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. Yellow: The yellow tube, used for blood cultures, is typically collected first to prevent contamination.
B. Light blue: The light blue tube is used for coagulation studies and should be collected before tubes containing additives that could interfere with coagulation tests.
C. Red: The red tube, which may contain no additives or a clot activator, is usually collected after the light blue tube.
D. Gray: The gray tube is used for glucose testing and should be filled last as it contains additives that could interfere with other tests if collected earlier.
Correct Answer is B
Explanation
A. Implied consent: Implied consent is typically used in emergency situations where verbal or written consent cannot be obtained and is not suitable for elective procedures like a colonoscopy.
B. Informed consent: For a colonoscopy, which is an invasive procedure, informed consent is required. This involves providing the patient with detailed information about the procedure, its risks, benefits, and alternatives.
C. Prior authorization: Prior authorization is related to insurance coverage and is not typically obtained by the medical assistant; it is usually handled by the billing department or insurance coordinator.
D. Immunization records: Immunization records are not required for a colonoscopy; they are more relevant for vaccinations and certain other procedures.