Operating Room Techniques
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OPERATING ROOM
TECHNIQUES
OR TECHNIQUES
SCRUBBING DRYING OF HANDS GOWNING GLOVING PREPARING PATIENT’S SKIN FOR SURGERY COMMON SURGICAL INSTRUMENTS
GENERAL PRINCIPLES
Microorganisms move through space on air current.
Microorganisms are transferred from one surface to another whenever a non-sterile object touches another surface.
Microorganisms move from one object to another as a result to gravity when a non-sterile item is held above another item.
GENERAL PRINCIPLES
Microorganisms travel rapidly along any moisture through a wicking action.
Microorganisms move slowly along a dry surface.
Microorganisms are released into the air on droplet nuclei whenever a person
PRINCIPLES OF ASEPTIC TECHNIQUE
Persons who are sterile touch only sterile articles, person who are not sterile touch only non-sterile articles. If in doubt about the sterility of anything, consider it not sterile. Non-sterile persons avoid reaching over a sterile field. Sterile persons avoid leaning over a nonsterile area. Tables are sterile only at the table level. Gowns are considered
PRINCIPLES OF ASEPTIC TECHNIQUE
The edges of anything that encloses sterile contents is not considered sterile. Sterile persons keep well within the sterile area. Non-sterile persons keep away from sterile areas. Sterile persons keep contact with sterile area to a minimum. Moisture may cause contamination.
SCRUBBING
Preparation Put on surgical attire including cap & mask Examine hands & forearms for cuts & abrasions Remove watches, bracelets & all finger jewelry Nails should be clipped and unpolished
SCRUBBING
Pre scrub Turn on water & moisten hands and arms Lather hands & arms thoroughly up to 2 inches above the elbow with antiseptic agent. Clean fingernails under running water with nail cleaner under running water and discard after use Rinse hands and arms thoroughly under running water keeping hands up allowing water to drop from the elbows Using pick up forcep, remove brush from dispenser, rinse
SCRUBBING
Scrub Scrub nails of hands, 30 strokes L & 30 strokes R Scrub all sides of each finger, 5 strokes per side. Start from the thumb up to the small finger. Scrub the dorsal surface of the hands in 20 strokes of circular motion Scrub palmar surface of hands in 20 strokes of circular motion Mentally divide the arm into 3 up to 2 inches above the elbow. Brush 20 strokes for each 3rd of the arm Repeat 2,3,4&5 fro the other arm and hand, then drop the brush.
SCRUBBING
Rinse - Rinse hands and arms separately without touching anything, keeping hands above elbows Keep hands in front, above the waist and not higher than the axilla and move to location of sterile towels.
DRYING OF HANDS From the opened sterile pack, pick up folded top end corner of Away from table, open towel towel in full length by holding towel on one end in a slightly bent position to avoid touching attire
DRYING OF HANDSPat dry
fingers, in between fingers, back and palm of hands and in oscillating motion dries arm ( Avoid contaminating hands in the areas proximal to elbow )
Reverse the towel to start drying the other hand using the same procedure before. Discard or drop towel.
GOWNING
Reach down to the sterile pack and lift the folded gown directly upward & bring away from table in an unobstructe d area
Hold the prefolded gown, carefully locating neck band & sleeves holding it at shoulder level. Allow it to unfold
GOWNING
Position hands at shoulder level and allow circulating nurse to securely tie or fasten the gown at the neck
Place hands inside the armholes and guide each arm through the sleeves by raising and spreading the arms. Do not allow hands to slide outside the gown cuff.
CLOSED GLOVING Open the sterile inner wrapper
containing sterile gloves while hands are covered by gown sleeves Using the left hand inside gown, pick up folded edge of right glove with thumb & index finger Lay glove on the sleeves of the cuff of the right arm, thumb-side down, with glove opening positioned toward the fingers Position the palm on the right hand upward inside the sleeve
CLOSED GLOVING
Pull the sleeves up to draw the cuff over the wrist and extend the fingers of the right hand into the
With the left hand still inside the sleeve, grasp the upper side of the gloves cuff and stretch it over the cuff of the gown.
CLOSED GLOVING
Place the fingers of the right gloved hand under the cuff of the remaining left glove
Place glove over the cuff of the second sleeves. Extend the fingers into the gloves while pulling the glove up over the cuff
Adjust gloves and sleeves Place gloved hands inside the front pocket of
OPEN GLOVING
Working in Sterile Attire
Keep your hands in front of you and above waist level, below axilla Do not turn your back on sterile field Pass front to front or back to back with others in sterile attire Change attire when contaminated Change or
TECHNIQUES
OR TECHNIQUES
SCRUBBING DRYING OF HANDS GOWNING GLOVING PREPARING PATIENT’S SKIN FOR SURGERY COMMON SURGICAL INSTRUMENTS
GENERAL PRINCIPLES
Microorganisms move through space on air current.
Microorganisms are transferred from one surface to another whenever a non-sterile object touches another surface.
Microorganisms move from one object to another as a result to gravity when a non-sterile item is held above another item.
GENERAL PRINCIPLES
Microorganisms travel rapidly along any moisture through a wicking action.
Microorganisms move slowly along a dry surface.
Microorganisms are released into the air on droplet nuclei whenever a person
PRINCIPLES OF ASEPTIC TECHNIQUE
Persons who are sterile touch only sterile articles, person who are not sterile touch only non-sterile articles. If in doubt about the sterility of anything, consider it not sterile. Non-sterile persons avoid reaching over a sterile field. Sterile persons avoid leaning over a nonsterile area. Tables are sterile only at the table level. Gowns are considered
PRINCIPLES OF ASEPTIC TECHNIQUE
The edges of anything that encloses sterile contents is not considered sterile. Sterile persons keep well within the sterile area. Non-sterile persons keep away from sterile areas. Sterile persons keep contact with sterile area to a minimum. Moisture may cause contamination.
SCRUBBING
Preparation Put on surgical attire including cap & mask Examine hands & forearms for cuts & abrasions Remove watches, bracelets & all finger jewelry Nails should be clipped and unpolished
SCRUBBING
Pre scrub Turn on water & moisten hands and arms Lather hands & arms thoroughly up to 2 inches above the elbow with antiseptic agent. Clean fingernails under running water with nail cleaner under running water and discard after use Rinse hands and arms thoroughly under running water keeping hands up allowing water to drop from the elbows Using pick up forcep, remove brush from dispenser, rinse
SCRUBBING
Scrub Scrub nails of hands, 30 strokes L & 30 strokes R Scrub all sides of each finger, 5 strokes per side. Start from the thumb up to the small finger. Scrub the dorsal surface of the hands in 20 strokes of circular motion Scrub palmar surface of hands in 20 strokes of circular motion Mentally divide the arm into 3 up to 2 inches above the elbow. Brush 20 strokes for each 3rd of the arm Repeat 2,3,4&5 fro the other arm and hand, then drop the brush.
SCRUBBING
Rinse - Rinse hands and arms separately without touching anything, keeping hands above elbows Keep hands in front, above the waist and not higher than the axilla and move to location of sterile towels.
DRYING OF HANDS From the opened sterile pack, pick up folded top end corner of Away from table, open towel towel in full length by holding towel on one end in a slightly bent position to avoid touching attire
DRYING OF HANDSPat dry
fingers, in between fingers, back and palm of hands and in oscillating motion dries arm ( Avoid contaminating hands in the areas proximal to elbow )
Reverse the towel to start drying the other hand using the same procedure before. Discard or drop towel.
GOWNING
Reach down to the sterile pack and lift the folded gown directly upward & bring away from table in an unobstructe d area
Hold the prefolded gown, carefully locating neck band & sleeves holding it at shoulder level. Allow it to unfold
GOWNING
Position hands at shoulder level and allow circulating nurse to securely tie or fasten the gown at the neck
Place hands inside the armholes and guide each arm through the sleeves by raising and spreading the arms. Do not allow hands to slide outside the gown cuff.
CLOSED GLOVING Open the sterile inner wrapper
containing sterile gloves while hands are covered by gown sleeves Using the left hand inside gown, pick up folded edge of right glove with thumb & index finger Lay glove on the sleeves of the cuff of the right arm, thumb-side down, with glove opening positioned toward the fingers Position the palm on the right hand upward inside the sleeve
CLOSED GLOVING
Pull the sleeves up to draw the cuff over the wrist and extend the fingers of the right hand into the
With the left hand still inside the sleeve, grasp the upper side of the gloves cuff and stretch it over the cuff of the gown.
CLOSED GLOVING
Place the fingers of the right gloved hand under the cuff of the remaining left glove
Place glove over the cuff of the second sleeves. Extend the fingers into the gloves while pulling the glove up over the cuff
Adjust gloves and sleeves Place gloved hands inside the front pocket of
OPEN GLOVING
Working in Sterile Attire
Keep your hands in front of you and above waist level, below axilla Do not turn your back on sterile field Pass front to front or back to back with others in sterile attire Change attire when contaminated Change or
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