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Kinn's Chapter 57

Surgical Asepsis and Assisting With Medical Procedures

QuestionAnswer
1) Any movement around the sterile field can cause _______________. Contamination
2) If the infection is serious enough, the patient may not ____________. survive.
3) ___________ allows microorganisms to transfer through the surface of the underlying nonsterile area. Moisture
4) Sterile team members must always maintain a ___________ of the sterile field to prevent accidental contamination. direct view.
5) A tear in the wrapping material means that the pack is ______________. contaminated
6) Crossing over the sterile field with a nonsterile item causes _____________. contamination
7) _________________ must be completely open to permit steam to reach all surfaces. All instruments
8) If the grasping end is inserted last, the handles of the instrument can be grasped when the envelope is _______________. peeled off
9) Any procedure that involves entry through the skin must be a _________________. sterile procedure
10) Because the steam does not have to pass through wrapping material, unwrapped items are _________________ more quickly. sterilized
11) ____________ may occur on instruments if they are cold when placed in a hot autoclave. Condensation
12) A change in the autoclave tape dye simply indicates that the package has been ________________ under pressure on the surface of the pack. exposed to steam
13) Chemical sterilization requires immersion for ________________. 10 hours
14) All individuals in the room during a laser procedure must wear ______________ to prevent damage to the eyes. eye protection
15) To comply with OSHA guidelines, the medical assistance must wear gloves when _______________. cleaning up after a surgical procedure
16) First-intention healing occurs from a _______________________; this is second - intention healing. clean surgical incision
17) Pus information indicates an _____________, which will interfere with the healing process. infection
18) A bandage covers a _______________; it is not applied directly over the wound. sterile dressing
19) The autoclave disinfects by ________________ the objects, destroying microorganisms. heating, steaming, and wetting
20) _____________________ must be used when any body tissue is entered. Surgical asepsis
21) The recommended temperatures for sterilization in an autoclave is _____________________. 121* to 123*C (250* to 255*F)
22) _________________should be followed when unloading an autoclave. All these guidelines
23) _________________ should be stored longer than 28 days unless sterile envelopes are used. Sterile packs
24) _________________ must obtain the patient's informed consent. The physician
25) Infection is caused by the ________________________. proliferation of pathogens
26) __________________ are so small they must be viewed through a microscope. Microorganisms
27) __________________ are microbes that cause disease. Pathogens
28) A _________________ is one substances can pass through permeable material
29) ________________ is the presence of pus-forming pathogens in the blood. Pyemia
30) _______________ is a dormant form of bacteria that is very resistant to disinfection methods. A spore
31) ______________ develops rapidly. an acute infection
32) ______________ is the destruction of microbes after they leave the body. Medical asepsis
33) ____________________________ placed in the center of a large pack are the best indicators of proper sterilization in an autoclave. Sterilization indicator strips
34) ___________________, a high-frequency current is used to cut through tissue and seal blood vessels. In electrocautery
35) Very low temperatures are used in _______________ to destroy tissue by freezing it on contact. cryosurgery
36) A _______________ is infected with pathogens. septic wound
37) In the ______________ of wound healing, ____________ is deposited at the site and clotting begins. lag phase; fibrin
38) In the ____________________ of wound healing, ____________ closes the gap between tissues and scar tissue forms. final or remodeling phase; collagen
39) ______________ is a sterile covering that is placed directly over a wound. A dressing
40)___________________ is a wound that appears jagged and irregular and is usually caused by trauma. A laceration
41) An ______________ is a chemical substance used during skin preparation for surgery that kills or reduces the number of microorganisms on the skin. Antiseptic
42) A wound usually caused by an accident that results in tearing or separation of tissues is called an __________________. Avulsion
43) ________________ is an example of an abrasion. A brush burn
44) A _____________ occurs when a nonpenetrating wound damages blood vessels. Contusion
45) ___________ can result if a bandage is applied too tightly. Edema
46) ______________________, a wound heals by ______________ from the bottom of the wound outward. With second-intention healing; granulation
47) The three basic autoclave cycles are: _______________________ _______________________ _______________________ ~ Gravity (fast exhaust) cycle ~ Liquid (slow exhaust) cycle ~Prevacuum cycle
~ Gravity (fast exhaust) cycle used to sterilize item such as stainless steal instruments and glassware.
~ Liquid (slow exhaust) cycle used to prevent sterilized liquids from boiling. Steam is exhausted slowly at the end of the cycle, allowing liquids to cool.
~ Prevacuum cycle used for porous materials. The chamber is partly evacuated before steam is introduced to allow greater steam penetration.
51) Sanitization is the cleaning of instruments and the environment to reduce the number of pathogenic microorganisms.
52) Disinfection is the destruction of pathogens by physical or chemical means.
53) Sterilization is the destruction of all microorganisms, typically with the use of an autoclave.
Created by: n.esperanza92
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