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BASIC PRINCIPLES OF ASEPSIS SKIN

In cases where a solution has to be poured into a sterile basin, the unsterile OR personnel should only hold the lip of the bottle over the basin to prevent any contact with the sterile area.Principle Number 5: Unsterile persons avoid reaching over sterile field and sterile persons avoid touching or leaning over an unsterile area.

Unsterile OR personnel (circulator), should not directly come in contact with a gowned and gloved person.Any supply brought by an unsterile staff should transfer the item in a sterile manner. The items that they will touch are the sterile equipments. Sterile OR personnel comes in direct contact with persons who wears gowns and gloves only.Principle Number 4: Sterile Persons Touch ONLY Sterile Items while Unsterile OR Personnel Touch Only Unsterile Items To prevent cords and tubing from sliding to the edge of the table, it should be fastened with a non-sharp device or object.In unfolding and placing a sterile drape any portion of that falls below the table surface is unsterile and should not be moved or touched or brought back up to the level of the table.Any object or equipment that drops below the table surface is considered contaminated. Any sterile person who touches a part of the drape hanging below the table level is considered unsterile.Below the table level is also considered unsterile. Edges and sides of the table drape are considered contaminated.Principle Number 3: Tables are only sterile at Table Level because of the said principle, stockinette cuffs should be inserted beneath the sterile gloves. Stockinette cuffs of the gowns are absorbent and may retain moisture, thus making it a suitable area for bacteria or microorganisms to thrive in.

Gloving and self-gowning should be done in a distinct sterile surface.

Gowning is not done on the sterile table to avoid dripping water onto the sterile equipments.

Certain methods should be employed in the OR: Thus, gowns are only considered sterile in front of the chest, sleeves above the elbow to the cuffs down to the level of the sterile field. When wearing a gown, the considered sterile area is the part where you can see in front down to the level of the sterile field. Principle Number 2: Sterile persons are gown and gloved.

A sterile package dropped on a floor is considered contaminated.

Microorganisms can enter a packed sterile package when it is damp or wet.

If the packaging material is broken or has missing pieces it is no longer sterile.

A sterile table which has been touch or rubbed accidentally by an unsterile person or vice versa is no longer considered sterile.

If the actual timing or sterilization procedure is undetermined and the nurse is unsure about the sterilization process, the equipments sterilized with the suspected procedure are considered contaminated.

Any sterile package found in an unsterile or contaminated area is considered unsterile.

Any suspected or known unsterile items should not be placed the sterile field. One important consideration in implementing sterility is this: IF YOU ARE IN DOUBT ABOUT THE STERILITY OF A CERTAIN OBJECT, CONSIDER IT UNSTERILE. Any person who holds the sterile equipments should be very cautious to maintain sterility. The instruments used are sterilized and are placed in a sterile table. Principle Number 1: Only sterile items are used within the sterile field.ĭrapes, basins, sponges are obtained from a stock room with sterile packages.

Sterility maintenance throughout the operation.

BASIC PRINCIPLES OF ASEPSIS SKIN

Skin preparation and draping of the patient.