Deck 16: Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Question 1

The purpose of a mask is to filter droplets containing microorganisms expelled from the mouth.What is another purpose for the mask?

A)It's a good idea to wear two masks for better protection.
B)Many masks filter about 99% of particulate matter larger than 5 mm.
C)Masks are still effective if they become moist.
D)Reusable cotton masks are still appropriate.

Answer 1

B
Many masks filter about 99% of particulate matter larger than 5 mm but only about 45% to 60% of particles 0.3 mm in diameter.Special masks for aerosolized particles such as laser or TB are fitted for each employee.Wearing double masks forms a barrier instead of filter and may cause expulsion of particles to escape from the cheek folds.

Question 2

It is acceptable to take home one's scrubs to launder them after working in the OR.

Answer 2

False
Home laundering of scrub suits may cause cross contamination between hospital and home microflorae.Laundry conditions at home are not controlled for temperature and cleaning products and may not consistently take microbial counts to an irreducible minimum.Scrubs should not be taken home because the risk of contamination of family members may be increased if clothing were contaminated with resistant microorganisms such as prions causing Creutzfeldt-Jakob disease or Mycobacterium tuberculosis,causing tuberculosis.

Question 3

What is the correct method of open gloving?

A)Open the gloves and just put them on.
B)Grasp the inside cuffs of both gloves when putting them on.
C)Use the skin-to-skin, glove-to-glove technique.
D)Ensure no bare skin is exposed.

Answer 3

C
Open gloving uses the skin-to-skin,glove-to-glove technique.The first glove is put on with the skin-to-skin,glove-to-glove technique,bare hand to inside cuff.Grasp the inner edge of the left glove and pull it on,leaving the cuff turned down.Slip the fingers of the sterile gloved hand under the cuff of the other everted glove.Insert fingers of the right glove and pull it all the way on.With the sterile gloved fingers,pull the cuff of the left glove up.Avoid touching the bare wrists.

Question 4

Which is a type of personal protective equipment (PPE)used in the OR setting?

A)Scrub jacket
B)Eyeglasses
C)Gloves
D)Scrub top

Question 5

Which antimicrobial agent is ototoxic and may cause permanent damage if used in the presence of the cornea?

A)Chlorhexidine gluconate (CHG)
B)Iodophors
C)Triclosan
D)Ethyl alcohol

Question 6

The appropriate OR attire for a visitor whose presence in the OR will be brief is a one-piece coverall,head cover,mask,and shoe covers.

Question 7

Which is a correct statement regarding the closed gloving method?

A)"In closed gloving, bare skin is exposed while gloving."
B)"In closed gloving, the hand and fingers are exposed through the gown's cuff."
C)"In closed gloving, contamination is less likely to occur while gloving."
D)"Closed gloving is the preferred method to be used when establishing the sterile field."

Question 8

A sterile vest,when put on correctly,allows the scrubbed person's back to be sterile.

Question 9

What is the recommendation about fingernails?

A)No longer than fingertips
B)Artificial nails are ok if covered by gloves
C)One week old nail polish
D)Gel nail polish is ok

Question 10

Why is it necessary to wipe sterile gloves with a sterile damp towel after donning the gloves and before touching items on the sterile field?

A)To warm up one's hands before starting the procedure
B)To maintain a time-honored tradition started by the glove manufacturers
C)To decrease the amount of contaminants already present on sterile gloves
D)To remove powder sometimes present on sterile gloves

Question 11

Since hair is a gross contaminate,bald caregivers don't have much to worry about.

Question 12

From what direction should one scrub the hands and arms?

A)From elbow to hand
B)From fingernail to elbow
C)Begin with wrist and end at elbow
D)It does not matter where one begins as long as all areas are scrubbed

Question 13

Which is an item that must be worn by any person entering the sterile field?

A)Sterile gown
B)Eyeglasses
C)Exam gloves
D)Head cover

Question 14

What is the purpose of surgical hand and arm cleansing?

A)To sterilize the skin before gloving
B)To remove every microorganism present on the skin
C)To warm hands and arms before entering a cold OR environment
D)To decrease the number of resident microorganisms on the skin to a minimum

Question 15

Some sterile team members are known carriers of pathogenic microorganisms.How should they be treated?

A)No treatment is necessary.
B)A mask will cover any microorganism.
C)They should be treated with medicine.
D)They should just be cultured.

Question 16

What is one reason sterile gloves must cover the knitted cuffs on a sterile gown?

A)It is aesthetically pleasing to see only the glove and not the cuff.
B)The cuff is very likely going to tear and expose the bare wrist.
C)The cuffs are not fluid impervious.
D)The cuffs of a sterile gown are never long enough to cover the wrist adequately.

Question 17

When using a brushless/waterless method to cleanse the hands and arms,personnel should wash their hands before applying the antiseptic solution.

Question 18

Which of the following may be worn into the OR?

A)Pierced ear studs
B)Rings, watches
C)Dangling earrings
D)Necklaces or chains

Question 19

The purpose of wearing OR attire is to maintain uniformity among the operative team.

Question 20

As a sterile person gowning another member of the sterile team,where do you hold the opened gown for the other person?

A)At the waist and shoulders
B)At the shoulders and neckline
C)At both sleeves
D)At the chest and waist

Question 21

Double gloving is recommended for all sterile team members.

Question 22

It is acceptable to use a closed gloving technique during a surgical procedure.

Question 23

A glove-to-glove then skin-to-skin technique is used to remove gloves and protect hands from the outer surface of the contaminated gloves.

Question 24

There is a recommended technique for the scrub person to gown and glove one's self.

Question 25

When drying your hands after a surgical hand/arm scrub,it is acceptable to use the same end of the towel for both hands.