Movement within and around a sterile area is kept to a minimum to avoid contamination of sterile items or persons.ġ0. They do not walk around or go outside room. Sterile persons stay within and around a sterile field. Sterile persons ask nonsterile individual to step aside rather than risk contamination. Sterile persons faces sterile area to pass it. Sterile persons turn back to nonsterile persons or area when passing. Sterile persons pass each other back to back c. Sterile persons stand back at a safe distance from the operating table when draping the patient. STERILE PERSONS KEEP WELL WITHIN THE STERILE AREA.Īllow a wide margin of safety when passing unsterile areas and following these rules: a. When sterile packs are opened in a room, or a sterile field is set up, someone must remain in the room to maintain vigilance.ĩ. Inadvertent contamination of sterile areas must be readily visible. STERILE AREAS ARE CONTINUOUSLY KEPT IN VIEW. It is difficult to uncover a table of sterile tables for later use is not recommended.Ĩ. Sterile tables are set up just prior to the operation. Precautions must be taken as followed: a. STERILE FIELDS IS CREATED AS CLOSE AS POSSIBLE TO TIME OF USE.ĭegree of contamination is proportionate to length of time sterile items are uncovered and exposed to the environment. Cap cannot be replaced without contaminating pouring edge.ħ. After bottle is opened, contents must be used or discarded. Only the interior and surface level of the cover are considered sterile. If sterile wrapper is used as a table cover, it should be covered amply cover the entire table surface. Inner edge of the heat seal is considered the line of demarcation between sterile and unsterile portion. Contents should be flipped or lifted upward and not permitted to slide over edges. Flaps on the peel-open package should be pulled back, not torn, to expose sterile contents. Instrument trays should not touch the edge of the sterilizer. Steam reaches only the area within the gasket of a sterilizer. Sterile persons lift contents from packages by reaching down and lifting then straight up, holding elbows high. The last flap is pulled toward the person opening package thereby exposing package contents away from nonsterile hands. Ends of flaps are secured in hand so they do not dangle loosely. In opening sterile packages, a margin of safety is always maintained. The following precautions should be taken: a. EDGES OF ANYTHING THAT ENCLOSES STERILE CONTENTS ARE CONSIDERED UNSTERILE.īoundaries between sterile and unsterile areas are not always rigidly defined, for example, the edges of wrappers on sterile packages are caps on solution bottles are unsterile. Scrub nurse stands back from nonsterile table when draping it to avoid leaning over an unsterile area.Ħ. Scrub nurse drapes a nonsterile table toward self first to protect gown. Surgeon turns away from sterile field to have perspiration removed from brow. Circulating nurse stands at a distance from the sterile field to adjust light over it to avoid microbial flowout over field. Scrub nurse sets basins or glasses to be filled at edge of the sterile table circulating nurse stands near the edge of the table to fill them d. In pouring solution into sterile basin, circulating nurse holds only lip of bottle over basin to avoid reaching over sterile area. Unsterile circulating nurse never reach over a sterile field to transfer sterile items. UNSTERILE PERSONS AVOID REACHING OVER A STERILE FIELD STERILE PERSONS AVOID LEANING OVER AN UNSTERILE AREA.įor example: a. Supplies for sterile team members reach them by means of the circulating nurse who opens wrapper on sterile package.ĥ.
Nonsterile, circulating nurse does not directly come into contact with the sterile field. Sterile team members maintain contact with sterile field by means of gowns and gloves. PERSONS WHO ARE STERILE TOUCH ONLY STERILE ITEMS OR AREAS PERSONS WHO ARE NOT STERILE TOUCH ONLY UNSTERILE ITEMS OR AREA.įor example: a. In unfolding sterile drape, the part that drops below the table surface is not brought back up to table level.Ĥ.
Scrub nurse does not touch the part hanging below the level.
Anything falling or extending over table edge, such as a piece suture, is unsterile. Only the top of the table with the sterile drape is considered sterile edges and sides of drape extending below table level are considered unsterile. Items dropped below waist level are considered unsterile and must be discarded.ģ. If a sterile person must stand on a platform to reach the operative filed, the area of the gown below waist must not brush against sterile tables or draped areas. Hands are never folded under arms because of perspiration in the axillary region.
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