OR Etiquette & Surgical Planning Flashcards
asepsis
the absence of infectious material or infection
surgical asepsis
the absence of all microorganisms within any type of invasive procedure
sterile technique
set of specific practices and procedures performed to make equipment and areas free from microorganisms to maintain sterility
unrestricted area
traffic is not limited
street clothes allowed
separated by doors from the main corridor
semi-restricted area
traffic is not allowed to everyone
scrub attire must be worn when accessing this area
restricted area
must wear scrub attire, caps, and masks
area where unwrapped sterile supplies are provided to carry out procedures
sterile field
space within the restricted area in which everything is sterile
steps of site and surgeon prep
- initial prep
- second prep
- surgeon prep
- gowning and gloving
- movement
- draping
initial prep
outside of OR
clipping and vacuuming hair
initial aseptic preparation of the patient
second prep
inside the OR
adjust table and lights before second prep
second aseptic preparation of patient
open sterile pack and back table drape
surgeon prep
attire: clean scrubs, trim nails, remove all rings, earrings, and bracelets, wear cap and mask
scrub:
1. apply antiseptic and lather
2. clean fingernails –> fingers –> palm –> wrist –> distal forearm –> proximal forearm –> elbow
3. keep hands elevated
gowning and gloving
using sterile technique to put on gown and gloves
keep hands elevated above elbows and hold arms away from body when moving
draping order
- place the 4 corner drapes
- use towel clamps to hold drapes down
- apply top drapes using the “head” guideline toward the patient’s head
- extend top drape cranially first, then caudally to cover the back table
