Scrubbing, Gowning and Gloving Universal precaution Disinfections and sterilization Physical Lay-out
Resident Transient natural habitat is the skin CONTACTS gram-positive and gram- negative bacteria fingernails and in the deeper layers of the skin (such as the hair follicles, the sweat glands, the sebaceous glands).
In the morning before the first gowning and gloving. Following a clean case if the gloves have been removed before the gown. Following a clean case if glove have had punctured. Following a clean case if hands have been contaminated in any other way. Before an emergency case at anytime.
B. BRUSH STROKE METHOD NAILS-30 SIDE OF FINGERS-20 BACK OF THE HAND-20 ARMS-20
PROCEDURE:1. Turn on the water faucet and get an antiseptic solution.2. Wash hands prior to scrub.3. Clean the fingernails under running water.4. Scrub/lather the left hand.5. Close-up scrubbing left fingertips.6. Scrub the left arm.7. Scrub the left elbow area.8. Rinse the brush and transfer to other hands.9. Scrub/lather the right hand.10. Close-up scrubbing right fingertips.11. Scrub the right arm.12. Scrub the right elbow area.13. Rinse the left hand and brush.14. Rinse the left arm and elbow area.15. Rinse the right hand.16. Rinse the right arms and elbow area.17. Turn the water faucet with brush if water faucet is hand control.19. Walk in the operating room.
Purpose:to prepare hand prior to gloving to prevent soiling of sterile drape
PROCEDURE: Pick up sterile towel to dry hands from gown pack Unfold towel Place a third over right hand; two third will be hanging toward left hand Dry left hand Dry left arm Transfer dry end of towel to left hand, a third over left hand, two thirds toward right hand. Dry right hand Dry right arm Fold towel into thirds Dry right elbow area Transfer towel, keeping hands on underside of towel Dry elbow area
Medical Asepsis –procedures used toreduce the number ofmicrobes and preventspreadSurgical Asepsis –procedures use toeliminate anymicroorganisms(sterile technique)
Theprocess of killing the pathogenicmicroorganism
1. Saturated Steam under Pressure (3-10’) e.g. autoclave2. Gas Chemical Sterilization (3-7⁰) e.g. Sterrad, Ethylene oxide Liquid Chemical Sterilization ▪ 2% activated aqueous glutaraldehyde solution (10⁰) ▪ ( e.g. cidex).
a surgical suite isdesigned to promote safe therapeuticenvironment for the patient.
A specializedroom where the actual surgery takes place
aroom with a double sinkthat is separated from the OR by a door and where select clean case and contaminated activities take place during the process of surgery
a collection of rooms that are used interactively during surgical procedure wherein each room has a specific purpose. (e.g. OR, substerile, scrub sink, sterile storage.)
4 basic Design:1. Central Corridor, or hotel plan2. Central core, or clean core plan with peripheral corridor3. Combination central core and peripheral corridor, or racetrack plan4. Grouping, or cluster plan with peripheral and central corridor
Unrestricted street clothes Semi- restricted scrub suit and cap Restricted scrub suit, cap, shoe covers, gloves