Sterile Technique & Gloving Procedure PDF

Sterile Technique Sterile Gloving Sterile Field NURS 1090   Differentiate between medical and surgical asepsis  Identify principles of sterile technique.  Demonstrate procedures using Unit sterile technique  Sterile field...

Sterile Technique Sterile Gloving Sterile Field NURS 1090   Differentiate between medical and surgical asepsis  Identify principles of sterile technique.  Demonstrate procedures using Unit sterile technique  Sterile field set up and addition of Outcome supplies s  Sterile gloving  Demonstrate the ability to change a sterile dressing using principles of sterile technique.  Explain principles of wound management Terminology  Sepsis = state of infection  Asepsis = state of without infection  Sterile = free from living organisms   Those practices used to confine a specific microorganism to a specific Medical area, thus limiting the number, growth, and transmission of Asepsis microorganisms. (Clean Technique)   Those practices that keep an area Surgical or object free of all Asepsis microorganisms. (Sterile  Requires nurse to use different precautions from those of Technique) medical asepsis.   General Care Areas (Patient’s Bedside)  Invasive procedures that will break the integrity of the skin Where is  Inserting IVs/PICC lines, medication Sterile preparation and injections Technique  Procedures that involve insertion Used? of catheters (tubes) into sterile body cavities  Suctioning tracheostomy, urinary catheter insertion  Skin broken due to surgery or burns  Sterile dressing changes   Operating Room (OR), Labor & Delivery, major diagnostic procedure areas (catheterization lab)  Very precise, specific procedure Where is and protocol Sterile  Scrubbing, gowning, gloving Technique Used? Sterile Field   The specified area that is considered free of all microorganisms.  Area prepared and used by nurse for a procedure that requires sterile technique and contains only sterile items. Sterile Field   All objects used on a sterile field must be sterile  Sterile objects become unsterile when touched by unsterile objects  Only sterile objects can touch Principles of other sterile objects Surgical  Sterile items must remain Asepsis above the level of the waist (Sterile or table Technique)  Keep sterile items within the field of vision  Sterile items can become unsterile by prolonged exposure to airborne   Fluids flow in the direction of gravity  Sterile items are contaminated by contact with moisture Principles of  1” outer edge of field is considered Surgical contaminated (unsterile) Asepsis  Cannot reach or coss over a sterile (Sterile field Technique)  Skin cannot be sterilized  Hand hygiene and use sterile gloves  Essential qualities to maintain asepsis  Be honest, alert, conscientious Requirements for Sterile Fields  Clean dry surface  Work surface at waist level  Adequate size work area  Sterile equipment Know “sterile” areas of nurse Front of nurse, above waist level  Supplies: vary with each procedure/patient/facility. Equipment For example: for Sterile Sterile tray or sterile field Field & tray, towel, glove wrapper, drape Dressing materials Sterile 2 x 2” gauze, 4x4’ gauze, Abdominal Pad Dressing (ABD) Change Instruments scissors, forceps, hemostat Solutions + container Saline (Normal Sterile Saline = 0.9% sodium chloride)   Do not touch sterile surface with hand  Use sterile gloves Skin Cannot be Sterilized Sterile Drape: Outer 1” Border Considered Unsterile Overbed Table with Sterile Field Hold forceps tips below handle to prevent contaminatio n 2 x 2 inch gauze (used to cleanse wound) 4 x 4 inch gauze (absorbs drainage) ABD Pads: provide coverage of wound. Instruments Solutions and Sterile Container   How to open  Away from you, toward the sides, toward you Sterile  Do not cross over the field wrapped  Often done to assist another person  For example: assisting a trays physician with insertion of a chest tube  Nurse opens tray in sterile manner  Holds for others to select from  Clean off bedside stand and wash with antiseptic solution/wipes Preparing Sterile Field for Establish sterile field Sterile Lay down sterile drape Dressing Sterile drape opened above waist level Change Only touch the outer 1 inch border Do not cross over sterile drape when laying in on the over bed table Do not move drape once on the over bed table   Dressing materials  Open while only touching outer 1 inch border of package  The remainder of the inner package Add sterile is sterile items to  Drop gauze on to sterile field sterile field  Do not cross over sterile field with non-sterile outer package   Instruments  Open package without touching inside  Unwrap and place onto sterile field OR  Open sterile package and keep on side of sterile field Preparing  Sterile container for cleansing the Sterile solutions Field  Place OFF the sterile field  Outside of container is NOT sterile; inside of container IS sterile   Pour fluids  Fluid container is sterile on inside and nonsterile on outside  Neck of the bottle contaminated; inside of cap is sterile Pouring  Uncap From  Place cap inside UP on the non- sterile surface Sterile  Hold bottle with label facing up Container  Pour small amount of fluid (1- 2ml) into waste container  Pouring (cleans the lip of the bottle)  Pour into sterile container, no splashing Don’t hold too high Make sure solution is not opened Pouring longer than 24 hours From Sterile Date, time and initial when first Container opening a container   Select proper size  Open wrapper  clean outer, sterile inner  Identification of the glove outside, inside, left, right  Application Sterile  Review Procedure Gloving  When applying second glove, keep thumb of first hand ABDUCTED to prevent contamination Thumb Abduction   Opening inner wrapper  Opening outer wrapper  outside of inner wrapper is NOT sterile; inside of inner wrapper IS sterile – opening this wrapper is sterile Applying Gloves   Applying first glove  Applying second  be careful not glove to touch second glove or wrapper Applying gloves View Video  https://www.youtube.com/watch?v=lumZOF-METc on Sterile Glove Application