Aseptic Technique and Operating Room Protocols

hand hygiene

what is the single most important factor in preventing the spread of infection?

touching blood, body fluids, secretions, excretions and contaminated items

When to wear gloves?

asepsis

absence of infectious organisms

avoid infection, minimize or eliminate the patient’s exposure to exogenous organisms

Purpose of asepsis?

unsterile

Doubtful sterility is considered….

contaminated

Sterile barrier permeated is considered…

after visibly soiled and after every glove removal

When to wash hands?

no

Are glasses enough to be considered protective eye wear for surgery?

make sure your mask is tied securely with both strings

Before entering the OR suite what must you make sure of?

outside of surgical suites

control area

patient holding area

What parts are unrestricted for aseptic technique?

peripheral support areas within the surgical suite

hospital-cleaned scrubs and hair covering required

What parts are semi-restricted for aseptic technique?

operating rooms

core storage areas

scrub sinks

What parts are restricted for aseptic technique?

people

What is a major source of bacteria in the surgical suite?

no

Can personal clothing be shown under scrubs?

wet or soiled

When should surgical attire be changed?

sterile suppleis are open

When should masks be worn?

lab coat, remove mask, hat and shoe cover

When leaving OR what should you wear/remove?

chest and sleeves, hands to forearms

Sterile gowns are considered sterile in what areas?

back of gown and below the waist

What areas of the gown are not considered sterile?

sterile field or waist level

Scrubbed persons should avoid having their hands or any sterile item to fall below the level of the ____ ____ or ______ ______

top surface

What part of the table is considered sterile?

scrub nurse

sterile persons touch only sterile items/areas

circulator

Unsterile persons touch only unsterile items

face-to-face

sterile person faces sterile area when passing it

back-to-back

sterile person turns back to a non-sterile person or area when passing

as close as possible to the scheduled time of use

When should a sterile table be created?

no

can the skin be sterilized?

anesthesia, circulating nurse

Which part of the OR team is not in sterile attire?

tell circulator and change

If you think you contaminated the surgical field what must you do?

don’t disagree, change

If someone tells you that you did contaminate yourself what do you do?