Establishing A Sterile Field Flashcards
Mechanical Cleansing
– uses friction
Chemical Disinfection
–uses antiseptic solutions
Types of Scrub solutions
–Chlorhexidine gluconate (Hibiclens)
•Used for scrubbing and skin prep
–Hexachlorophene
•Neurotoxic – not for routine use
–Povidone – iodine
•Used primarily as skin prep; irritating to the skin
–Iodophors
•Less irritating than iodine
–Alcohols
•Causes dryness and flammable
Counted method
–Requires a measured number of brush strokes for each anatomical area scrubbed; Finger tips are 30 the rest are10
–Dictated by the facility policy
Initial Count
•Counted in the same order for every procedure
•State the name of the item
•Separate each item and visualize
•Each item is counted verbally while visualizing
•Number of each item is recorded by the circulator
When to Count
•Opening
•Additional items are placed
•Team changes
•1st closing count
•2nd closing count
•Final count
Counts
•Counting Sponges
–All sponges in the back table should be counted
–Be aware of the packaging
–Incorrect packages should be removed from the back table
•Counting sharps
–Needles are counted by the pictures on the packet
–Sharp counts include:
•Hypos
•Blades
•Cautery tips
•Instruments
–Counted as soon as it is opened
Types of Drapes
•Mayo cover
–For the mayo stand
–Sterile all around except the part that extends below the table level
•Towels
–Used to outline the operative site
–4 towels are used
–2 inch folded cuffed edge
–Placement
•1st towel placed at the side of the patient nearest the individual applying
•2nd and 3rd – superiorly and inferiorly
•4th – opposite the 1st
•Fenestrated drapes
–Fenestrations or windows designed for exposure of the surgical field
–Ex laparotomy drape
•Split drapes
–Plain sheets with a slit in the middle
–Used for extremity
•Incise drapes
–Adhesive backing
–Impregnated with antiseptic solution
