Sterile surgical drapes establish an aseptic barrier minimizing the passage of microorganisms from nonsterile to sterile areas. Sterile drapes are used to create a sterile field. 2,4 The scrubbed personnel always perform a surgical hand scrub prior to donning their sterile surgical gown and gloves. These sterile areas include the gown front, from chest to the sterile field level, and the sleeves from two inches above the elbow to the cuff. Once the scrubbed person dons the sterile surgical gown, the gown's sterility is limited to the gown portions directly viewed by the scrubbed person. 2,4 These barriers protect the patient from the transmission of microorganisms from the surgical team. In addition to scrub attire, scrubbed persons must wear a sterile surgical gown, mask, and gloves within the sterile field to establish bacterial barriers. All surgical team members wear scrub attire. Sterile members or "scrubbed" personnel work directly in the surgical field while the nonsterile members work in the periphery of the sterile surgical field. The surgical team is made up of sterile and nonsterile members. Scrubbed persons function within a sterile field. The principles of aseptic technique include the following principles. It is the responsibility of each surgical staff member to understand the meaning of these principles and to incorporate them into their everyday practice. The principles of aseptic technique play a vital role in accomplishing the goal of asepsis in the operating room environment. They should be used by institutions to provide direction and information on perioperative practice as they incorporate them into their own policies and procedures. 3 These guidelines are not to be considered policies. The standards and recommended practices, developed by the Association of periOperative Registered Nurses (AORN), are guidelines to be used by the surgical team to achieve the optimal level of technical and aseptic practice when caring for their patients in the perioperative setting. 1 The surgical team accomplishes this by creating and maintaining the sterile field and by following aseptic principles aimed at preventing microorganisms from contaminating the surgical wound. The goal of asepsis is to prevent the contamination of the open surgical wound by isolating the operative site from the surrounding nonsterile environment. However, operating room activities pertaining to asepsis and aseptic practices have the greatest direct impact upon the surgical team in helping to reduce the patient's risk to surgical site infection. Some of these activities include patient risk assessment, environmental cleaning, disinfection and sterilization of instrumentation, patient antibiotic prophylaxis, and the use of standard precautions. The equipments needed are disposable gloves, gown, mask, apron, cap and protective eye wear.Preventing surgical site infection in the operating room is the primary goal of the surgical team, and all activities performed by the team support this goal. Dispose the gloves in the trash can and wash your hands.ĭonning Protective Gear Utilizing Standard Precautions.Remove the second glove using the same directions.Roll the gloves from the wrist then, up.Remove the gloves from one hand by slipping it from the fingers first.The correct steps in donning and removing gloves are as follows: In donning and removing gloves, one needs gloves and a trash receptacle. Turn off the water faucet and dry you wet hands using the paper towel. One can resoap and rerinse depending on your desire. Rinse your hands with the running water.One can do vigorous rubbing to make sure that the soap reaches even the smallest part of the hand.Place a small amount of soap on hands and evenly distribute it.Wet hands under running water, the whole hand must be thoroughly wet.Adjust the water temperature to warm since it is perfect for cleaning. Stand in front of the sink, make sure that the paper towel is properly hanged ready for use.The right steps in cleaning one’s hand are as follows: In hand washing, one usually uses a soap, warm water, paper towel, trash basket, and wood sticks for nail cleaning. Hand washing is the act of cleaning one’s hand with or without the use of water or any liquid to prevent the spread of infection or virus and to increase psychological comfort.
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