Preparation of the Surgical Team ppt

1. Preparation of the
Surgical Team
Mohammed Saadoon Jaafer
M.Sc., 2st Semester
Asst. Prof. Dr. Nadia Hameed Al Falahi
Surgery & Obstetrics Dep

2. Surgical personnel are an important source of microbial contamination during
surgery. Careful preparation of the surgical team and nonsterile personnel reduces
the number of bacteria in the surgical suite but does not eliminate them.
SURGICAL ATTIRE All those entering the operating room suite should be
appropriately clothed, regardless of whether surgery is in progress. To minimize
microbial contamination from operating room personnel, scrub clothes rather than
street clothes should be worn in the operating suite.
 SURGICAL SCRUB All sterile surgical team members should perform a hand
and arm scrub before entering the surgical suite.

3.  mechanical removal of dirt and oil, reduction of the transient bacterial
population (i.e., bacteria deposited from the environment), and residual
depression of the skin’s resident bacterial population (i.e., bacteria
persistently isolated from the skin) during the procedure.
 Wash hands and forearms with soap and water.
 Dispense the manufacturer-recommended amount of the surgical hand rub
product.
 Rub thoroughly until dry if using a waterless solution.
 Repeat the product application process if indicated in the manufacturer’s written
instructions.
The objectives of a surgical scrub include
Surgical Hand Antisepsis/Hand Rub With an Alcohol-
Based Surgical Hand Rub

4. Three main developments in surgical hand antisepsis
have occurred in the past decade. These include
no longer using scrub
brushes
the introduction of
alcohol rubs
a reduction in the
duration of the scrub

5.  When the scrub has been completed, the hands
and arms should be dried with a sterile towel.

6.  Gowns serve as a barrier between the skin
of the surgical team member and the patient.
They should be constructed of a material that
eliminates the passage of microorganisms
between sterile and nonsterile areas.
GOWNING

7. Gloving can be performed by three separate
methods
gloving yourself using a closed method
gloving yourself using an open method
assisted gloving

8. Closed Gloving
The closed method of gloving ensures that the hand
never comes in contact with the outside of the gown
or glove (Fig. 6-5).

9. Open Gloving
The open method of gloving is used when only the
hands need to be covered (as for urinary
catheterization, bone marrow biopsy, or sterile patient
preparation).

10. Assisted Gloving
The steps involved in assisted
gloving are shown in Figure 6-8.

11.  Removing Gloves Aseptically
The procedure for removing gloves
in an aseptic