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 A
Explanation
A. Advise them that privacy regulations prevent releasing patient information regardless of their relationship to the patient: Privacy regulations, such as those outlined in HIPAA, restrict the release of patient information without proper authorization, regardless of the inquirer’s relationship to the patient.
B. Verbally share the patient information with them since they are the subscriber on the patient's medical insurance: Even if the partner is the insurance subscriber, patient information cannot be disclosed without the patient’s explicit authorization.
C. Reassure them that they have nothing to worry about since their partner's visit was only a follow-up to a minor surgery: Providing details about the visit without authorization violates patient privacy and confidentiality.
D. Instruct them to provide proof of identity prior to providing the requested information: Proof of identity is not sufficient without a medical records release authorization form to disclose patient information.
Correct Answer is C
Explanation
A. Add thixotropic gel to the tube after venipuncture: Thixotropic gel is used in specific tubes for separating serum or plasma from blood cells and should be added during the manufacturing process, not after venipuncture.
B. Place the tubes in the centrifuge to chill after venipuncture to separate blood cells: Tubes should not be chilled before centrifugation unless specified by the test requirements. Most tubes are centrifuged at room temperature.
C. Invert additive tubes multiple times after filling the tube: Inverting additive tubes multiple times ensures proper mixing of the additive with the blood, which is crucial for accurate test results.
D. Mix the anticoagulant in the tube after filling the tube: The anticoagulant should be mixed by inverting the tube immediately after filling it, not after the fact.