aseptic technique Flashcards
clean vs aseptic vs sterile
-clean- decrease germs but doesnt eliminate
-box gloves, masks, scrubs
-aseptic- technique
-aims to eliminate germs
-wearing sterile gloves vs boxed
-sterile- setting
-use aseptic technique to create sterile environment
aseptic technique
-sterilize instruments
-skin prep- chlorohexidine (3 mins), betadine (until it dries)
-barriers- mask, gloves, gown
-contact guidelines- sterile to sterile contact
-environment controls- ventilation, keeping doors closed, temp (Cold), shoes (that dont go outside or booties)
hand hygiene
-MC mode of transmission
-hand washing- soap and water
-antiseptic hand wash- water and soap containing an antiseptic agent
-alcohol based hand rub- hand sand
-surgical hand hygiene
OR scrubbing technique
-make sure all PPE aside from gown and gloves are on -> cap, mask, goggles
-mask and cap are required just to walk into the OR
-scrub brush and water-
-scrub time 2-6mins per CDC
-stroke counting technique- more effective
-30 strokes over finger nails
-10 strokes over each surface
-AvaGard gel
-each place has diff technique
gowning and gloving in OR
-ask permission to scrub in
-choose proper glove sizes prior to scrubbing
-be aware of sterile field:
-once gowned you are only sterile from chest to waist
-cuff on gowns are not sterile
-keep hands on blue drapes or folded across ribcage when not assisting
-if you break sterile field be HONEST
OR etiquette
-remove all jewelry, hair ties, etc
-nails must be less than 1/4 inch off finger, non chipped, no fake nails
-OR RN/scrub tech are you best friend
-ALWAYS ask surgeon permission to scrub
-introduce urself to room and get gloves/gown for tech
-introduce urself to pt and ask permission
-have questions prepared beforehand, practice skills required for case
gloving for sterile procedure
-foley insertion, skin prep, sutures, I&D
-choose correct size
-find flat surface
-properly open package without contamination
-apply gloves while maintaining sterility
-remove gloves properly to protect urself
donning gloves
-open pack, pull open the tabs
-pick up right glove with left hand and open up for the right hand to enter
-slip right hand under the cuff of the left glove and pick it up
-use the left hand to shimy open
-fix the glove
-fix the cuff of the right glove
putting gloves on in practice
-ask the tech if they would like for you to open the gown and gloves for them
-have the tab facing you
-unfold each tab away from you and hold out the gown for the scrub tech to grab it
-scrub in
-then have scrub tech put on your gown and gloves
-open door with ur back
-put on gown -> dont put your hand through the sleeves
-put on right glove
-put on left glove by holding open the left glove cuff
-adjust
-have the scrub tech pull the tag and tie your gown
-spin
Sequence for Donning PPE and removing PPE
Donning: Gown, Mask/Respirator, Goggles/Face Shield, Gloves
Removing: Gloves, Goggles/Face Shield, Gown, Mask/Respirator
Prepping a Surgical Site:
- 2% Chlorhexidine (Preferred Method) (need to be done for 60 seconds and needs to dry for 90 seconds) OR
- Betadine (label on Betadine bottle needs to have date that was opened. Only good for 30 days after opened. If no date is there, cannot be used and needs to be tossed). (Always ask about allergies)
- Check for Expiration Dates
- Discard if expired or if open (Betadine) for 30 days
- Wash Hands, Establish Maximum Sterile Barriers, Swabstick of 2% Chlorhexidine in Back and Forth Motion for 60 seconds, Allow to Fully Dry
what causes the most infections and sterile field
*hair and desquamation causes the most infections.
*hands should not drop AT OR BELOW WAIST LEVEL b/c they are contaminated at that point.
