sterile field garments
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| Gown Hold | gown firmly away from the sterile field
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| Gown Shake | gown open so it unfolds and keep hands above waist level
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| Gown Touch only | the inside of the gown as you place both arms into the sleeves
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| Gown Stop when hands | reach the sleeve cuff
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| Gown The gown is tied | in back
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| Sterile Gloves Use the gownʼs | sleeve cuffs as mittens and open the glove pack
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| The sterile glove has a fold at the | wrist where the inside (exposed) of the glove is not sterile
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| Sterile Gloves Grasp the right glove with | the left hand (still using the sleeve cuff as a mitten) and pull it on over the open end of the gown sleeve
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| Sterile Gloves The first three fingers | of the right hand should reach under the fold (touching the sterile portion of the left glove) and hold the glove while the left hand positions inside the glove
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| Sterile Gloves Once both gloves are donned | the left glove can unfold the right gloveʼs cuff
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| Cap and Mask | Wash hands
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| Cap and Mask Avoid contact | with the hair while applying the cap
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| Cap and Mask All hair must be | contained within the cap
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| Cap and Mask Apply a mask, | if necessary, by first positioning the mask over the bridge of the nose
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| Cap and Mask The mask should form to | fit securely over the nose and mouth
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| Cap and Mask Secure the | upper ties behind the head and the lower ties behind the neck
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| Asepsis: | The elimination of the microorganisms that cause infection and the creation of a sterile field.
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| Contamination: | A term used to describe an area, surface or item coming in contact with something that is not sterile. Contamination assumes an environment that contains microorganisms.
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| Hand washing | is an important technique for asepsis. Guidelines for acceptable hand washing are as follows:
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| : Hand washing | Use warm water
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| : Hand washing | Remove all jewelry
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| : Hand washing | Wash hands with soap for at least 30 seconds (the time it takes to sing “Happy Birthday” twice)
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| : Hand washing Avoid touching | any contaminated surface
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| : Hand washing | Rinse thoroughly
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| : Hand washing Use a | paper towel barrier when turning off the water
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| Medical asepsis: | A technique that attempts to contain pathogens to a specific area, object or person. A primary goal is to reduce the spread of pathogens. Example: A patient with tuberculosis is hospitalized and kept in isolation.
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| Personal protective equipment (PPE): | Items that are worn and used as barriers to protect someone who is assisting a patient with a potentially infectious disease. Personal protective equipment includes gowns, lab coats, masks, gloves, goggles, spill kits, and mouthpieces.
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| Sterile field: | contaminants and microorganisms. There are standard and required protocols that must be followed in order to develop and maintain a sterile field.
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| Surgical asepsis: | A state in which an area or object is without any microorganisms. Example: A sterile field.
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| Standard Precautions | are revised guidelines that update Universal Precautions and are designed for the care of all patients in hospitals regardless of infection or diagnosis.
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| Standard Precautions These precautions combine | Universal and body substance isolation precautions and apply to all blood/body fluids, secretions, and excretions.
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| Hand washing Use | plain soap for routine hand washing; use an antimicrobial agent for specific incidences based on the infection control policy.
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| Gloves Wear gloves when touching | all body fluids, blood, secretions, excretions, and contaminated items.
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| Change gloves between | tasks with a patient after coming in contact with infectious material. Remove gloves immediately, avoid touching non-contaminated items, and wash hands at that time.
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| Mask Wear a mask/eye protection/face shield for protection during activities that are | at risk for splashing of any body fluids.
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| Gown Wear a gown for protection during activities that are at risk for splashing | of any body fluids. Remove gown immediately and wash hands.
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| Patient Care Equipment | Handle all patient equipment in a manner that prevents transfer of microorganisms.
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| Ensure that all reusable equipment is | properly sanitized prior to reuse.
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| Occupational Health and Bloodborne Pathogens Vigilance | is required when handling/disposing of sharp instruments. Never recap needles or remove syringes by hand. All sharps disposal should use puncture resistant containers
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| Mouthpieces, resuscitation bags, and ventilation devices should be used as an | alternative to mouth-to-mouth resuscitation.
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| Sterile Field Guidelines All items on a sterile field | must be (and remain) sterile
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| Sterile Field Guidelines The edges of all packaging of sterile items | become non-sterile once the package is opened
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| Sterile Field Guidelines Sterile gowns are only considered sterile | in the front from the waist level upwards including the sleeves
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| Sterile Field Guidelines Only the top surface | of the table or sterile drape is considered sterile, with the outer one-inch of the field considered non-sterile
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| Sterile Field Guidelines Avoid all unnecessary | activity around the sterile field
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| Sterile Field Guidelines Do not | talk, sneeze or cough, as it will contaminate the sterile field
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| Sterile Field Guidelines Do not turn your | back to a sterile field as the back of the gown is not sterile; constant observation of the sterile field is required
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| Sterile Field Guidelines If an object on the sterile field becomes contaminated, | the field is considered nonsterile and should be discarded
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| Sterile Field Guidelines Sterile fields should never be left | unattended and should be prepared as close to the treatment time as possible in order to further avoid contamination
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| Sterile Field Guidelines Any item that positions or falls below | waist-level is considered contaminated
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| Transmission-based precautions are updated guidelines for the | particular care of specified patients infected with epidemiologically important pathogens transmitted by airborne, droplet or contact modes. These are additional precautions that should be implemented in addition to Standard Precautions.
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| Airborne precautions | reduce risk of airborne transmission of infectious agents through evaporated droplets in air or dust particles containing infectious agents.
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| Airborne precautions Private room with | monitored air pressure
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| Airborne precautions Six to twelve air changes within the room per | hour
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| Airborne precautions Room door should remain closed | with patient remaining within the room
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| Airborne precautions Respiratory protection worn | when entering room
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| Airborne precautions Limit patientʼs transport | outside of the room for only essential purposes; patient should wear a mask during transport
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| Droplet precautions reduce the risk of | droplet transmission of infectious agents through contact of the mucous membranes of the mouth and nose; contact with the conjunctivae, through coughing, sneezing, talking or suctioning.
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| Droplet precautions This transmission requires | close contact, as the infectious agents do not suspend in the air and travel only three feet or less.
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| Droplet precautions Private | room
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| Droplet precautions May share a room with a patient that has | active infection of the same microorganism
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| Droplet precautions Maintain at least three feet( | between the patient and any contact patient, staff, visitor)
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| Droplet precautions Room door | may remain open
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| Droplet precautions Wear a mask when | working within three feet of the patient
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| Droplet precautions Limit the patientʼs transport | outside of the room for only essential purposes; patient should wear a mask during transport
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micah10
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