The document discusses clean, aseptic, and sterile techniques used in healthcare to reduce infections. Clean technique involves hand washing and gloves for non-invasive care like exams. Aseptic technique uses antiseptics and sterile gloves for short invasive procedures like IVs. Sterile technique is for surgery and uses antiseptic scrubs, sterile gowns and gloves, and sterile supplies in a dedicated sterile field. Following principles like keeping clean and sterile items separate and planning with the SCRIPT method can help reduce errors and contamination risks. The overall goal is to reduce healthcare-associated infections transferred from providers or equipment to patients.

1. CLEAN, ASEPTIC ANDCLEAN, ASEPTIC AND
STERILE TECHNIQUESTERILE TECHNIQUE
Jamilah saad
Alqahtani
CNS,MSN,BSN,
RGN,OR
Specilaist

2. LEARNING OBJECTIVESLEARNING OBJECTIVES
Be able to state the requirements
for clean, aseptic or sterile
technique recommended for
common procedures
Demonstrate use of the “SCRIPT”
method to prepare for and carry
out procedures
Principles of Aseptic technique
4: Clean, Aseptic, Sterile Slide 2

3. THE GOAL: TO REDUCETHE GOAL: TO REDUCE
HEALTH CARE ASSOCIATEDHEALTH CARE ASSOCIATED
INFECTIONSINFECTIONS
The goal is to reduce health care-
associated infections
Germs move to patients from hands,
and from objects used for patient care
Use of clean, aseptic or sterile
technique reduces the number of
germs transferred and thus, reduces
the risk of infection
4: Clean, Aseptic, Sterile Slide 3

4. DEFINITION: CLEANDEFINITION: CLEAN
TECHNIQUETECHNIQUE
Clean technique refers to the use of routine
hand washing, hand drying and use of non-
sterile gloves.
Use clean technique if staff or objects will
touch intact skin, intact mucous membranes
or dirty (contaminated) items
Clean tech is appropriate for:
Taking blood pressures
Examining patients
Feeding patients
4: Clean, Aseptic, Sterile Slide 4

5. ASEPTIC TECHNIQUE is used for short
invasive procedures. It involves:
 Antiseptic hand hygiene ( chlorhexidine)
 Sterile gloves
 Antiseptic (chlorhexidine ) on patient’s
skin
 Use of clean, dedicated area
Example:
 inserting a urinary catheter
 suctioning
 placing an IV

6. DEFINITION: STERILEDEFINITION: STERILE
TECHNIQUETECHNIQUE
Sterile technique is used for surgery or the
preparation of sterile materials for multiple
patients. It involves:
Surgical hand rub with long acting antiseptic
Hands dried with sterile towels
Sterile field
Sterile gown, mask
Sterile gloves
Sterile supplies
Skin prep

7. A dedicated room: Use during
surgery and for invasive procedures
with high rates of infection
Examples:
Any long invasive procedure
Placement of central lines and thoracic lines
Bulkpreparation of IV fluids ormedications

8. TO PREVENTTO PREVENT
CONTAMINATIONCONTAMINATION
Keep clean, dirty, and sterile items
separate:
Only put sterile items in a sterile field
Change gloves and wash hands if going
from a contaminated act to a aseptic or
sterile act
Time skin antisepsis and surgical hand
hygiene with a clock
The sterile field is considered sterile
except for the 2.5 cm border So never4: Clean, Aseptic, Sterile Slide 8

9. PLANNING REDUCES ERRORS IN TECHNIQUESPLANNING REDUCES ERRORS IN TECHNIQUES
USE THEUSE THE S.C.R.I.P.TS.C.R.I.P.T.. REMINDER TO PLANREMINDER TO PLAN
Space and work flow?
Clean, aseptic, or sterile technique?
Routine, aseptic or surgical hand hygiene?
Instruments and supplies?
Personal protective equipment?
Trash: sharps, infectious waste, radioactive waste,
pathology or routine waste?
4: Clean, Aseptic, Sterile Slide 9

10. ASEPSIS AND ASEPTIC PRACTICESASEPSIS AND ASEPTIC PRACTICES
IN THE OPERATING ROOMIN THE OPERATING ROOM
PRINCIPLESPRINCIPLES
Principle #1
Scrubbe d pe rso ns functio n within a ste rile fie ld. 2
Principle #2
Ste rile drape s are use d to cre ate a ste rile fie ld. 2,5
Principle #3
Allite m s use d within a ste rile fie ld m ust be ste rile . 2,4
Principle #4
Allite m s intro duce d o nto a ste rile fie ld sho uld be o pe ne d,
dispe nse d, and transfe rre d by m e tho ds that m aintain ste rility and
inte g rity. 2,4

11. PRINCIPLES OF ASEPTICPRINCIPLES OF ASEPTIC
TECHNIQUETECHNIQUE
Principle #5
Aste rile fie ld sho uld be m aintaine d and m o nito re d co nstantly. 2,5
Principle #6
Allpe rso nne lm o ving within o r aro und a ste rile fie ld sho uld do
so in a m anne r to m aintain the ste rile fie ld. 2
Principle #7
Po licie s and pro ce dure s fo r m aintaining a ste rile fie ld sho uld
be writte n, re vie we d annually, and re adily available within the
practice se tting . 2

12. PRINCIPLES OF ASEPTIC TECHNIQUEPRINCIPLES OF ASEPTIC TECHNIQUE
8. The edge of anything that encloses sterile contents is not
considered sterile.
Never touch the rim of bottles/containers of sterile content.
Consider the rim of bottles unsterile.
Never touch equipment on rims of bottles.
Before using the sterile content pour a little amount to clean the rim
of its container.
9. Sterile persons keep within the sterile area.
10. Non-sterile persons keep away fromsterile area.

13. PRINCIPLES OF ASEPTICPRINCIPLES OF ASEPTIC
TECHNIQUETECHNIQUE
11. Sterile persons keep contact with sterile area to a minimum.
Although sterile persons are sterile still refrain from touching the
sterile equipment to prevent still any contamination.
12. Moisture may cause contamination.
Sweat is moisture and may cause contamination. Your armpit is one
site so never place your hands under it or near it.
13. When bacteria cannot be eliminated from a field they must be
kept to an irreducible minimum.
14. Destruction of integrity of microbial barriers result in
contamination.
Your sterile gloves' pack should never be folded to prevent crease
and to prevent it from easily being torn and exposed

14. The goal of asepsis is to prevent the
contamination of the open surgical
wound by isolating the operative site
from the surrounding nonsterile
environment.1
The surgical team
accomplishes this by creating and
maintaining the sterile field and by
following aseptic principles aimed at
preventing microorganisms from
contaminating the surgical wound

15. Clean, aseptic and sterile
Examples of procedures
SCRIPT the procedure to clearly
define what is expected and needed
from all team members to reduce
health care associated infections
Principles of Aseptic technique
4: Clean, Aseptic, Sterile Slide 15