Creating a microorganism-free environment (sterile field)
Use of sterilized instruments and dressings Maintaining sterility of sterile field and instruments by preventing microbial contamination by contact with non-sterile objects; such as: the patient’s body, the care providers body, non-sterile instruments, equipment, body fluids etc. Antisepsis of point of entry and hands of task performer.
How to Perform Surgical Handwashing
Inspect surface of hands for brakes or cuts in skin, or cuticles. Report and cover lesions before providing client care. Inspect hands for heavy soiling. Inspect nails for length. Assess clients risk for an extent of infection. Push wrist watch and long uniform sleeves above wrists. Avoid wearing rings, if worn, remove during writing. Stand in front of sink, keeping hands and uniform away from sink surface. Turn on water. Turn faucet on or push knee pedals laterally or press pedals to regulate flow and temperature. Avoid splashing water in uniform. Regulate flow of water. Wet hands and wrist THOROUGHLY under running water. Keep hands and forearms lower elbows during washing Apply a small amount of soap or antiseptic, lathering thoroughly. Soap granules and leaflet preparations maybe used. Wash hands using plenty of lather and friction for atleast 10-15 seconds. Interlace fingers and rub palms and back of hands with circular motion at least 5 times each. Keep fingertips down to facilitate removal of micro-organisms. Rinse hands and writs thoroughly, keeping hands down and elbows up. Dry hands thoroughly from fingers to wrists and forearms with paper towel, single use cloth, or warm air dryer. If used, discard paper towel in proper receptacle. Turn off water with foot or knee pedals. To turn off hand faucet, use clean, dry paper towel; avoid touching handles with hands. If hands are chapped or dry, a small amount of lotion or barrier cream can be applied. Inspect surfaces of hands for obvious signs of soil or other containments. Inspect hands for dermatitis or cracked skin.
What is Sterile Gloving/ Donning
Technique The process of placing a sterile glove on each hand following a scrubbing handwashing process. This is to reduce infection during a intensive procedure, or one in which it would be bad for germs and bacteria to enter the body. These procedures will generally require a level of clean that exceeds most regular exam glove standards. How do you perform Gloving or Donning Technique? Perform thorough hand washing. Remove outer glove package wrapper by carefully separating and peeling apart sides. Grasp inner package and lay it down on clean, flat surface just above waist level. Open package, keeping gloves on wrapper’s inside surface area. If gloves are no pre powdered, take packet of powder and apply lightly to hands over sink or water basket. Identify right and left glove. Glove dominant hand first. With thumb and first two fingers of nondominant hand, grasp edge of cuff of glove for dominant hand. Touch only glove’s inside surface. Carefully pull glove over the dominant hand, leaving cuff and being sure cuff does not roll up on the wrist. Be sure thumb and fingers are in proper spaces.with gloved dominant hand, slip fingers underneath second glove’s cuff. Carefully pull the second glove over nondominant hand. Do not allow fingers and thumb of gloved dominant hand to touch