Sterile Environ无菌环境. I Mercer University.pptVIP

Creating and Maintaining a Sterile EnvironmentPart IDonning Sterile Attire Source: Phippen, M.L. Wells, M.P. (1995). Perioperative nursing handbook. (p. 118-135). The perioperative nurse demonstrates competency to cerate and maintain a sterile environment by: Donning surgical attire Performing surgical hand scrub Donning sterile gown and gloves Preparing a sterile field Performing perioperative skin prep Draping the pt and equipment Donning Surgical AttireThe surgical suite is divided into three designated areas: Unrestricted area. Includes a control point where both OR personnel and other members of the health care facility communicate. Street clothes are permitted in this area. The semi restricted area includes the peripheral support area (hallways, storage areas, processing area, OR offices). Scrub attire and caps are required in these areas. The restricted are includes the are where surgical procedures are performed and where unwrapped supplies are sterilized. Scrub attire, caps, masks are required in this area. Performing the Surgical Hand Scrub Supplies and Equipment Scrub sink with foot, knee, or automatic controls Water that is set at a comfortable temperature and moderate flow to prevent spraying of surgical attire High-filtration masks Scrub brushes Metal or plastic nail stick Broad spectrum antimicrobial agents. Donning Sterile Gown and Gloves: Asst. Gowning Scrub person Place an open sterile towel over the outstretched hand of the newly scrubbed team member. Pick up the gown at the neck, step back from the sterile field, and allow the gown to unfold completely. Form a protective cuff by placing the hands at the shoulder level on the exterior side of the gown and drape the gown over the gloves. Identify the armholes and place the gown on the outstretched hands fo the scrubbed team member. Release the gown. Circulating nurse Asst the scrub person by reaching inside and pulling the gown up over the shoulder and securing it at the neck and at t