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Asepsis and Aseptic Practices in the Operating Room

• The goal of asepsis and aseptic practice in the operating room is to prevent the contamination of open surgical wounds. • The nurses surgical team accomplishes this by creating and maintaining the sterile field and by following aseptic principles aimed at preventing microorganisms from contaminating the surgical wound.

Principles of aseptic :techniques
1. The patient is the center of the sterile field. 2. Persons who are sterile touch only sterile articles; persons who are not sterile touch only unsterile articles. 3. Unsterile persons do not get close than 12 inches from a sterile field.

1. sterile persons are gowned and gloved: B. Keep hands at waist level and insight at all times. C. Keep hands away from the face. D. Never fold hands under arms. E. Gowns are considered sterile in front from the waist to shoulder level and the sleeves from above the elbow cuffs> F. Sit only if sitting for entire procedure. G. Articles dropped below waist level are discarded.

1. Sterile persons keep well within the sterile area and follow those rules from passing: B. Face to face or back to back. C. Turn back to non-sterile person or when passing. D. Faces a sterile area when passing the area. E. Step back away from the F. sterile field to sneeze or cough. G. Stand back at a safe distance from the operating table when draping the patient.

1. Non sterile persons when are observing a case, please stay in the room until case is completed. Do not wander from room to room as traffic in the operating room should be kept as a minimum.**patient privacy needs to be respected. 2. Tables are sterile only at table level:  Anything over the edge is considered unsterile, such as a suture or the table drape.  Use non-perforating device to secure tubing and cords to prevent them sliding to the floor.

1. Sterile drapes are used to create a sterile field: B. Only scrubbed personnel should handle sterile draped. C. Te drapes should be held higher than the OR bed. D. Patient draped from the prepped incisional site out to the periphery.

1. Sterile persons touch only sterile items or areas; unsterile persons touch only unsterile items or areas: B. Sterile team members maintain contact with sterile field by wearing gloves and gowns. C. Supplies are brought to sterile team members by the circulator, who opens wrappers on sterile packages. The circulator ensures a sterile transfer to the sterile field. Only sterile touch sterile surfaces.

1. Unsterile persons avoid reaching over sterile field; sterile persons avoid leaning over unsterile area: B. Scrub person sets basins to be filled at edge of table to fill them. C. Circulator pours with lip only over basin edge. D. Scrub person drapes an unsterile table toward self first to avoid leaning over an unsterile area . Cuff drapes over gloved hands. E. Scrub person stands back from the unsterile table when draping it to avoid leaning over an unsterile are.

1. Edges of anything that encloses sterile contents are considered unsterile: B. When opening sterile packages, open away from you first. Secure flaps so they do not dangle. C. The wrapper is considered sterile to within one inch of the wrapper. D. In peel-open packages, the edges where glued, are not considered sterile.

1. Sterile field is created as close as possible to time of use: B. Covering sterile tables is not recommended. 3. Sterile areas are continuously kept in view: D. Sterility cannot be ensured without direct observation. An unguarded sterile field should be considered contaminated.

1. Sterile persons keep well within sterile area: B. Sterile persons pass each other back to back or front to front. C. Sterile person faces a sterile area to pass it. D. Sterile persons stay within the sterile field. They do not walk around or go outside the room. E. Movement is kept to a minimum to avoid contamination of sterile items or persons.

1. Unsterile persons avoid sterile areas: B. Unsterile persons maintain distance of at least 1 foot from the sterile field. C. Unsterile persons face and observe sterile area when passing it to be sure they do not touch it. D. Unsterile persons never walk between two sterile fields. E. Circulator restricts to a minimum all activity near the sterile field.

1. Destruction of integrity of microbial barriers results in contamination: B. Strike through is the soaking through of barrier from sterile to non-sterile or vice versa. C. Sterility is event related. 4. Microorganisms must be kept to irreducible minimum: E. Perfect asepsis is an idea. All microorganisms cannot be eliminated. Skin cannot be sterilized. Air is contaminated by droplets.