 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 fing...
 PREVENT  WOUNDINFECTION
Antimicrobial ActionPersistent ActivitySafetyAcceptance
CHG (chlorhexidine gluconate)
iodophor
PCMX (parachlorometaxylenol)
   PREPARATION PRIOR TO SCRUB     Skin and nails     Fingernails     No fingernail polish.     No skin abrasion     ...
 Thelength             of scrub LENGTH       OF   varies fromSCRUBBING   institution            to another.
TWO TYPES OF SURGICAL SCRUBA. TIME METHOD  COMPLETE SCRUB- 5-7   minutes  SHORT SCRUB- 3minutesB. BRUSH STROKE METHOD
INDICATIONS of    short Scrub
 In the morning before the first    gowning and gloving.   Following a clean case if the    gloves have been removed bef...
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 fingerna...
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 wil...
NeckbandSleeves  Body           Cuffs    Belt
Types1. Open   method2. Closed   Method
   “universal precautions”   applied to all clients   performed whenever there is a    possibility of contact with:    ...
Sterilization  Consists of physical   and chemical   techniques that   destroy all   microorganism   including spores.
freeof livingmicroorganisms, includingspores
absence of    disease   producingmicroorganisms
Medical Asepsis –procedures used toreduce the number ofmicrobes and preventspreadSurgical Asepsis –procedures use toelimin...
Theprocess of  killing the pathogenicmicroorganism
1.       Saturated Steam under         Pressure (3-10’)          e.g. autoclave2.       Gas Chemical         Sterilization...
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 ...
    a collection of rooms that    are used interactively    during surgical procedure    wherein each room has a    speci...
prevent woundinfection
MULTIDICIPLINARY   TEAM APPROACH
1.Number, type,and length of the    surgicalprocedure to be   performed
2. Type and  distribution by specialties of the surgical staff andequipment for each
3.    Proportion of elective          inpatient and       emergency surgical          procedures to     ambulatory patient...
4.Scheduling policies  r/t the number of hours per days perweek the suite will be in use and staffing        needs.
5. Systems and     proceduresestablished for the  efficient flow ofpatients, personnel,   and supplies.
6.Consideration  of volume changesand need for future    expansion   capabilities.
7. Technology to be implemented and plan for potential technology to be     develop.
8. Safetyof staff,patients, and other personnel during  construction or    renovation.
1.Strategic                   planningERMTERUEL 2011
2.   Plans for emergencies  Power  Communications     Medical gases     Vacuum system     Waste gas scavenger     Ai...
3.Exclusion of                 contamination                   from outside                  the suite with               ...
4.Noisecontrol          ERMTERUEL 2011
4 basic Design:1. Central Corridor, or hotel plan2. Central core, or clean core plan   with peripheral corridor3. Combinat...
   Unrestricted    street clothes   Semi-    restricted    scrub suit and    cap   Restricted    scrub suit, cap,    sh...
ssSCRUB        SEMISCRUB ss
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
Gowning, gloving and scrubbing
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Gowning, gloving and scrubbing

  1. 1.  Scrubbing, Gowning and Gloving Universal precaution Disinfections and sterilization Physical Lay-out
  2. 2. 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).
  3. 3.  PREVENT WOUNDINFECTION
  4. 4. Antimicrobial ActionPersistent ActivitySafetyAcceptance
  5. 5. CHG (chlorhexidine gluconate)
  6. 6. iodophor
  7. 7. PCMX (parachlorometaxylenol)
  8. 8.  PREPARATION PRIOR TO SCRUB  Skin and nails  Fingernails  No fingernail polish.  No skin abrasion  No jewelleries.  Wear cap and mask  eyeglasses  Water sink
  9. 9.  Thelength of scrub LENGTH OF varies fromSCRUBBING institution to another.
  10. 10. TWO TYPES OF SURGICAL SCRUBA. TIME METHOD  COMPLETE SCRUB- 5-7 minutes  SHORT SCRUB- 3minutesB. BRUSH STROKE METHOD
  11. 11. INDICATIONS of short Scrub
  12. 12.  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.
  13. 13. B. BRUSH STROKE METHOD NAILS-30 SIDE OF FINGERS-20 BACK OF THE HAND-20 ARMS-20
  14. 14.  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.
  15. 15. Purpose:to prepare hand prior to gloving to prevent soiling of sterile drape
  16. 16. 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
  17. 17. NeckbandSleeves Body Cuffs Belt
  18. 18. Types1. Open method2. Closed Method
  19. 19.  “universal precautions” applied to all clients performed whenever there is a possibility of contact with:  blood  body fluids (except sweat)  secretions  mucus membrane  breaks in skin
  20. 20. Sterilization  Consists of physical and chemical techniques that destroy all microorganism including spores.
  21. 21. freeof livingmicroorganisms, includingspores
  22. 22. absence of disease producingmicroorganisms
  23. 23. Medical Asepsis –procedures used toreduce the number ofmicrobes and preventspreadSurgical Asepsis –procedures use toeliminate anymicroorganisms(sterile technique)
  24. 24. Theprocess of killing the pathogenicmicroorganism
  25. 25. 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).
  26. 26. a surgical suite isdesigned to promote safe therapeuticenvironment for the patient.
  27. 27. A specializedroom where the actual surgery takes place
  28. 28. 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
  29. 29.  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.)
  30. 30. prevent woundinfection
  31. 31. MULTIDICIPLINARY TEAM APPROACH
  32. 32. 1.Number, type,and length of the surgicalprocedure to be performed
  33. 33. 2. Type and distribution by specialties of the surgical staff andequipment for each
  34. 34. 3. Proportion of elective inpatient and emergency surgical procedures to ambulatory patient and minimally invasive procedures.
  35. 35. 4.Scheduling policies r/t the number of hours per days perweek the suite will be in use and staffing needs.
  36. 36. 5. Systems and proceduresestablished for the efficient flow ofpatients, personnel, and supplies.
  37. 37. 6.Consideration of volume changesand need for future expansion capabilities.
  38. 38. 7. Technology to be implemented and plan for potential technology to be develop.
  39. 39. 8. Safetyof staff,patients, and other personnel during construction or renovation.
  40. 40. 1.Strategic planningERMTERUEL 2011
  41. 41. 2. Plans for emergencies  Power  Communications  Medical gases  Vacuum system  Waste gas scavenger  Air handlers  Water ERMTERUEL 2011
  42. 42. 3.Exclusion of contamination from outside the suite with sensible traffic patterns to andERMTERUEL 2011 from the suite
  43. 43. 4.Noisecontrol ERMTERUEL 2011
  44. 44. 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
  45. 45.  Unrestricted street clothes Semi- restricted scrub suit and cap Restricted scrub suit, cap, shoe covers, gloves
  46. 46. ssSCRUB SEMISCRUB ss
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