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Related Flashcards
Cards In This Set
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Define Aseptic technique?
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Includes all the methods by which contamination with microorganims is RESTRICTED.
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Define Sterile technique(surgical asepsis)?
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Comprises mmethods which are designed to EXCLUDE all microbes.
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Expplain the Goals of Aseptic and Sterile Technique(3)?
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*Prevent surgical infection
* Optiimize primary wound healing *Minimize the length of recovery from surgery |
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List 8 things that can contribute to postoperative infections?
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1)Skin intefrity
2)Age 3)Nutritional status 4)Defense mechanism 5)Pre-existing conditions 6)Length/ type of surgery 7)Surgical technique 8)Pre-exisiting infection |
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What iss the purpose why The Center for Disease Control and Prevention(CDC) established a classification system for surgical wounds?
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1) To facilitate tracking infections involving the surgical patients.
2) To learn how they may have occurred 3) To learn how to prevent their recurrence |
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Name the four categories of surgical wounds
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Class1: Clean
Class II: Clean Contaminated Class III: Contaminated Class IV: Dirty or infected |
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What is a clean wound?
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Clean operative wounds
-No inflammation - system not entered Example: elective surgery with primary closure and closed drainage system |
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What is the percentage of risk for developing a postoperative infection due to clean wound?
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There is a 1%-5% risk of postoperative infection.
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What are the examples of clean wounds?
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Eye surgery
Hernia repair Breast surgery Non-traumatic neurosurgey Non-traumatic orthopedic, cardiac, or peripheral vascular surgeries |
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What is a clean contaminated wound?
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System is entered without contamination
-No evidence of infection -No break in aseptic technique |
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What is the percentage of risk for developing postoperative infection?
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There is a 8%-11% risk of postoperative infection.
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What are the examples of clean contaminated wounds?
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D&C
Total abd hysterectomy Gastrectomy Cholecystectomy without spillage Elective appendectomy Cystoscopy Transurethral resection (TUR) bladder procedure on a pt with negative urine culture |
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What is contaminated wound?
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Open, fresh, traumatic wounds
Major breaks in sterile techniques Gross spillage from the GI tract Incisions in which acute, nopurulent inflammation is encountered |
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What is the percentage of risk for developing a postoperative infection?
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15%-17% risk of postoperative infection
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What are examples of contaminated wounds?
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Rectal surgery
Laparotomy with significant spillage Traumatic wounds, gunshot, stab wounds without perforation of viscera Acute inflammation of any organ without frank pus present, example (appendicitis, or cholecystitis and compound fractures |
