Surgical Antisepsis and scrub attire Flashcards
What should traffic flow be like in semi-restricted areas?
should be unidirectional - clean to dirty, and prevent the mixing of clean-sterile-dirty items.
What kind of area is sterile processing considered?
semi-restricted area
What room is included in the restricted area?
operating room
What 2 rooms are included in the semi-restricted area?
- corridors leading from unrestricted to restricted areas
2. sterile processing areas
What 2 places are included in the unrestricted area?
- patient waiting room
2. staff lounge
What 2 reasons do we wear surgical attire?
- provides a high level of cleanliness and hygiene
2. promotes patient and worker safety
What are 4 considerations for jewelry?
- Leave jewelry at home or lock it up
- remove jewelry before providing patient care
- remove all jewelry from the hands and wrists before performing hand hygiene
- Jewelry prevents effective cleaning of skin surfaces
When should you don a head covering?
Before entering the semi-restricted area (hallway, scrub sink areas, sterile processing department)
When should you cover a beard?
- a restricted area
2. the clean assembly area of the sterile processing department
When do you wear a surgical mask and eye protection?
in a restricted area
What are 2 considerations for personal items?
- follow your facility’s policy and procedure
2. Follow the manufacturer’s IFU for cleaning electronic devices
Before entering the semi-restricted area, what should be put on?
- clean scrubs
- head covering
- protective shoes
Fingernails should be what?
- natural
- short and clean
- Freshly polished and without chips, if nail polish is allowed by the facility policy and procedure
What has been linked to infection outbreaks and are not recommended?
artificial nails
What is a consideration for lotion?
Use facility-approved lotion
What can lotion interfere with?
glove integrity and antiseptic products
What is the single most effective method of infection prevention available?
hand hygiene
How long does the CDC recommend washing your hands?
20 seconds
What should you follow when using an alcohol-based hand rub?
manufacturer’s IFU
When should you wash your hands?
- when hands are visibly soiled
- hands have been exposed to blood or bodily fluids
- after using the restroom
- when caring for patients with norovirus or spore-forming organisms such as C. Diff
What is the preferred fingernail length?
2 mm
What is a higher level of leaning of the hands, wrists, and forearms before donning a sterile gown and gloves?
surgical hand antisepsis
Why is surgical hand antisepsis performed?
to reduce microorganisms, remove transient microorganisms, and prevent contamination of patient and sterile field.
What is important to remember for after surgical hand antisepsis is performed?
skin is clean, not sterile
What are the 2 recommendations for surgical hand antisepsis?
- surgical hand rub
2. surgical hand scrub
What is the proper steps for putting on alcohol based solution?
- remove jewelry from hands, wrists, and forearms
- with clean hands, don a surgical mask
- Clean underneath the fingernails using a disposable nail cleaner under running water
- Dry hands and arms thoroughly with a disposable paper towel
- apply the surgical hand rub to the hands and arms
- allow hands and arms to dry completely before donning a gown and gloves
12 steps for surgical hand scrub
- remove jewelry from hands, wrists, and forearms
- with clean hands, don a surgical mask
- Clean underneath the fingernails using a disposable nail cleaner under running water
- apply amt. of surgical hand scrub product recommended to the hands and forearms
- visualize each finger, hand, and arm as having four sides. Wash all four sides effectively - keep hands elevated
- scrub for length of time recommended. Scrub should be timed to allow adequate product contact w/skin.
- Water conservation - turn off water when scrubbing.
- Avoid splashing surgical attire
- Discard the sponge into a trash receptacle
- Rinse hands and arms under running water in one direction from fingertips to elbows- be careful to avoid any objects.
- Hold hands higher than the elbows and away from surgical attire
- In the OR, dry hands and arms with a sterile towel using sterile technique b4 gloves and gowns
What do sterile gowns protect the wearer from?
exposure to blood, body fluids, and other potentially infectious materials during an invasive procedure.
What is level 1 gown class?
minimal
What is level 2 gown class?
low
What is level 3 gown class?
moderate
@hat is level 4 gown class?
high
Who developed a rating system for gown classes?
ANSI and AAMI
What do the gown classes describe?
the level of protection
What must be done before putting on a sterile gown nd glove after doing a surgical hand scrub?
hands are dried
What must be done before putting on a sterile gown nd glove after doing a surgical hand rub?
hands must dry
How should 2 sterile gloves fit?
- the inner glove can be a half-size larger than the outer glove
OR - both gloves can be the same size
What was formerly known as closed assisted gloving?
assisted gloving with gown cuffs at the fingertips
What 2 areas of the gown are considered sterile?
- front of gown - from chest to the level of the sterile field
- gown sleeves from the cuff to 2 inches above the elbow, circumferentially are considered sterile
What 4 areas are non sterile?
- axilla
- cuffs
- neck and shoulder
- back of gown
What does it mean if your hands are numb after putting on gloves?
too tight
What does it mean if you have glove wrinkling?
too loose
What are 3 considerations for gloves that fit right?
- do not cause numbness
- do not slide or roll
- do not expose gown cuffs
When may gloves be changed?
- before handling implants
- after draping is complete
- when moving to a clean portion of a surgery following a dirty portion
What is the perforation indicator system?
an inner glove a contrasting color to the outer glove allows for early detection of holes, rips, and tears in the outer glove.
What is the perforation indicator system?
an inner glove a contrasting color to the outer glove allows for early detection of holes, rips, and tears in the outer glove.
What 3 things do you want to do before leaving the OR?
- remove the sterile gown and gloves
- remove soiled show covers
- remove your mask and perform hand hygiene
After you have donned your initial gloves, what should you do?
closed gloving
