无菌手术技术知识点之手术人员的准备与消毒.PPT

第四节 手术人员的准备与消毒 （一）更衣 术前在更衣室穿着清洁的衣服和套鞋，上衣为超短袖衫，并戴好手术帽和口罩。手术帽应把头发全部遮住。手术口罩应完全遮住口和鼻。在眼镜镜片上涂抹薄层肥皂，并用干布擦干净，以免呼吸的水气使镜片模糊。 （二）手、臂的清洁与消毒 Rinse hands and rescrub as in step 3. During scrubbing, rinsing and drying, hands are held above elbows. This is done so that water will not be dripping from upper arms onto lower arms and hands. After both scrubs and rinses, total contact time should be 5 minutes. Some surgeons do not rinse off the chlorhexidine in order to enhance residual activity. 2.手臂的消毒 70% 酒精 浸泡或擦拭5min 0.1% 新洁尔灭或杜米芬、洗必泰 浸泡5min A sterile towel is included within the sterile gown pack. The towel is lifted away from the table and folded in half lengthwise. One hand and forearm are dried by one side of the towel. Always dry in the direction of hand to elbow so that contamination of the upper arm is not spread by the towel to the surgeons hand. The second hand and forearm are then dried by the other side of the towel in the direction of hand to elbow. The towel is then discarded away from the surgeon, making sure that the towel doesnt contact the sterile gown All gowns are folded and packaged for sterilization with the inside exposed so that the surgeon may handle the gown without contaminating the outside of the gown. Grasp the exposed inside of the gown and lift the gown away from the table Unfold the gown by placing hands into the white arm holes. Continue placing hands and arms through the sleeves. If you are planning on closed gloving, do not thrust hands through the cuffs. An assistant fastens the neck tie and the inside waist tie Proceed with closed gloving before the fastening of the final outside tie. Once the surgeon is gloved, the sterile left tie is grasped by the surgeon and the white tab is handed to an assistant. The assistant pulls the back tie around the surgeon using the white tab. The surgeon grasps the right tie from the white tab (not touching the now contaminated white tab) and right and le