Which of the following is a violation of sterile technique?
Reaching over the field
Maintaining a 1-inch border around the edge of the sterile field
Holding all sterile articles at waist level
Facing the sterile field
The Correct Answer is A
A. Reaching over the field: Reaching over a sterile field can contaminate it by introducing microorganisms from outside the sterile area.
B. Maintaining a 1-inch border around the edge of the sterile field: Maintaining a 1-inch border is a standard practice to ensure that the edges of the sterile field are not contaminated.
C. Holding all sterile articles at waist level: Holding sterile articles above the waist level is the recommended practice to prevent contamination. Holding them at waist level is considered acceptable as long as the items do not touch non-sterile surfaces.
D. Facing the sterile field: Facing the sterile field while working is part of maintaining sterile technique, as it ensures that you do not accidentally move toward the sterile field and contaminate it.
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Correct Answer is B
Explanation
A. Thoracentesis: Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall; it is not a reconstruction.
B. Rhinoplasty: Rhinoplasty is a surgical reconstruction of the nose, often performed for cosmetic or functional reasons.
C. Appendectomy: Appendectomy is the surgical removal of the appendix, not a reconstructive surgery.
D. Colotomy: Colotomy is the surgical incision into the colon, not a reconstructive procedure.
Correct Answer is B
Explanation
A. Call for the provider. Calling for the provider may not address the immediate concern of the patient’s anger and can escalate the situation if not handled calmly first.
B. Speak to the patient using a low tone of voice. Speaking in a calm and low tone can help de-escalate the situation and show that the assistant is attentive and empathetic.
C. Tell the patient to calm down. Telling a patient to calm down can come across as dismissive and may worsen their frustration.
D. Respond in the same tone as the patient. Matching the patient’s angry tone is unprofessional and can escalate the situation further.