Surgical Aseptic Technique And Sterile Field

Question 1

Steps to prep a sterile tray:

Answer 1

1. Have supplies ready
2. Wash Hands
3. Gloves
4. Open tray (touch outside paper and open away from you, to the sides and the towards you)
5. Open sterile objects onto tray (only touch outside of package, never the object

Question 2

When does something sterile become unsterile?

Answer 2

• If it becomes out of range of vision
• If it is held below a persons waist
• Prolonged air exposure
• Contact with a wet surface
• Contact with anything unsterile

Question 3

Where are drapes sterile?

Answer 3

At table level, drape below is not

If drape doesnt cover table the 1 inch border is not sterile

Flaps of drapes must be contained

Question 4

How to open sterile objects:

Answer 4

1. Assess objects:
   
   • Look for pass markers
   • Look for expiration dates
   • Look for damage
2. Place in inner edge of tray
3. Push through opening in package
4. Inner edge of seal is sterile, outer is not
5. Open close to procedure
6. Handle as little as possible
7. Pour sterile solutions low and slow, writing should face you, basin should be at edge of sterile field

Question 5

Clean up after sterile tray use:

Answer 5

1. Gloves/Glasses worn
2. Sharps to one side (physician does this)
3. Wheel cart to sharps bin
4. Use clamps to dispose of sharps (needle away from body)
5. Throw out used products
6. Rinse basin, metals in sink (slowly - no splashing)
7. Rinse biopsy devices and place in biohazardous bag
8. Basin, metals placed on tray
9. Tray placed in “pick up” area for sterilization

Question 6

Where is a gown sterile?

Answer 6

On the front from the axilla to level of sterile field and 2 inches above elbow everywhere else is unsterile (neckline, shoulder, under arms, sleeve cuffs and back)

Question 7

What is closed gowning and the steps?

Answer 7

You dress yourself with no assistance.

1. Hair net, mask, goggles
2. Gown
   - away from sterile field
   - Lift up, hold by inside arm holes and let it unfold
   - Extend arms in
   - assistant touches inside and pulls over shoulders
   - They tie waist first and then neckline

Question 8

What is important for closed gowning?

Answer 8

Do not touch outside of gown

Enter OR with your back and hands up

Scrub to elbows during washing

Question 9

What is self gloving?

Answer 9

You glove yourself

Take from assistant and touch with your cuff of gown

Place glove over wrist with fingers facing you and thumb on thumb side

The hand being gloved pinches the inside glove cuff and the other hand pulls the glove around

You can now touch the other glove with your gloved hand and pull it on the same way

Question 10

What is dry and wet scrubbing?

Answer 10

Using alcohol rub (dry) or washing (wet)

Question 11

What is open gowning and gloving?

Answer 11

A scrub assistant dresses you

Question 12

What is the part of the glove you can touch?

Answer 12

The inside cuff