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 D
Explanation
A. Pinky: The pinky is not typically used for capillary punctures due to its small size and lower blood flow.
B. Thumb: The thumb is not preferred due to its thick skin and reduced blood flow compared to other fingers.
C. Ring: While the ring finger can be used, the index finger is generally preferred due to its larger surface area and better blood flow.
D. Index: The index finger is preferred for capillary punctures in patients older than 1 year due to its size and ease of access.
Correct Answer is C
Explanation
A. When cleaning instruments for sterilization: Hand sanitizer is not appropriate for cleaning or sterilizing instruments; proper cleaning and sterilization procedures must be followed.
B. When assisting with a minor office surgery: Hand sanitizer is not recommended for procedures requiring sterile technique; hand washing with soap and water is preferred.
C. When hands are not visibly soiled: Hand sanitizer can be used effectively when hands are not visibly dirty, as it helps reduce microbial load.
D. When transferring urine to a collection tube: Hand sanitizer is not suitable for this task; thorough hand washing is necessary to prevent contamination.