Term
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Definition
| Precautions taken to prevent contamination (and ultimately infection) |
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Term
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Definition
| Free from all living organisms |
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Term
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Definition
| Implies that all microorganisms are within or on an object/wound (can but does not always lead to infection) |
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Term
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Definition
| Microorganisms in the body of wound multiply and cause harmful effects |
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Term
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Definition
| Agent that kills or inhibits the growth of microorganisms on inanimate objects |
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Term
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Definition
| an agent that kills or inhibits the growth of microorganisms on animate (living) objects |
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Term
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Definition
Any personnel having contact with the patient immediately before, during, or after the surgery
Ex: circulating tech, anesthesia tech, surgical assistant, surgeon |
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Term
| Surgical team rules: Nonsterile/nonscrubbed (standing, passing, reaching, touching) |
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Definition
- standing: face sterile field, stay out of way of sterile/scrubbed
- passing: pass behind sterile (your front to their back), never walk between sterile/scrubbed and surgical field
- reaching: never reach over sterile field
- touching: never touch anything sterile |
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Term
| Surgical team rules: Sterile/scrubbed (standing, passing, reaching, touching) |
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Definition
- standing: face sterile field, you're sterile from shoulders to waste, keep hands at chest
- passing: 2 sterile pass front-front or back-back
- reaching: reach over sterile items only, keep hands at chest level
- touching: ONLY touch sterile items |
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Term
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Definition
Ethylene Oxide
Temp: 120-150F
Time: 3-6 hours
Aeration: 24 hours |
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Term
| Liquid Chemical Sterilization |
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Definition
"cold sterilization"
- immersion in chemical solution |
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Term
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Definition
"Autoclave"
Temp: 250F
Pressure: 15 psi
Time: 15 min
- Loading: pack loosely, do not stack, tip bowls |
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Term
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Definition
Gas sterilization (ethylene oxide)
liquid/cold sterilization
steam sterilization (autoclave) |
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Term
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Definition
Autoclave tape
chemical autoclave indicators
culture test |
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Term
| Autoclave tape (indicator) |
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Definition
Use: gas/steam sterilizing
Apply: exterior of pack |
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Term
| Chemical autoclave indicators |
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Definition
Chemical spots on paper card (OK strips)
- change color when requirements met (appropriate/adequate time) |
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Term
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Definition
| Nonpathogenic bacterial spores impregnatedon strips of paper |
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Term
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Definition
Linen/muslin
paper wraps (crepe)
plastic/paper peel pouch |
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Term
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Definition
- more resistant to rips/tears
high degree of flexibility/memory
initially expensive
reusable! |
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Term
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Definition
Economical
cut to any size
generally NOT reusable |
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Term
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Definition
used for single items
limited sizes |
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Term
| Shelf life of sterile items |
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Definition
*Shelf life is event related, not necessarily time related*
(strike through or dust)
- linen: 30 days
- addition of dust cover to linen: 1 year |
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Term
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Definition
- Refers to diameter (as this decreases, tensile strength decreases)
- Largest/coarsest: 7
- smallest/finest: 10-0
ex: 00 = 2-0 = 2/0
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Term
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Definition
Monofilament: single strand
- less drag through tissue, less bacteria-holding, poor knot holding
Multifilament: several strands braided/twisted
- more pliable/flexible, hold knots well, may harbor bacteria in their interstitial spaces |
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Term
| 2 major classes of suture material |
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Definition
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Term
| Absorbable suture (Use & 2 genres) |
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Definition
Use: sutures buried within body cavity
- digested/broken down ~60 days post-placement
- result of inflammatory rxn
Natural
Synthetic |
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Term
| Natural absorbable suture material |
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Definition
- broken down by phagocytosis
Ex:
- surgical gut - inflammaotyr rxn
- chromic gut - prolonged absorption time |
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Term
| Synthetic absorbable suture material |
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Definition
Broken down by hydrolysis
ex:
- monocryl
- vicryl
- PDS |
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Term
| Nonabsorbable suture material |
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Definition
NOT digested/remains in tissue till removed
- Natural/organic (silk, cotton)
- Synthetic (prolene, vetafil, nylon)
- Metal (stainless steel) |
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Term
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Definition
Tissue adhesives (nexabond, vetbond)
Ligating clips (hemaclips)
Staples |
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Term
| Suture needles (overall shape) |
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Definition
Strait - driven by hand
Curved - driven by needle holder |
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Term
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Definition
Taper or round - soft tissues - muscle, organs
Cutting - tough tissues - skin |
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Term
| Suture needles: suture attachment |
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Definition
eyed needles - threaded through eye - bulky
swaged needles - attached by manufacturer |
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Term
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Definition
Simple interrupted
continuous |
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Term
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Definition
Ratchets or jaws CLOSED
gentle but firm slap, holding at box lock
rings first (or fused end first of forceps)
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Term
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Definition
Handle first
belly facing down
blade facing toward me |
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Term
| Passing curved instruments (hemostasis vs ligation) |
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Definition
Hemostasis - pass so tips are up in their hand
ligation - pass tips down b/c they need to tie off and don't want tip in the way |
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Term
| Cutting w/ curved scissors |
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Definition
Curves facing up (so we don't cut patient)
blades closed when coming up to animal |
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Term
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Definition
Rinse w/ tap water
place in ultrasonic cleaner
rinse w/ distilled water (to get minerals off)
lubricate (w/ instrument milk)
air dry |
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Term
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Definition
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Term
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Definition
right drug
right dose
right patient
right frequency/time
right route |
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Term
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Definition
marginal ear vein
jugular vein
cephalic vein
lateral or medial saphenous vein
coccygeal vein |
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Term
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Definition
sublingual artery
dorsal common digital artery
dorsal pedal artery
femoral artery
median artery
facial arteries |
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Term
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Definition
T: 100.5-102.5F
P: 70-120 beats/min
R: 18-34 breaths/min |
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Term
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Definition
T: 100.5-102.5
P: 120-140 beats/min
R: 40-60 breaths/min |
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