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When Surgical Asepsis?
- During procedures that require intentional perforation of the client’s skin
- When the skin’s integrity is broken as a result of trauma, surgical incision or burns
- During procedures that involve insertion of catheters or surgical instruments into sterile body cavities – what are sterile body cavities?
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What is surgical asepsis?
- What is it?
- Measures
- Surgical Asepsis: Do I wash my hands differently? Yup. 2 minutes, vigorous scrub, antimicrobial soap, rinse fingers up.
- Review PPEs for OR before going into clinical. Will pay dividends!
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When is an field considered sterile?
- Includes procedures that eliminate all microorganisms from an object or area
- Object or area considered contaminated if touched by anything not sterile
- Important to explain the procedure thoroughly to the client
- Requires client cooperation – why?
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Principles of Surgical asepsis
- A sterile object remains sterile only when touched by something sterile
- Only sterile objects may be placed on a sterile field
- A sterile object or field out of the range of vision or an object held below the waist is contaminated
- A sterile object or field becomes contaminated with prolonged exposure to air
- When a sterile surface comes in contact with a wet non-sterile surface, the sterile object or field becomes contaminated by capillary action
- Fluid flows from the direction of gravity
- The edges of a sterile field or container are considered contaminated. 1" borders of a sterile field is not sterile.
- Anything entering a sterile field should be allowed minimum of 6 inches above.
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Planning ahead for sterile fields
- Important to collect everything before you begin because you may not leave the sterile field
- Sterile packages remain sterile as long as they are dry, intact and not expired.
- Where is the trash can?
- Does the 5-second rule apply to sterile fields?
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Pouring solution into a sterile field
- Lable time/date/initial when opened
- Hold by label to prevent label from getting wet.
- Pour off a bit of solution. Sterile solution will sterilize lip of container. "Lipping it."
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Sterile fields techniques
- Hand Hygiene
- Open sterile packages: No reaching over allowed!
- --Away
- --Side…side
- --Toward
- Adding to sterile field
- Pouring solution
- When do I put on my sterile gloves?
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