A key difference between the operating room and other clinical environments is that the operating area has high standards of asepsis all the time, most other settings are not designed to meet such standards. Clinical areas outside of the operating room generally do not allow for the same strict level of asepsis, avoiding potential infection remains the goal in every clinical setting. Observation of medical aseptic practices will help to avoid infections. The aseptic technique in such settings is called medical asepsis or clean technique (rather than surgical asepsis or sterile technique required in the operating room). (Hauswirth)
Specific situations outside of the operating room require a strict …show more content…
application of aseptic technique. Some are: * wound care * drain removal * I V procedures * vaginal exams during labor * insertion of urinary catheters * respiratory suction
Cleaning includes thoroughly scrubbing the hands.
Remove jewelry, microorganisms get trapped under rings and bracelets. Wear sterile and lint free surgical scrubs, suits help prevent release soil and body fluids. Head caps keep hair from falling on sterile area or patient. Eye shields prevent blood spatters from your eyes. Facial masks should be worn to cover nose and mouth. Hands and arms up to the elbow may be scrubbed for at least five minutes with soaps designed to kill bacteria. Once scrubbing is done, the scrub, gloves up, and wear s hair nets or caps to cover hair, and masks to cover mouth. The procedures for putting clothing on are usually strict rules that define aseptic techniques. No touching the outside of a glove, even after scrubbing. Outsides of any surgical masks, hats or clothing usually aren’t touched, and if they are, a person might have to discard them and start
over.
It may be desirable to have HEPA filtered air for high-risk procedures. Laminar Air Flow underlying principle of a laminar air flow hood is that a constant flow of HEPA filtered air at a rate of approximately 90 linear feet per minute physically sweeps the work area and prevents the entry of contaminated air. (Mahapatra)
Anything that will touch a patient’s body must be sterilized. When instruments are sterile then, they are packed in plastic to prevent germ exposure. Sterile instruments are only opened if needed and normally remain in its package until right before they’re needed; they are never used on more than one patient.
The goal is to have and keep a sterile field to prevent or minimize microorganisms that will result in infections. While in the operating room all surgical team members are responsible for their actions. Bottom line rules are: always think of the patient and safety. Concentrate on what you are doing while you are doing it. Treat patients are if they were your family or close friends. Finally don’t forget to communicate. Never guess or assume, ask another medical staff member if you are confused or need help. Without this cooperative and effort, an successful surgical procedure may result in a complete failure if a break in sterile technique goes unnoticed or is not corrected. Practicing the aseptic technique will provide optimal care; everything else will fall into place.