sur 111 lab i. resources textbook pages 148, 167-174, 310-313 study guide skill assessments:12-1...
TRANSCRIPT
Resources
Textbook pages 148, 167-174, 310-313 Study guide skill assessments:12-1 and 7-1
through 7-5
Outline OR Attire Basic Handwash Instrument and Supply Preparation for Sterilization:
1. Envelope Fold
2. Square Fold
3. Peel Packs
4. Container Systems
OR Attire Variations in Attire: AORN Standards Facility policy School policy Examples: Fit (tucked, strings in), shoe covers, make-up,
cologne, nails, jewelry, name badges, hair cover, shoe type
OR Attire Consists of but not limited to: Scrub suit Shoe covers Hair cover (bouffant or other) Mask
Other OR Attire Considerations Masks: type and appropriately tied Eyewear Gloves: Clean or sterile Sterile: Open gloving or closed gloving Surgical gown
(7-1) Basic Handwash Purpose: Reduce number of pathogenic
microorganisms on hands and wrists to reduce risk of transmission to patient or self
Basic Handwash When?: Before reporting to work station Before leaving work station Before and after personal hygiene Before and after eating Before and after patient contact or care Any time hands soiled
Basic Handwash Gather Equipment: Proper attire Sink Antiseptic soap Towels Nail cleaner/brush Lotion if necessary
Basic Handwash No jewelry Inspect hands for intactness and nails for need of nail cleaner Turn on faucet, adjust temperature Wet hands and wrists not allowing scrub suit or body to touch sink Apply soap Lather in circular motion with moderate friction, interlace fingers Cleanse minimum of 30 seconds to 2 minutes Rinse hands pointing down Avoid splashing Dry with patting or blotting motion Turn off faucet with a dry paper towel unless is foot controlled, then turn
off before drying Do not touch paper towel dispenser
Preparation for Sterilization Principle of Asepsis: All items that enter the
sterile field must be sterile Sterile is the absence of all microorganisms Contaminated is the presence of
microorganisms
Preparation for Sterilization Depending on the size and weight of the item there
are different methods of preparation for sterilization Items may be supplies, instruments or equipment Dirty or contaminated items such as instruments are
taken to a decontamination area after used in surgery There they are cleansed of gross soil/debris
(bioburden), sent through a washer-decontaminator (or washer-sterilizer), inspected, reassembled and prepared for re-use by a method of sterilization appropriate to the item’s composition
Preparation for Sterilization Methods of Preparation: Envelope Fold Square Fold Peel Packs Container System
(7-2) Envelope Fold Purpose: Used for packaging smaller items for sterilization Facilitates delivery of item to a sterile field though
can be style of fold to open on to a clean dry surface Needs: OR attire Basic handwash Gather supplies: Item to wrap, appropriate size wrapper (must cover
item), internal indicator, external indicator, labeling items
Envelope Fold Place wrapper diagonally Item in center Place internal indicator First flap nearest you fold over until covered, create
a 2-3” tab Left flap, as far as possible, cover, create 2-3” tab Right flap, as far as possible, should overlap second
flap, create 2-3” tab Final flap, bring towards self, miter or create flap
and tuck
Envelope Fold If this is the first of two wrappers repeat
above Secure final flap with appropriate external
chemical indicator tape Label Place in designated area for storage until
placed in the appropriate sterilizer Clean up work station
(7-3) Square Fold Purpose: Used for packaging larger items for sterilization Facilitates opening item on to a clean flat surface Needs: OR attire Basic handwash Gather supplies: Item to wrap, appropriate size wrapper (must cover
item), internal indicator, external indicator, labeling items
Square Fold Place wrapper square or rectangular Item in center Place internal indicator First flap nearest you fold over until covered, create
a 2-3” tab Second edge or farthest away, bring towards self,
miter or create flap and tuck Left end fold over, miter edge Right flap, fold over, secure with external indictor
tape
Square Fold If first of two wrappers, hold in place and
repeat previous steps Secure final wrap with external chemical
indicator tape Label Store in appropriate place Clean up work station
(7-4) Peel Packs Purpose: Single use or small count items to facilitate delivery
to sterile field or sterile team member OR attire Wash hands Assemble supplies: Item to wrap, appropriate size peel package, internal
indicator, external indicator (usually incorporated into packaging), heat sealer if not self-sealing, labeling items
Peel Packs Item and internal indicator placed in peel package Protect tips if necessary to prevent tearing through
packaging Orient item to prevent opening damage Expel air Seal with self-sealing tape or heat sealer Double package according to facility policy Label Store Clean up station
(7-5) Container System Purpose: Preferred Instrument Packaging Method Facilitates preserving instrument sterility and the
opening of instrument sets Instrument sets should not be wrapped due to their
weight and bulk which can breech or compromise a wrapper’s integrity rendering item contaminated
OR Attire Wash Hands