PORTFOLIO

SUBMITTED BY: CYRUS CASIL

SUBMITTED TO: RICHARD PIDLAON RN, MAN
CLINICAL INSTRUCTOR
I MP O R T AN C E O F I N F EC T I O N
P R EVEN T I O N I N T HE O R

In the operating room (OR), infection

prevention is crucial for patient safety,
recovery, cost control, and combating
antibiotic resistance. It upholds legal and
ethical standards, preserves institutional
reputation, and ensures the well-being of
healthcare staff. In essence, it is a
comprehensive strategy essential for
navigating the complexities of modern
healthcare.
HAND WASHING

1. Remove all jewelry, including watches, rings,

and bracelets.

2. Trim nails short and file them smooth.

3. Wet hands and forearms up to the elbows with

warm water.

4. Apply a generous amount of surgical hand scrub

to the hands and forearms.

5. Using a sterile brush, scrub all surfaces of the

hands and forearms, paying special attention to the
fingertips, fingernails, cuticles, and areas between
the fingers.

6. Continue scrubbing for 2-3 minutes

7. Rinse hands and forearms thoroughly with

running water, moving from fingertips to elbows

8. Dry hands and forearms with a sterile towel.

DONNING AND
GLOVING

1. Open the sterile gown package and unfold the

gown.

2. Hold the gown by the shoulders and keep your

arms at shoulder level.

3. Have a circulating nurse help you put on the

gown by pulling it over your shoulders and tying
the back and waist.

4. Open the sterile glove package and unfold the

gloves.

5. Pick up the right glove by the cuff and turn it

inside out.
 6. Place the right glove on your right hand,
keeping your thumb adducted (tucked in).

7. Pick up the left glove by the cuff and turn it

inside out.
8. Insert your gloved right hand into the cuff of
the left glove.

9. Pull the left glove up over your hand and arm,

tucking the cuff under the gown sleeve.

10. Adjust the gloves so that they fit comfortably

and snugly.

11. Perform a "sterile check" by holding your

hands in front of you and looking for any gaps or
holes in the gloves.
 WHAT TO WRITE
ON THE OR
WHITEBOARD

The whiteboard is used to communicate important

information to all members of the surgical team. It is typically
located in a central location in the OR, so that it is easily
visible to everyone.
The types of information that are typically written on the
anesthesia whiteboard include:
The patient's name, date of birth, and medical record
number
The type of surgery being performed
The start and end times of the surgery
The anesthesia plan
Any allergies or sensitivities that the patient has
Any intraoperative complications or events
The patient's vital signs
The whiteboard is a critical tool for ensuring safe and effective
communication in the OR. By keeping the whiteboard up-
to-date, nurses can help to ensure that everyone on the
surgical team is aware of the patient's condition and the
progress of the surgery.
It also includes the number of surgical instruments that is in
the OR
 ARRANGING STERILE
TOOLS IN THE OR

Accessibility: The tools should be arranged in a way that is easily

accessible to the surgical team. This means that the most frequently used
tools should be placed closest to the surgeon and the assistant surgeon.
Organization: The tools should be organized by type and function. This
will help the surgical team to quickly and easily find the tools that they
need.
Safety: The tools should be arranged in a way that prevents accidental
injury to the surgical team or the patient. This means that sharp
instruments should be placed in a secure location and that heavy
instruments should be placed on a stable surface.
Use a sterile back table and Mayo stand to arrange the tools.
Place the most frequently used tools closest to the surgeon and the
assistant surgeon.
Organize the tools by type and function. For example, you could group
all of the cutting instruments together and all of the retracting
instruments together.
Place sharp instruments in a secure location, such as a sharp container or
a sterile towel.
Place heavy instruments on a stable surface, such as the back table or the
Mayo stand.
Avoid placing instruments on the sterile field unless they are needed
immediately.
 READING THE
SURGICAL CONSENT

The surgical consent form is a legal document that outlines the risks and benefits of
the proposed surgery. It is important for patients to read and understand the consent
form before signing it.
The surgical consent form will typically include the following information:
The patient's name, date of birth, and medical record number
The type of surgery being performed
The risks and benefits of the surgery
Any alternative treatments that are available
The patient's understanding of the risks and benefits of the surgery and the
alternatives
The patient's signature
It is important to note that the surgical consent form is not a contract. Patients have
the right to refuse surgery at any time, even after they have signed the consent form.
Here are some tips for reading the surgical consent form:
Read the form carefully and ask questions about anything that you do not
understand.
Be sure to understand the risks of the surgery, including the risks of death,
disability, and complications.
Be sure to understand the benefits of the surgery and how it will improve your
quality of life.
Discuss the consent form with your family and friends.
Do not sign the consent form if you are not comfortable with the surgery or if
you do not understand the risks and benefits.