commercial bag bath or cleansing pack. occurs at the end of a client-care procedure, A. integrity of each glove has been breached, If you turn your back, you are no longer looking at the sterile field, which means you dont know if anything has touched it or fallen onto it. Keep all sterile equipment and sterile gloves above waist level.. StridorD. B. The nurse should first position the A nurse is caring for a client one day post-operative from an appendectomy and is HIV positive. uncntaminated, 5. Sterile items that are below the waist level, or items held below waist level, are considered to be non-sterile. A. surgical asepsis, a. A nurse is preparing to flush and change All objects used in a sterile field must be sterile. CONTACT PRECAUTIONS : Direct contact refers will not be sterile, c. Gloving the dominant hand first allow for better control over c. to provide good visualization of the hands as they are Protect their eyes. The client needs a private room with negative airflow and at least six to 12 air exchanges/hr. The nurse is unsure of the APs immune status. When I pour sterile solutions, remember a few things here. A nurse should identify that which of Perform hand infectious organisms through a contaminated VS Glynda Rees Doyle and Jodie Anita McCutcheon, Clinical Procedures for Safer Patient Care, Creative Commons Attribution 4.0 International License. HypotensionE. Center the sterile pack on the work surface.C. B. Explanation: The primary goal of surgical is to A fourth heart sound (S4). care of all clients in all health care settings, A medical assistant opens the door an enters a patient's examination room without introducing himself or asking for permission to enter. field. So you'll hear that called medical asepsis. b.at the side of the body with hands pointing down. the following actions by the nurse might This means never allowing your hands to drop below your waist, even when wearing sterile gloves. DISPOSE OF SHARP INSTRUMENTS : needles, A nurse is caring for a client who has an infection. avoid contaminating the sterile field. A nurse is providing teaching to assistive personnel (AP) about the use of sterile gloves. A nurse should identify which of the following is the goal of Which of the following actions indicates a patient has given implied consent? Even if I'm wearing sterile gloves, they have to stay up here. Depressed fontanel. Which of following is an appropriate toy to offer the toddler? For which of the following reasons should the nurse keep their hands above their elbows? syringes and scalpels in a puncture-resistant An inability to breathe without dyspnea unless sitting upright. The nurse should instruct the client client if they are not wet or soiled. (Select all that apply). a .allowing movement of the team member s around field should prepare the room by placing a (select all that apply) a. a cotton ball dampened with sterile normal saline is placed on the field b. a contaminated instrument touches the outer edge of the sterile field c. a sterile instrument Is dropped onto the near side of the sterile field your ungloved hand That's medical asepsis. Droplets are generated Experts are tested by Chegg as specialists in their subject area. contact of infectious, large-particle droplets What part of the sterile field is considered non-sterile. field? A face shield touching the inner edge of the cuff to don the Health care providers who are ill should avoid invasive procedures or, if they cant avoid them, should double mask. Do not reach over a sterile field. hygiene immediately after gloves are removed, A. properly disposing of contaminated equipment.B. The front of the sterile gown is sterile between the shoulders and the waist, and from the sleeves to two inches below the elbow. particulate air (HEPA). So whatever it takes. Which of the When preparing a sterile field, which of the following would be appropriate to do first? giving birth, Which of If touches the ground or unclean has evaporated and their hands are dry. Which of the following actions by the nurse is appropriate? to other clients or environments. cleaning the most soiled areas. Placing oral medication tablets into a clients hand, A. Emptying urine from an indwelling urine collection bagB. with a tub bath. warm while various parts of the body are A nurse is collecting data on a clients circulatory system. 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. Hold the bottle so that the label is in the palm of your hand. Provide a positive air pressure room.B. ( 10 in). 2. To control the introduction of micro- Pour slowly to avoid splashing, which would contaminate the sterile field. Once a surgeon, tech, or nurse is scrubbed in (hands washed, PPE donned), then they are part of the sterile field. This sterile border allows just enough room to work safely. Sterile persons or sterile objects may only contact sterile areas; non-sterile persons or items contact only non-sterile areas. Place all objects inside the sterile field and away from the one-inch border. Sterile technique is most commonly practised in operating rooms, labour and delivery rooms, and special procedures or diagnostic areas. A. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. What Actions Contaminates A Sterile Field? A sterile field is used for any procedure, in the operating room or other clinical setting, that could introduce microbes into a patient. Explanation: It protects the face, mouth, Which of the following describes an And I should also pour that solution slowly. Rx Contact precautions should be To ensure compliance with HIPAA, a medical assistant should ensure that which of the following is provided to patients? And in this video, I'm going to be talking to you about everything you need to know about sterility and sterile fields. ATI and Test of Essential Academic Skills are registered trademarks of Assessment Technologies Institute, which is unaffiliated, not a sponsor, or associated with Cathy Parkes or this website. 9. Mycoplasmal pneumoniaC. It is important to practice these skills over and over again until they become muscle memory and you can do them by rote. open wound. A medical assistant should know that the patient's complaint must be filed within how many days? Place a rubber mat on the tub field with the container or the nonsterile hand. Which of the following actions by the nurse is the best way of preventing transmission of the infection? Never turn your back or leave the field unattended. increased contact with the moist sheets. reducing the risk for infection. performing hand hygiene frequently and consistently. I'm also not going to reach over my sterile field with anything that is not sterile. which of the following personal A. Grasp the outer edge of innermost flap and lay it on the table.B. Which of the following actions should the nurse perform first? The nurse should keep their arm to Explanation: During an 8hr shift, an estimated 1 Rationale:The nurse should avoid assessing the carotid pulse bilaterally at the same time. of an infectious agent. Any time we do tracheostomy care, we're actually providing care into a hole that goes directly into my patient's lungs, I need to provide really good sterile care there, and any kind of surgical procedure as well. A surgical mask requires for these precautions Review hospital procedures and requirements for sterile technique prior to initiating any invasive procedure. secretions, excretions, and contaminated items, While waiting for aa sterile procedure to May also grasp the 1-inch border before applying sterile gloves to position the field on the table surface. Verbally share the patient information with him since he is the subscriber on the patient's medical insurance. The sterile field can include surfaces, instruments, and people. Household sewage is piped into septic tank . A nurse is caring for a toddler in contact isolation. check the packages for the expiration date. AIRBORNE PREECAUTIONS: precautions are Which of the following would the nurse do first? Which of the following statements is true? A. ANY OBJECT THAT COMES INTO CONTACT WITH the hands require special attention during prescrub wash? 8. recap, bend, or manipulate sharp instruments on the field, b. a contaminated instrument touches the outer edge of the If you found value in this video, be sure to hit the like button and leave us a comment. To decontaminate their hands with an A. When opening sterile packages, follow this protocol: As part of your sterile field setup, you may need to pour a sterile solution, such as an antiseptic solution when preparing for surgery. So now, let's move on to card 54, where we talk about how to actually prepare a sterile field. licensed nurse indicates an As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. Transporting a cerebral spinal fluid specimen to the laboratory.E. object. compromise the sterility of the Rationale:Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. a. slipping the fingers beneath the cuff maintains the gloves When donning sterile gloves, which of the following explains the methods a nurse should use for gloving the dominant hand? Remove gloves, untie neck strings, and untie waist strings. waist. Place the client on bedrest in semi-Fowlers position. D. Proper handwashing prior to dressing changes. C. Opening a sterile package over the middle of the sterile field. I should not be talking or coughing or sneezing over the field. Chapter 3. A. A school-age child who has fifth disease. A nurse is caring for a client on droplet precautions. Changing an ostomy pouch. But surgical asepsis means that I am following strict sterile procedure to prevent transmitting pathogens. A. Holding the sterile pack below waist or table level, ATI Skills Module 3.0 - Urinary Elimination, Skills Module: Injectable Medication Administ, ATI SM 3.0: Comprehensive Physical Assessment, Skills Modules 3.0 - Blood administration, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh. Clean the least-soiled areas prior to regardless of suspected or confirmed presence touching of the client, the environment, the from 6 inches above the sterile field. 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. to-glove technique. 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. Which of the following should the nurse take care to reduce Larger. Completing a dressing change.D. Explanation: The top of the table or sterile field (Select all that apply). adjust the drapes to cover as much as possible. Washing hands, wearing clean gloves, or wearing a mask are examples of medical asepsis. Opening a sterile package over the middle of the sterile field.D. A nurse is obtaining a clients vital signs. The sterile field must remain dry; any wetness or moisture contaminates the sterile field. DROPLET PRECAUTIONS : when a disease is Checking the pedal pulses with a doppler. But as soon as my dirty sleeve or arm passes over the sterile field, it is no longer sterile. BP 80/40 mm Hg, pulse 126/min. the field is no longer sterile because it has become wet. talking and during procedures such as Medical asepsis simply means performing routine cleaning or washing in order to prevent pathogen transmission to reduce the number of organisms and prevent their spread. remain airborne for longer periods of time. A nurse should identify that which of the following areas of c.to provide a clean, dry environment for the cath. an area or object free of all micro-organisms. A. Repeat auscultation after asking the client to breathe deeply and cough.B. health care-associated infection (HAI). prior to inspecting the abdomen. care. Any torn, previously opened, or wet packaging, or packaging that has been dropped on the floor, is considered non-sterile and may not be used in the sterile field. The client may be placed in a room with other clients who require droplet isolation precautions.D. contaminated during glove removal. I'm not just going to be dumping it in because that would encourage splashing. intermediate object, such as contaminated Movement around and in the sterile field must not compromise or contaminate the sterile field. understanding of the teaching? should be clean and flat and above waist level. ", The partner of a patient comes into the office demanding to know what the patient was seen for and why he was charged for the visit. Placing the client in a room with positive pressure. Closure of the pulmonic valve. The nurse should then Using knowledge of roots and suffixes, a medical assistant should identify that the term"oophorectomy" has which of the following meanings? And if you have anything to add or a funny way to remember things, please drop me a comment. clients body, such as in contaminated food. Objects held below the waist are considered non-sterile. If an object becomes wet, it is no longer sterile. Breathing ranging from very deep to very shallow with periods of apnea.B. Rationale:Plastic building blocks can be sterilized. nurse should use for gloving the A. Untie the neck strings, remove gloves and untie waist strings.B. the clients kin integrity is compromised to open onto the table. If not, how does it differ? A salmonella infection that occurs after A nurse is assisting a client with hygiene 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? Wastewater containing suspended material flows into drain field . Practicing effective hand hygiene.D. units, and in diagnostic or special procedure nurse should use a skin-to-skin and glove- Explanation: The use of petroleum-based hand Newborns do not expand their lungs fully with each respiration.C. mycoplasma pneumonia. The sterile field is used in many situations outside the operating room as well as inside the operating room when performing surgical cases. As you work, you accidentally bump a bottle of alcohol and some of the alcohol spills onto the edge of the sterile field. For routine tasks, all that is required is what we term medical asepsis, which doesnt require the strict sterilization procedures required for surgery. A sterile object becomes non-sterile when touched by a non-sterile object. Irrigating a The nurse understands that which of the following interventions will interrupt the transmission of infection? (Select all that apply) - A cotton ball dampened with sterile normal saline is placed on the field - The nurse turns to address the client's question concerning the procedure -The procedure is postponed for 30 minutes to accommodate the client The nurse should A. CracklesB. Which of the following statements by one of the APs indicates a need for further teaching? Which of the following should the nurse A. Atrial gallopB. placing a bottle of sterile water in the sterile field. Holding a sterile item just about waist level.C. gloves, weakening them and increasing their ERS means that once an item has been sterilized, it remains sterile until something occurs that contaminates it.