Sterile Field
What is surgical asepsis?
Techniques to eliminate pathogenic and other potentially harmful microbes related to invasive procedures.
What is the difference between sutures and staples?(What are both used for?)
Staples are faster and better for high-tension or large, deep incisions, while stitches (sutures) offer superior precision, reduced scarring, and are necessary for delicate areas like the face.
Every medical office must have an emergency kit that contains supplies needed during an emergency. The emergency kit is commonly referred to as a....
Crash cart
Medical devices and supplies that can be used repeatedly
If the patient is unable to drive after a procedure but did not find transportation, what happens?
A border of at least _ inch(es) around the sterile drape is considered nonsterile.
1 inch
Why do you not dispose of staples immediately?
To count them when you're done assuring you got them all out.
What do most emergency kits include? List at least 3.
surgical instruments, such as forceps; an oxygen supply; an airway and suction device; an ambu-bag; a heart monitor-defibrillator; and emergency medications.
What is considered DMEPOS is defined by...
Medicare, Medicaid, and other insurance companies
True or false: Clear instructions about postoperative medications should be given in writing as well as verbally to the patient
True
How do you maintain the sterile field on the mayo stand?
Adjust the stand to slightly above the waist and position it at least 12 inches from the body.
How many days does it typically take for absorbable sutures to absorb?
5 to 20 days after insertion.
How often should the emergency kit be checked?
At least once a month
Common examples of DME?
Dialysis machines, continuous positive airway pressure (CPAP) machines, oxygen concentrators and ventilators, orthotics and prostheses, bed equipment (hospital beds, lift beds), mobility aids (wheelchairs, crutches), and personal care aids (bath chairs, commodes).
What symptoms should the patient notify the provider if they are having them?
Name the first through fifth steps in creating a sterile field.
1. Disinfect the mayo stand
2. Place the packet on the mayo stand
3. Open the flap furthest away from the MA
4. Pull both sides open
5. Open the flap closest to the MA
What is the procedure for removing staples?
To remove staples, begin with the second staple of the wound and carefully place the lower tip of the sterile staple remover under the staple. Advance the lower jaw of the staple remover under the staple to be removed. Do not lift the staple remover when squeezing the handles. Remove every other staple until all staples have been removed and while observing the site.
What is naloxone used for in emergency situations?
rapidly reverses an opioid overdose
What is required for a patient to be eligible for DMEPOS?
The health care provider must order the item through a prescription or medical order form to be submitted to a supplier. The health care provider must state that the DMEPOS is needed for the patient’s medical condition or injury and is for home use.
What information do discharge instructions include?
Activity restrictions, diet restrictions, wound care, and medications
How is a sterile packet opened? (Which flaps are opened first and last?)
The flap farthest away from the MA should be opened first, followed by the sides. Then the flap closest to the MA should be opened last without reaching over.
Where are staples disposed of and where are sutures disposed of?
Dispose of sutures in the biohazard waste container and staples in the sharps waste container.
Emergency medications are often delivered as __ or ___ suppositories for faster absorption.
Injectables or rectal suppositories
What is necessary for equipment to qualify as a DMEPOS?
Which of the following is not a postsurgical discharge instruction for a patient who had a biopsy of the breast? Change the dressing, eat a healthy diet, apply medication, and observe signs of infection.
Eat a healthy diet