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Mosquito Hemostat To hold suture needle
"Buck" Ear curette cerumen spoon; used to remove matter from ear canal, usually accumulated wax
Needle holder To hold suture needle
Uterine tenaculum forceps Used to hold tissue (cervix) for obtaining specimen or biopsy
Kelly Homostat Straight and curved 6"- 7" in size; used to clamp blood vessels and bleeders
State the technique of unwrapping sterile items Open a sterile pack and set up a sterile field- open pack without crossing sterile field
Technique of wrapping sterile items Plac dry checked, sanitized and disinfected supplies and instruments inside the appropriate wrapping materials for sterilization and storage without contamination
Steps in setting up a sterile field Check for dust and wet areas- Sanitize hands and completely dry- Place sterile pack on Mayo stand and read label- Check date and indicator tape
Humoral immunity Creates specific antibodies to combat antigens
Cell- mediated immunity Attacks the source of infection at the cellular level- white blood cells
Active- natural form the antibodies
Active- artificial given the antigen to form antibodies
Passive- natural receving the antibodies- breast milk, umbilical cord, pregnancy
Passive- artificial given the antibodies
Technique for application and removal of sterile gloves To apply sterile gloves without contaminating them- To open glove pack is a sterile field; one inch boarder around perimeter is not sterile- glove dominant hand first- Sterile surfaces must always touch sterile surfaces
Types of sterilziation Disinfection- kills pathogenic organisms- Sanitization- cleansing process; reduces number of microorganisms to a safe level
Indicators for successful sterilization Diack tape; indicator strip
Absorbable sutures Deep incisions- lacerations; catgut used on muscous membrane and SubQ tissue- chromic catgut coated w/ chromic salt; delays absorption up to 80 days- Synthetic absorbables: Vicryl, Dextron PDS, and Maxon
Nonabsorbable Has to be removed- material silk, polyester, nylon- has elasticty and stiffness, require lots of knots
Staples Stainless steel and titanium
Inflammation A tissue reaction to trauma or disese thea include redness, heat and swelling
Infection Invasion of body tissues by microorganisms which the reproduce and damage tissue
Laceration Jagged, irregular breaking or tearing of tissue- caused by blunt trauma
Puncture Piercing of the skin by an object- pin, nail, splinter, bullet
Abrasion Superficial- scraping of the skin
Avulsion Tissue forcibly torn or separated, caused by accidents
Surgical incision Neat clean cut
Hypodermic puncture injection under the skin
Contusion Closed, blood from broken vessels accumulate in the skin
Incision Neat clean cut from sharp objects- glass, knives, metal
Technique for medical aseptic handwashing and surgical scrub To scrub hands with surgical soap, using friction, running water and sterile brush to sanitize the skin before assisting with any procedure that require surgical asepsis
OSHA Occupational and Safety and Health Administration- developed 1970; became effective 1992
Infectious agent virus, bacteria, fungus, protozoa, rickittsiae
Reservior host person, object, animal, insect, soil, food
Port of entry Nose, mouth, eyes, ears, vaginal, rectum, open wound
Means of transmission Saliva, sweat, tic, blood, and body fluids
Port of exit Same as entry
Susceptible host Elders, infants, HIV patients- weak immune system
Methods of fire prevention in the medical facility Exits are accessible and clearly marked- fire extinguishers charged and in proper location- ER lighting units and exit signs operable- Use and location of cords appropriate- Materials stored neatly without obstructing sprinkler heads- Excape plans clearly
Methods of fire prevention in the medical facitity Flammable material stored away from heat- locations of stairwell clearly marked- Location of oxygen or other gas storage clearly marked- Smoke alarms identified, verified battery change every 6 mo.- Sprinklers, extinguishers, alarms checked every 6 mo.-
Methods of disposing hazardous waste foot pedal and covered, next to regular garbage- red bags or bio-hazard symbol, only sharps in sharps containers, which are red or have a biohazard label
LEMA Local Emergency Management Authority
Organizations to be notified in emergency preparedness and/ or natural disasters EMS, fire department, law enforcement, ARC, National Gaurd
Methods of accident prevention Proper body mechanics; face person/ item; bend at knees; push don't pull- check floors and hall for obstruction, cables and boxes- store supplies in cabinets, not on top- heavier items lower, clean up spill ASAP- use stool not chair- handrails-
Methods of accident pevention (cont.) do not overload electrical outlets- perform routine safety checks