Sterile Technique Powerpoint


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Sterile Technique Powerpoint

  1. 1. STERILE TECHNIQUE Remember: It’s either sterile or it is not !
  2. 2. THE BASICS <ul><li>Green </li></ul><ul><li>= </li></ul><ul><li>Sterile </li></ul><ul><li>Red </li></ul><ul><li>= </li></ul><ul><li>Contaminated </li></ul>
  3. 3. SCRUBBED PERSONNEL <ul><li>Scrubbed persons should function within a sterile field. </li></ul><ul><li>Before putting on gloves (and gown, if needed) surgical hand sepsis should be performed. </li></ul><ul><li>Surgical hand antisepsis decreases microbial counts on the skin and decreases transfer of microorganisms </li></ul>
  4. 4. ENSURING STERILITY <ul><li>Sterile goods are stored in clean, dry areas. </li></ul><ul><li>Sterile items are handled with clean, dry hands. </li></ul><ul><li>Sterile packages are laid on dry surfaces. </li></ul><ul><li>If a sterile package becomes damp or wet, it is considered nonsterile and therefore, cannot be used. </li></ul>
  5. 5. STERILE PACKAGING <ul><li>The integrity of a sterile package or sterile drape is destroyed by perforation, puncture, or strike through. </li></ul><ul><li>Strike-through is the soaking of moisture through nonsterile layers to sterile layers or vice versa. </li></ul><ul><li>Package expiration date for sterility must be checked just prior to opening it. </li></ul>
  6. 6. DEFINING THE STERILE FIELD <ul><li>It is not easy to define the boundaries between sterile and nonsterile areas; therefore, the following precautions should be taken: </li></ul><ul><ul><li>In opening sterile packages, a margin of safety is always maintained.   </li></ul></ul><ul><ul><li>The LAST flap is pulled TOWARD the person opening the package, away from the non-sterile hand. </li></ul></ul><ul><ul><li>Flaps on peel-open packages should be pulled back, not torn, to expose sterile contents: Contents should be flipped or lifted upwards, and not permitted to slide over the edges. </li></ul></ul><ul><ul><li>Only the interior and surface level of the cover are considered sterile. </li></ul></ul><ul><li>  </li></ul>
  7. 7. SCRUBBED VS. UNSCRUBBED TEAM MEMBERS <ul><li>Supplies for scrubbed personnel: obtain sterile items by opening them onto the sterile field before donning sterile gloves or with assistance from a unscrubbed team member. </li></ul><ul><li>Team members who are not scrubbed should face the sterile field on approach, not walk between two sterile fields, and maintain a safety margin of at least six inches. </li></ul><ul><li>  </li></ul>
  8. 8. TEAM MEMBERS <ul><li>Unscrubbed people NEVER reach over a sterile field to transfer sterile items. </li></ul><ul><li>When pouring solutions into a sterile basin, the </li></ul><ul><li> assistant holds only the lip of the bottle over the basin, to avoid reaching over a sterile area. </li></ul><ul><li>The scrubbed person sets cups or basins, to be filled, at the edge of the sterile table. The assistant stands near this edge of the </li></ul><ul><li>table to fill them. </li></ul>
  9. 9. POURING SOLUTIONS <ul><li>After opening a bottle of sterile solution, the contents must be used or discarded. </li></ul><ul><li>The edge of the bottle is considered contaminated after the contents have been poured; therefore the sterility of the contents cannot be ensured if the cap is replaced. </li></ul>
  10. 10. RULES FOR PASSING <ul><li>Unscrubbed personnel face and observe a sterile area when passing it to ensure they do not touch it. </li></ul><ul><li>  </li></ul>
  11. 11. TABLES <ul><li>Only the top of a sterile, draped table is considered sterile. </li></ul><ul><li>The edges and sides of the drape extending below the table level are considered unsterile. </li></ul><ul><li>Anything that drops below the level of the table surface is considered unsterile and must be discarded. </li></ul>
  12. 12. BREAK IN STERILE TECHNIQUE <ul><li>Corrective action should occur immediately unless patient safety is compromised. </li></ul><ul><li>If patient is at risk, correct the break in technique as soon as possible. </li></ul><ul><li>Each institution should determine how break in technique should be reported and recorded, and the wound classification should be adjusted accordingly and documented in the record. </li></ul>
  13. 13. AORN (ASSOCIATION OF OPERATING ROOM NURSES) RECOMMENDED PRACTICES FOR MAINTAINING A STERILE FIELD <ul><li>Scrubbed persons should function within a sterile field. </li></ul><ul><li>Sterile drapes should be used to establish a sterile field. </li></ul><ul><li>Items should be used within the sterile field should be sterile. </li></ul><ul><li>All items introduced to a sterile field should be opened, dispensed, and transferred by methods that maintain sterility & integrity </li></ul><ul><li>A sterile field should be maintained & monitored constantly </li></ul>
  14. 14. AORN (CONTINUED) <ul><li>A sterile field should be maintained & monitored constantly </li></ul><ul><li>All personnel moving within or around a sterile field should do so in a manner that maintains the sterile field. </li></ul><ul><li>P&P’s for maintaining a sterile field should be developed, reviewed periodically, revised as necessary, and readily available in the practice setting. </li></ul><ul><li>Association of Operating Room Nurses (2006). AORN, 83(2),402-416 </li></ul>