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. Having small talk with a patient: While engaging with patients is important, small talk is not related to continuity of care, which involves ensuring consistent and coordinated healthcare.
B. Transferring a patient's hospital records to a specialist: Continuity of care involves sharing patient information with all members of the healthcare team, including specialists, to provide seamless and coordinated care.
C. Dismissing a patient from the practice: Dismissing a patient ends the care relationship and does not contribute to continuity of care.
D. Verifying a patient's insurance: Verifying insurance is an administrative task and does not directly impact the continuity of patient care.
Correct Answer is B
Explanation
A. "Clean the perineal area from back to front.": For females, cleaning should be done from front to back to avoid contamination from fecal matter. For males, cleaning should be done around the urethral opening.
B. "Void a small amount into the toilet before voiding into the cup.": This helps to flush out any contaminants from the urethra, ensuring that the urine collected in the cup is as clean as possible.
C. "Urinate directly into the container with preservative.": Urinating directly into a container with preservative can contaminate the sample and is not recommended for a clean catch specimen.
D. "Collect all urine from start to finish.": The clean catch method specifically involves discarding the initial stream of urine and collecting the midstream to avoid contaminants.