MA212 Quiz 2 Review
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Created by:
Dawnbackinclass on March 15, 2011
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Beal, Kinn's, Assisting with Minor Surgery
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29 terms
Terms | Definitions |
|---|---|
 sanitize | Washing of instruments and equipment rids them of gross contamination and blood, body fluids, tissue and other contaminated debris. First level of clean. Normal hand washing falls under this category. |
| disinfect | Consists of various chemicals that can be used to destroy many pathogens but not their spores. Second level of clean. |
| sterilize | Kills all microorganisms including the spores. Third and highest level of clean. Hands cannot be sanitized. |
| 4 ways to sterilize | gas sterilization dry heat chemical sterilization steam sterilization (our autoclave) |
| Inflammation signs & symptoms | heat, redness, swelling, pain |
| Autoclave temperature for sterilization | 250-254 F or 121-123 C. Autoclave requires-heat water and pressure: 15psi, 20 minutes minimum |
| sterile dressing | Dressings are put directly over or in a wound. Because it is going directly in or on an opening into the body, it must be sterile. |
| clean or sterile bandages? | bandages cover everything including the dressing, so they must be clean but not necessarily sterile. |
| OK strip | It is placed into the package of items to be autoclaved. It has an "o" on it before autoclaving and afterwards it also has a "k" and a long arrow, showing an "ok" that it has been exposed to high temperatures but it does not guarantee sterilization of the objects. |
| labelling tissue sample | pt. name dr's name date and time of collection body site or source your initials (include requisition form) |
| autoclave hinged instruments... | ...in open position to allow full steam penetration into joint. Use gauze and rubber band to keep open. |
| contaminated instrument pack | is no longer sterile. Is contaminated if it has holes or was not sterilized properly or was contaminated after opening. When in doubt, throw it out. |
| asepsis | absence of pathogens or disease-producing organisms; 2 types: medical asepsis and surgical asepsis |
| medical asepsis | destroying transient microorganisms after they leave the body; hand washing, disinfecting surfaces in the exam room when patient leaves, sanitizing stethoscope, etc. |
| surgical asepsis | preventing contact with all microorganisms before they can enter the body; no microbial life. Autoclaving surgical instruments, using sterile gloves, maintaining sterile field, sterile draping, etc. |
| minor surgical procedures performed in the medical office | is less complex than major; uses local vs. general anesthesia; is an office procedure vs. hospitalization. could include electrosurgery, laser surgery, microsurgery, or cryosurgery, |
| Specific minor surgical procedures, list. | suturing, cyst removal, incision and drainage of an abscess, collection of biopsies, vasectomy, arthroscopy, circumcision, teeth extraction, toenail removal, mole removal, needle biopsy, joint fluid aspiration, spinal tap, bone marrow aspiration. |
| cryosurgery | destruction of tissue by freezing; most often uses liquid nitrogen; most often used for warts but may be used for other things. |
| chemical sterilization | Uses some of the same chemicals for disinfecting but at higher concentrations or strengths and the equipment must be in the solution for a longer time. |
| autoclaved pack storage | Paper packs, plastic packs, 6 months. Muslin, 28 days. Packaging can extend the shelf life of sterile equipment for up to 6 months |
| Wound healing intention - | 2 classifications based on how the wounds repair themselves |
| Wound healing intention - Primary or First | The clean, surgical wound that is sutured closed and heals quickly. |
| Wound healing intention - Secondary or second | Tissue that is severely damaged and heals from the bottom of the wound outward |
| Purpose of dressing | protects wound from injury and contamination; maintains constant pressure minimizing bleeding and swelling; holds wound edges together; absorbs drainage and secretions. |
| Purpose of bandage | Helps hold dressing in place; improve circulation; support or reduce tension or prevent movement. |
| medically aseptic hand wash | 2-3 minutes; hands and wrists; hands held down for rinsing; pathogens loosened and carried away from hands and wrists; clean nails with pick; hands together for friction; dry with paper towels; lotion use ok; apply gloves for protection; (removes transient flora) |
| surgical short scrub | 5-6 minutes (each arm); hands, wrists, forearms, 2" above elbows; hands held up for rinsing; prevents bringing microorganisms from unwashed area; clean nails with brush after pick; use scrub brush for friction; dry with sterile towels; no lotion; sterile gloves for protection and sterility. |
| Signs inflammation has moved to infection | exudate, systemic heat, nausea, general malaise, function loss. |
| Your role in sterilization, disinfecting and sanitizing? | Making sure everything that is EFFORT DEPENDENT is done correctly. |
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