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NA Finals
Review
| Question | Answer |
|---|---|
| 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 |
Created by:
bossy777
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