Principles of Sterile Technique
Opening Sterile Items
Surgical Hand Antisepsis & Contamination
Traffic Rules in the OR
Maintaining the Sterile Field
100

The sterile field should be prepared only for this many patients.

What is one patient?

100

Before opening any sterile item, always check the package for these indicators.

What are package integrity, expiration date, and chemical indicator change?

100

Surgical hand antisepsis reduces these microbes on the skin.

What are resident and transient microbes?

100

Scrubbed team members should always face this

What is the sterile field?

100

The sterile field should be prepared as close as possible to this time.

What is the time of use?

200

When in doubt about an item’s sterility, you should assume this.

What is the item is contaminated?

200

When opening a rigid container, lift the lid in this direction.

What is up and toward yourself?

200

Surgical hand antisepsis must be performed before putting on these

What are the sterile gown and gloves?

200

Unscrubbed team members should avoid doing this near the sterile field.

What is reaching over it?

200

The sterile field should be protected during these times.

What is during periods of increased activity or patient positioning?

300

A sterile gown is sterile from this part of the body to the sterile field.

What is chest to sterile field and 2 inches above the elbow to the cuff?

300

The scrub person should check this inside the container before using instruments.

What is the sterile indicator?

300

If a glove is caught on a wire or drill bit, you should do this.

What is change the gloves?

300

Scrubbed members move around each other using one of these two methods.

What are face-to-face or back-to-back?

300

Proper way of dispensing medication and/or fluids is used with this device

What is a decanter 

400

Below the instrument table or OR bed is considered this.

What is contaminated?

400

Peel packs are opened from this end.

What is the chevron end? (arrow)

400

When a contaminated instrument is found, the entire set is considered this.

What is contaminated?

400

Hands and arms should always stay above this level.

What is the waist?

400

If you have a two sterile back tables can you cross in between? 

Do not walk between sterile fields.

500

This should be used to create a sterile field during surgery.

What are surgical drapes?

500

Items should not touch this part of the peel pack.

What is the unsterile sides?

500

Gloves should be changed every ___ to ___ minutes.

What is every 60 to 150 minutes?

500

When handling implants what considerations should be in place? 

Minimal foot traffic, caution strap across OR door 

500

If you notice bone cement on an instrument not from your current surgery what are your next steps? 

What is break down and have a new set up? Contaminated table

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