Principals of Aseptic Technique

 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

What is Sterile Gowning Procedure?

Steps: