1. ASEPTIC AND STERILE
TECHNIQUE S
Objectives
1 learner should be able to;
define: asepsis
Sterile techniques
Describe transmission of microorganisms
Describe standards precautions
Obligations of team to practice Aseptic and sterile techniques.
2. Aseptic and sterile techniques are applied to prevent infections
transmission.
Measures are applied to creat and maintain Aseptic environment.
Define the following terms
1) Aseptic
2). Aseptic techniques
3) standard precautions
4)Antiseptic
5) sterile
6) sterile Field
7)sterile techniques
3. Elements of Aseptic techniques.
-cleaned and decontamination items safe to handle
-contamination is contained
-items are set ion clean towels. Use clean gloves.
- disposable items are used only once.
- items can be used outside the theatre.
- used on intact skin
STERILE TECHNIQUES - All micro orgnisms are contained to
irreducible minimum.
4. SOURCES OF CONTAMINATION
HUMAN - Skin -pt
- team members
PREVENTION -
# pt take a bath before surgery
# shaving done just before operation
# hair clipping done rather than shaving with razors
# social wash is usually done on the surgical site and Skin
preparation before surgery.
5. PERSONNEL FACTORS.
# SHOULD; Done clean scrubs daily
# Unsterile team wears long sleeved jacket
# Cover any cuts or abrasions
# wear gloves when handling body fluids
# Hand washing after procedure
# keep hair corver
# wear face masks
6. # staff with cold and URTI should keep off the OR.
NB. All patients should be considered potential source of
infections.
ENVIRONMENTAL FACTORS
House keeping -
# cleaning disinfecting the operating environment
#Dusting and disinfecting all surfaces
#Waste management.
7. AIR
# control the traffic
# doors
#Air conditioning
# AIR flow
# humidity
# temperature.
8. STANDARDPRECAUTIONS
Enforced by CDC AND OSHA
#applied to protect health workers from contact with pt
body fluids.
Includes
# Hand washing
# barrier clothing
# pt placement and mx.
9. This involves
# PPEs
#Prick injury prevention and mx
- not to manipulate sharps
- don't recap needle.
- sharps are put i punture proof container.
Incase of injury
Don't squeeze
Wash with running water
Irrigate wit water incse of splash
- oral procedures equipment ppes
10. # care of specimens and body fluids
# decontamination of environment,surfaces, equipments
# laundry - minimal handling of contaminated linen
# waste management
- safe ly pour fluids to drains
- Trash bags to be leakproof.
- waste segregation
11. # Hand washing
- five moments of hand washing
- hand surgical scub
# Dont touch mucous membranes
# prophylaxis.- Vaccination
- HIV status..
13. - edges of anything that encloses sterile content are
considered Unsterile.
- sterile areas continously overview.
- sterile personnel keeps with the sterile area.
- avoid Unsterile areas- destroy the barrier
(contamination)
Microorganisms must be kept very low.