The document provides an introduction to operating room procedures and maintaining asepsis. It discusses the basic design of operating rooms with three zones of sterility. It also covers proper attire like scrub suits, caps, and masks. Proper hand scrubbing and rinsing techniques are explained. Gowning and gloving procedures ensure sterile fields. The operative site is prepped and draped, and contamination is prevented. Surgical instruments are also discussed regarding types, uses, and sterile handling.

1. Basic Introduction to an
Operation
Reynaldo O. Joson, MD
1985;2001

2. The Operating Room
Basic Architectural Design

3. The Operating Room
Basic Architectural Design
Aseptic / Antiseptic
Rationale

5. Match
1. Most sterile zone
2. Most unsterile zone
A. Zone I - outer
B. Zone II - middle
C. Zone III - inner

6. Match
1. Most sterile zone - C
2. Most unsterile zone - A
A. Zone I - outer
B. Zone II - middle
C. Zone III - inner

7. Proper Operating Room Attire
Aseptic / Antiseptic
Rationale

8. Proper Operating Room Attire
Clean OR gown / scrub suit
Clean cap and mask
Clean slippers

10. - All hairs in the head except eyebrow should be covered
by cap and mask.
- Nose and mouth should be covered by mask.
To minimize droplets into operating field!

11. Scrubbing the
Upper Extremities
before operating and
assisting in operation
Aseptic / Antiseptic
Rationale

12. Extent of scrubbing the upper extremities

13. Rinsing
after
scrubbing
Improper way!
Hand
position
after
rinsing

14. Rinsing
after
scrubbing
Which is the proper way?
A. Hands up
B. Hands down

15. Rinsing
after
scrubbing
Which is the proper way?
A. Hands up
A. Hands up
B. Hands down

16. Hand
position
after
rinsing
Which is the proper way?
A. Hands up
B. Hands down
A
B

17. Gowning with Sterile Attire
Aseptic / Antiseptic
Rationale

20. Match:
1. Sterile areas of
gown
2. Nonsterile areas
of gown
A. Shaded area
B. Unshaded area

21. Match:
1. Sterile areas of
gown - A
2. Nonsterile areas
of gown - B
A. Shaded area
B. Unshaded area

22. Wearing Sterile Gloves
Aseptic / Antiseptic
Rationale

25. Prepping of Operative Field
Aseptic / Antiseptic
Rationale

28. Draping of Operative Field
Aseptic / Antiseptic
Rationale

31. Preventing Contamination of
Operative Field and
Instruments
Aseptic / Antiseptic
Rationale

33. Surgical Instruments
Types, Uses, and How to Handle