SRG 130 Aseptic Techniques

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SRG 130 Aseptic Techniques

• Lecture 130-1
• Asepsis

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Eleanor roosevelt

• The future belongs to those who believe in the
  beauty of their dreams.

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Text

• Surgical Technology Principles and Practices
  Chapter 8 and 9

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Objectives

• Define terms related to asepsis.
• Discuss sources of contamination.

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Related Terms

• Antiseptic
• Asepsis
• Aseptic Technique
• Bioburden
• Contamination
• Infection
• Modes of contamination

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Related Terms

• Nonsterile
• OR attire
• Pathogens
• Permeability
• Resident flora
• Sterile/Sterility

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Related Terms

• Sterile field
• Sterile technique
• Strike-through contamination
• Surgical conscience
• Transient flora

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Modes of Contamination

• Physical contact
• Nonsterile moisture droplets
• Airborne contaminants
• Hematogenous

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Sources of Contamination

• Personnel
• Respiratory tract
• Skin
• Hair
• Clothes and shoes
• Patient
• Respiratory tract
• Skin
• GI tract
• Circulating blood

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Sources of Contamination

• Environment
• Dust
• Air
• Fomites

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Purposes of OR Attire

• Barrier
• Protection
• Prohibit contamination

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Recommendations for OR Attire

• All personnel entering the restricted area be in
  proper attire
• Apparel should be clean
• Should not be worn outside the surgical suite
• Should be laundered by the hospital laundry
  facilities
• Should consist of a two-piece pantsuit

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OR Attire

• Donned upon arrival to the OR changed when
  soiled or wet
• Caps should be put on before scrubs
• Footwear should be covered with shoe covers for
  protection
• Mask are changed between cases, worn on the face
  not around the neck

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Important Concepts

• Activities that promote asepsis
• Sterility
• Contamination
• Concepts of barriers

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Standards for Aseptic Technique

• Standards for Personal Hygiene and Attire
• Personal hygiene
• Jewelry
• Scrub attire

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Personal Hygiene

• Baths daily
• Hair shampooed daily
• Fingernails short and should not extend past
  fingertips
• No nail polish or artifical nails
• No excessive makeup or perfumes
• Persons with acute infections should stay home

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Jewelry

• No rings or watches
• Necklaces or chains rub against the skin,
  increasing risk of skin debris falling off and
  contaminating
• Eyeglasses should be cleaned every day

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Handwashing

• Hand must be washed
• Before and after work
• Before and after breaks
• Before and after direct patient contact
• After handling contaminated material or equipment
• After removing gloves and/or mask
• Use hand cream to prevent chaffing