NCM 112 – MED SURG RLE PERIOPERATIVE CARE

[UERM, CON, N3A, Batch 2024] | [LAFLORES] MODULE # 1

➢ Green is sterile, lower than that is unsterile

TOPIC OUTLINE

1. Scrubbing
2. Donning of gown
3. Closed glove technique
4. Assisted gowning and gloving
5. Removing gown and gloves
6. Sterile field
7. Major and minor set instruments
PURPOSE/GOAL
8. Passing instruments
➢ Detail
○ Details
PROCEDURE: GOWNING
➢ To don the gown, the scrub person:
a. Lift the folded gown directly upward from STERILE TECHNIQUE
the sterile package
➢ Means practicing specific procedures before and
b. Steps back from the table into an
during invasive procedures to help prevent SSIs
unobstructed area;
and other infections
c. Carefully locates the neckband and
➢ When practiced correctly, sterile technique helps
holds the inside front
reduce microbial contamination of the surgicl
d. Lets the gown unfold while keeping the
site and decrease the number of
inside of
microorganisms in OR and other clinical
environments
PROCEDURE: GOWNING
➢ To don the gown, the scrub person: SURGICAL SITE INFECTION (SSI)
➢ Most frequent complication

ASSISSTED GOWNING AND GLOVING

PATHOGENS ASSOCIATED WITH SSI’s
➢ Asssissting gowning
○ Opening towel that the other member ● Bacteria
will use to dry hands ○ Staphylococcus aureus
○ Laying the towel on the team member’s ● Viruses
hand without touching her hands ○ Hepatitis viruses A, B, C, D, E and G
○ Holding the gown at the neckband and ○ Human immunodeficiency virus (HIV)
carefully unfolding it ■ Details

➢ Assissted Gloving
○ TO glove another teaam member, the TABLE HEADING TABLE HEADING
scrub person always glove
Detail Detail

STUFF TO KNOW!
STERILE FIELD - Always serve RIGHT hand first
➢ Clean place in the OR

COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]

 - If n in doubt with gown, consider it
UNSTERILE
- Gloves should be changed every 90-150
minutes
- Yellow plastic (UERM) = used equipments
from the patient
- Sterile nurse = sterile
- Circulating nurse = unsterile but still needs to
wash
- Huli inooperahan ang may infection na part
- Always check for expiration date before
opening
- Considered contaminated if moist, punctured,
broken, ripped or torn.
- Back to back or front to front position of scrub
nurse
- Speak only when necessary to avoid
contamination and possible respiratory
infection

SURGICAL SITE INFECTION (CDC)

➢ Superficial incisional:
○ Involves only skin or subcutaneous
tissue
➢ Occurs with 30 days ..
REFERENCES
➢ Link
➢ Powerpoint lecture

COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]

COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]
COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]