STERILE TECHNIQUE
This is the level at which back tables are sterile
What is table level?
When ____________ instruments are found in an instrument set, consider the whole set _________.
What is contaminated?
Maintaining ________ fingernails reduces the risk of harboring pathogens under fingernails, puncturing gloves, or injuring patients during patient handling.
What is short?
Gown cuffs should be __________ covered.
What is completely?
When handing over care, it is important to have an SBAR that includes:
What is:
1. Name of surgical procedure and where they are at in the procedure.
2. What fluids/medications are on the field
3. What instruments are currently being used and what might they need next
4. Specimens on the field
5. Important information about the count
6. Checking understanding and asking if they have questions
The primary goals of sterile technique
What is:
1. Minimize the length of recovery from surgery
2. Optimize primary wound healing
3. Prevent Surgical Site Infections
When a sterile barrier is ____________, it must be considered contaminated.
What is permeated?
These are the two methods of surgical hand scrub.
What is the 5-minute hand scrub and the count method?
This method of gloving is used for the initial donning of sterile gown and gloves for yourself.
What is closed gloving?
Name two responsibilities of the scrub person during the preoperative phase:
What is:
1. Assess the OR for cleanliness and escalate concerns as needed.
2. Gathering supplies adn equipment for the surgical procedure and assisting the RN circulator
3. Checks supplies and instruments for package integrity, sterility, proper functioning and expiration date
4. Performing surgical hand scrub
5. Donning a sterile gown and gloves
6. Setting up and maintaining the sterile field
Prior to opening a sterile item to the field, you should:
What is inspect items for sterility of contents (noted on packaging), the expiration date, package integrity, product integrity, verification that the external chemical indicators have changed to the correct color, indicating that the parameters for sterilization have been met?
Honesty and moral integrity are necessary to strictly adhere to the principles of asepsis and the practices of sterile technique.
What is surgical conscience?
All _________ should be removed from hands and forearms prior to scrubbing.
What is jewelry?
The front from the chest to the sterile field level and the sleeves from two inches above the elbow to the cuff.
What is the sterile part of a surgical gown?
Name two responsibilities of the scrub person during the intraoperative phase:
1. Perform counts with circulator
2. Participates in the team pause and assures that the team pause is completed prior to the incision
3. Passing supplies and instruments to the surgeon and assistants
4. Keeping an accurate count of countable items such as sponges, sharps, and instruments
5. Monitoring sterile and aseptic techniques and practices
6. Remains focused on the field to anticipate surgical team needs.
7. Handling and labeling of medications and solutions
8. Handling, labeling and confirming specimens prior to passing them off the field
9. Accounts for all implants used during the procedure and confirms with the surgeon and circulating nurse.
When pouring liquids to the sterile field, is it important to:
These are three common barriers that can impede us from using our surgical conscience.
What is:
1. Perceived hierarchy of the OR
2. Challenging personalities
3. Institutional culture
This is the ideal temperature for hand hygiene to reduce skin irritation, dermatitis, and bacterial colonization.
What is 70 F - 80 F?
When your sterile gloves are contaminated, you should follow this process:
What is allow the glove to be removed by an unscrubbed team member without altering the position of the gown cuff and then insert your hand into the glove held open by a scrubbed team member.
Name two responsibilities of the scrub person during the postoperative phase:
What is:
1. Follows departments point of use instrument cleaning procedures to clean and prepare instruments before decontaminating them.
2. Disposed of all sharps and disposable items safely using appropriate universal precautions.
3. Assists other members of the team with turnover/end-of-day cleaning of the room as needed.
4. Removes from the room furniture, equipment, and supplies not necessary for the next procedure.
This is the sequence for opening and presenting a variety of wrapped sterile items to a sterile field.
What is open the farthest wrapped flap first, then each of the side flaps, and finally the nearest wrapper flap?
Acting on your inner voice (surgical conscience) will positively affect your _______.
What is patient?
While scrubbing and afterwards is it important to hold hands ________ than elbows and _______ from surgical attire.
What is higher and away?
These are examples of times you should change your surgical sterile gloves (name at least 3)
1. After each patient procedure
2. Every 90 to 150 minutes
3. When a visible defect of perforation is noted or when a suspected or actual perforation from a needle, suture, bone, or other object occurs
4. After touching optic eye pieces on the operative microscope
5. After touching a fluoroscopy machine
6. After touching a surgical helmet system hood of visor
7. When suspected of actual contamination occurs
It is important to wait until both the ________ and ____________ _____________ are checked prior to placing something sterile on the back table.
What is lid and pan filters?