infection control and asepsis

order to put on and take off PPE

ON

• hand hygiene

• gown

• mask

• goggles

• gloves (over cuffs of gown)

OFF

• gloves

• goggles

• gown

• mask

glove removal steps

• right hand peels left glove off and inside out

• put left glove in right hand

• slide two fingers inside right glove

• slide glove down and turn inside out with left glove in it

sanitization vs disinfection vs sterilization

sanitization

• reduce number of microbes to non critical level

• used on instruments and surfaces

• used to get rid of organic waste before disinfection

disinfection

• kill all microbes besides spores

• used on surfaces and equipment that won’t be for sterile or invasive procedures

  • ex: otoscopes, stethoscopes, ekg wires, blood pressure cuffs

  • use high level disinfection for instruments that contact mucous membranes

    • endoscopes,

sterilization

• kill all living microbes

• use on

  • all surgical supplies

  • medical equipment that enters cavities

    • implanatable devices, catheters, etc

autoclave wrapping steps

items on sterile tray during surgery

• instruments (forceps, scissors, etc)

• drapes

• irrigation and disinfection containers

• sterile sponges

• indicator strips

• sterile package items

  • Sterile gauze, scalpel, towel, suture and staple removal kits, staple guns, sutures, needle holders,

items on non sterile side table during sugery

items to keep to give to provider during surgery

• Suture material

• dressing and bandages

• syringes and needles

Other items

• Disinfecting wipes for mayo stand

• hand sanitizer

• sterile and non sterile gloves for you and provider

• skin cleansing or irrigation solutions

• Anesthetic

• labeled sterile biopsy container

• sharps container

item set up in sterile field

• solution containers

  • on outer edge, so you dont reach across when pouring

• drapes after

• instruments

• sponges

on