Question

After performing the scrub and donning a sterile gown and gloves, a CST proceeds to set up the back table and Mayo stand for a breast biopsy. The CST adjusts the sterile back table cover by moving it toward the back of the table. The CST notices that the table is a little too close to the wall and moves the table by grabbing the front edge of the table and moving it forward a few inches. As the CST begins setting up the back table, the circulator wishes to pour 1% xylocaine into a medicine cup. The CST turns her back to the back table while holding the medicine cup and the circulator pours the xylocaine. While setting up, the CST observes a portion of the suction tube hanging below the table edge; the CST retrieves the tubing and recoils it on the back table. When the back table and Mayo stand have been set up the CST is told there will be a slight delay in the procedure; therefore, the CST sits down on a stool and folds her arms with hands in the axillary region in order to be comfortable.

The patient is brought into the room and positioned, and the surgeon is gowned and gloved. The CST stands across from the surgeon, hands the green towels across the OR table for the surgeon to square off the incision, and then places the sterile drape. The CST brings the suction tubing and Bovie up onto the sterile field and clamps them in place using a perforating towel clip. However, the CST does not like the placement of the cords in relation to where the surgeon is standing, so the CST removes the towel clip and repositions the cords using the towel clip.

What were the breaks in aseptic technique?

question is from mindtap SRGT Chapter 7

Answer 1

Aseptic technique means using practices and procedures to prevent contamination from patogens. It involves applying the strictest rules to minimize the risk of infection in surgery rule, outpatient centers and other health care settings. Health care professional, commonly use aseptic technique then they are handling surgery equipments, inserting draining devices, performing various surgical techniques etc. The importannt apects of the aseptic techniques are barriers, patinet equipment and prepration, environmental control, and contact guidelines. Barriers protects the patient from the transfer of patogens from a health care worker, from the environment, or from both. It includes sterile gloves, sterile gowns, mask for the patient and health care provider, sterile states. Patient and equipment prepration, health care providers always use sterile equipments and sterile instruments to protect the patient. They apply cleansing and bacterial killing preparations to the patient's skin before a procedure. Environmental control means Maintaining a sterile environment requires heating doors closed during an operation only necessary health proffectional should be at the procedure. The contact guidelines including avoid touching non sterile items and the sterile barriers only touch other sterile items.

In the above given scinerio the patient is undergoing sterile procedure. While performing a procedure it should be in a aseptic technique. It necessary follow the chief aspects of aseptic techiques mentioned above. * Back table is little to close to the walls and moves the table by grabbing the front edge of the table and moving it forward few inches.* pouring of xylocaine, *a portion of suction tube handling below the table edge and cst retrieves the tubing and the recoil it on the backtable, *then the procedures delayed cst sit-down on the stool and holds her arm with hands, *while performing the procedure CST brings that suction tubes and Bobie upon to the sterile field, *CST removes the towel clip and reposition the code using the towel clip. In these situations aseptic techiques breaked because of failure in the preparation of the sterile environment, safe storage of equipments, preparation of equipments.