Surgical Attire Flashcards
What is worn in the restricted and semi restricted areas of the surgical environment and other areas of the facility where invasive procedures are performed
Scrub suit, head covering, mask, shoes, and jacket
AORN
All individuals who enter the semi restricted and restricted areas should wear freshly laundered surgical attire that is laundered at a health care accredited laundry facility or disposable attire provided by the facility and intended for use within the periooerative setting
ARHQ
No recommendations on how or where to launder scrub suits, restricting use of scrub suits to the operating suite or for covering scrub suits when out of the operating suite. Home laundering of visibly soiled surgical attire is not recommended
AST
Home laundering of OR attire to include scrub suits, cloth warm up jackets, and cloth hats is not recommended
CDC and HICPAC
Although OSHA regulations prohibit home laundering of items that are considered personal protective apparel or equipment experts disagree about whether this regulation extends to uniforms and scrub suits that are not contaminated with blood or other potentially infectious material. Learn care facility policies on this matter vary and may be inconsistent with recommendations of professional organizations.
What if any kind is a potential source of pathogens
Jewelry
The scrub shit is designed to do what
Prevent the shedding of skin particles and hair into the environment and to protect the wearer from contact with soil and body fluids
What does the scrub suit consist of
Shirt and pants. Made of lint free material and should fit closely to the body. Should not be so tight as to produce chafing, which increases the release of skin and hair particles laden with bacteria. The top should be secured at the waist, tucked into the pants, or fit close to the body to prevent contact with sterile surfaces.
A clean scrub suit is donned when
Personnel enter the restricted or semi restricted area of the OR
When a scrub suit has been soiled by blood or body fluids, what must the surgical personnel do?
Remove it in such a way as to prevent skin contact with the soiled area
What should personnel change into before leaving the health care facility or when traveling between buildings according to health facility policy
Street clothes
Personnel such as maintenance engineers or law enforcement entering the semi restricted or restricted area for a short time must don what
Single use jumpsuit or freshly laundered scrub suit
Nail tips should be level with the fleshy too if the finer. The sunungual area hosts a greater number of bacterial colonies than any other area of the hand. Long fingernails easily puncture gloves and make handling of equipment more difficult. Long nails can also scratch or dig into the patient’s skin during transfer and positioning
The finger nails must be no longer than 1/4 inch
Nails polish itself has not been proven to be a source of microbial proliferation. However, chipped or flaming polish is known to support bacterial growth
Nail polish must not be worn by surgical personnel
Artificial nails harbor pathogenic bacteria and fungi between the real and synthetic nails, especially when the artificial nail is chilled or cracked. Bacterial counts remain high even after scrubbing or artificial nails with antiseptic solution
Artificial nails must not be worn in the surgical environment
Bacteria and fungi proliferate underneath rings and watches, creating a source of contamination.
Before performing and hand hygiene procedure, inspect the hands for visible soil, and remove all jewelry, including watches and rings
What is routine hand washing
An event related practice. It requires a specific method with individual steps. Antiseptic liquid soap is used in the health care setting for routine hand washing
When to perform routine hand wash
At the beginning and end of each workday Before and after patient contact After any surgical case Between contacts with potentially contaminated areas of the same patient Before contact with sterile packages Whenever hands are visibly soiled After removing gloves Before performing the surgical handrub Immediately after contact with blood or body fluids, regardless of whether gloves were worn at the time of contact Before and after eating After personal hygiene care After toileting
What is the purpose of he surgical scrub
Remove soil and reduce the number of resident and transient microbes on the hands and arms to an absolute minimum
When is the surgical scrub performed
Immediately before gownun and gloving for a surgical or invasive procedure. The surgical scrub is performed with a disposable sterile sponge brush combination
What is a surgical hand rub
An approved, alcohol based handrub can be used in place of the traditional surgical scrub unless mandated differently by the healthcare facility
Use routine hand washing frequently
During the workday and specifically between patient contact and to remove visible soil before and following certain events that were listed earlier
The traditional surgical scrub
Using a sponge brush, antiseptic soap, and water is performed in place of the hand rub in case of visible sound on the hand or arms following contamination of the hands or arms by potentially infectious body fluids
The surgical handrub is performed
In place of a traditional surgical scrub except when the hands and arms are grossly soiled or have come in contact with body fluids. The first handrub of the day should be preceded by routine hand ash and drying with disposable towel
Sterile Fleming and gloving occur when
Immediately after preparation of the hands and arms for a surgical procedure
Double gloving
Wearing tie pairs of surgical gloves
Closed gloving
Performed immediately after gownung. It is the most effective method for preventing contact between the skin and the outside of the sterile glove
Open gloving
Is used during sterile procedure that do not require a sterile gown, such as preoperative skin preparation of the patient, assisting in minor skin procedures, catheritizarion, and when a scrubbed member changes a glove without changing his or her gown
When open gloving
Consider the two surfaces of the glove, the outside and the inside. The glove has a cuff that exposes the inside of the glove. This inner surface is considered the nonsterile surface, even though it is sterile until touched with the bare hand
