Theatre Attire Flashcards
Theatre attire?
- Clean scrub suit
- Cap - is there a preferance between disposable and reusable
- theatre only, non slip, anti static shoes
-beard net - Scrubbed staff to wear sterile gloves and sterile gown in addition to the above
Theatre team?
scrub suits
- Occlusive barrier to micro - organisms
Surgical Head covers caps/hoods
- to cover occipital/temporal head regions. includes beard nets
over shoes/shoe covers
- excludes bacteria from street shoes/contaminating theatre
Surgical team
same as theatre team +
Face masks - protect surgical site from droplets of saliva from surgical team but not environmental contamination
surgical gown - a barrier between scrub/skin and patient
surgical gloves - occlusive barrier to micro - organisms
Theatre attire musts
- protocols are designed to meet health and safety standards whilst reducing the risk of cross infection
- wear appropriate clothing suitable to the assistance that you are giving.
- do not shake out folded fabric or paper items, allow them to fall open with gravity
- in theatre should change from their ordinary clothes into correct theatre attire before entering the theatre
- use ppe protects us as well as patients
Scrub suits
should only be worn within the theatre suite.
typically, a simple two piece scrub suit made of cotton or polyester.
- a clean suit should be worn each day
- top should be tucked into trousers
- trousers should be ideally cuffed legs
- can be colour coded for staff roles
footwear
outdoor footwear should not be worn in theatre.
should be anti - static and non - slip. traditionally, white clogs or wellies.
canvas shoes are difficult to keep clean and are not waterproof
Headwear
Hair can be a major contamination source covered.
Typically, disposable/ paper based
new material styles have been introduced
Face protection
- filters expired air from the nose and mouth, preventing contamination from saliva droplets
- does not protect the environment from bacteria
- disposable filtration masks should completely cover the nose and the mouth
- hands should be washed after removing masks.
why do we scrub prior to surgery / what skin disinfectants/surgical scrub solutions have you seen?
- to prevent microorganisms
- hibi scrub
Surgical scrub
- systematic pre operative washing/ scrubbing hands, arms, elbows, and nails
- not possible to sterilise skin, aims yo destroy as many micro - organisms as possible before gloving/gowning
- strict adherence to evidence - based method is recommended
Personal hygiene
observe good personal hygiene measures to reduce pathogens entering the theatre.
- hair should be clean and neat, long hair should be tied back and not left flowing
theatre clothing stained with blood or body fluids must be changed as soon as possible.
Theatre clothes must not be worn outside hospital grounds
Nosocomial infection
- infections acquired by a patient in hospital.
- especially concerning as many patients are immunocompromised.
- can be caused by poor hygiene, and transfer of pathogens between patients
examples
- Uti from repeated catheterisation
- surgical site infection
- diarrhoea due to overgrowth of antibiotic resistant micro - organisms
- Intravenous catheter management
- feeding tube management
- E.coli, MRSA
Open gloving
what is it - when a surgeon isn’t wearing a gown or will be replacing gloves between consecutive operations.
advantages - quicker
disadvantages - more risk of contamination
method -
1. pick up right glove with left hand. only touch the cuff on what will be the inside of the glove
- work fingers into glove leaving your thumb out
- hold your thumb then pull cuff up and over it, prevent thumb from bunching up
- leaving the cuff over your thumb pick up second glove by sliding your gloved fingers underneath the cuff
- grasp the left hand with your right hand and, in one movement pull the glove over your hand an cuff of the gown.
- now pull both gloves completely over the cuffs of the gown
closed gloving
what is it - is performed with the hands remain inside the sleeves of a gown, with less risk of contamination.
advantages - prevents contamination
disadvantages - would need to restart if touched something contaminated which makes it more time consuming
method -
1.When closed gloving, keep your
hands inside the gown cuffs before
gloving. Ask an assistant to open
the outer packet of the gloves. If
you don’t have an assistant then it
is important to open the outer
packet yourself without touching
the contents before scrubbing up.
- Spread the packet open
onto a sterile surface and
turn (ensure) the fingers
are pointing down (towards
you). Some glove edges
may be stuck to the paper
packet – it can be helpful to
free the edges first - Use your right hand to pick up
the right glove : with the glove
fingers pointing towards you,
this will be the glove on the left
of the packet. Hold the inner
lining of the cuff.
4.Turn your hand over so that the
glove is lying on top of your
palm, with the thumb of the
glove over the thumb of your
hand.
5.Grasp the uppermost rim of the
glove with the other covered
hand and in one movement,
pull the glove over the first
hand.
6.Ensure the glove ‘entraps’
(completely covers) the cuff
of the gown
7.Work your fingers into the
fingers of the glove.
- Pick up the remaining glove
by the rim with your other
covered hand - turn the hand so the glove lies on your palm.
10.Pick up the uppermost rim of
the glove with the other gloved
hand.
11. In one movement, pull the
glove over the second hand
- Ensure the rim of the glove
‘’entraps’ (completely
covers) the cuff of the
gown. Adjust fingers and
cuffs as necessary to
ensure a snug fit
Plunge Gloving
what is it - the sterile glove is held open by a scrubbed assistant and the hand is inserted
advantages - quick and easy
disadvantages - risk of contaminating both personnel involved.
