Professional Documents
Culture Documents
PRINCIPLES OF SURGICAL
prevents inadvertent
ASEPSIS contamination
Moisture causes contamination
Sterile equipment or areas must
Prevent splashing of liquids in the be kept above the waist and on
sterile fields top of the sterile field
Place wet objects on sterile, Close doors
water-impermeable surfaces, such Unfold drapes or wrappers
as sterile basin properly
Rationale: microorganisms travel Do not sneeze, cough, or talk
more easily through moist excessively over the sterile field
environment. When sterile Do not reach across sterile fields
surface becomes moist,
Move around a sterile field to
microorganisms
reach for an object, if necessary
Never assume that an object is
sterile Prevent unnecessary traffic and
Ensure that it is labeled as sterile air currents around the sterile
Always check the integrity of the area
packaging Rationale: microorganisms cannot
Always verify the expiration date be completely excluded from the
on the package air; overreaching across sterile
Whenever in doubt of the sterility fields will render sterile objects
of an object, consider it unsterile unsterile
Rationale: commercially prepared Rationale: once protective
products are labeled as sterile on wrapping have been removed, the
their packaging; special indicators article is being contaminated by
are used to show that objects air so, it must be discarded or
have completed their sterilization sterilized before it is used; liquids
process; packages that are torn, opened during the procedure that
punctured, or moist are remain in the container are also
considered unsterile considered contaminated.
Rationale: objects that are out of
the line of vision may be Open, unused sterile articles are
inadvertently contaminated no longer sterile after the
Always face the sterile field procedure
Sterile articles may touch only Rationale: if a “scrubbed” person
sterile articles or surfaces if they punctures the gloves or is
are to maintain their sterility contaminated by touching an
Rationale: anything considered unsterile object, he or she must
unsterile may transfer change the contaminated articles;
microorganisms to the sterile if a “scrubbed” person leaves the
object it touches area of the sterile field, he or she
Rationale: Waist level is the limit must go through the procedure of
of good visual field. Maximum rescrubbing, gowning, and gloving
CHARINA AUBREY RIODIL / SPCIS-BSN-IV
A person who is considered sterile SURGEON – Performs the surgical
who becomes contaminated must procedure and heads the surgical
reestablish sterility team
Evisceration
Total separation of the layers &
protrusion of internal organs or
viscera through the open
wound.
Causes: same as dehiscence
Treatment:
Call for help
Cover with sterile NS soaked
gauze/towels
Keep moist
DO NOT ATTEMPTS TO REINSERT
ORGANS.
Keep in supine position with
knees/hips bent
Assessment/VS q 5 min. until
MD arrive
Prepare for surgery.