OT TECHNIQUE

SN JOCLINE SIKOL
SN WARINA LATIP
1.ZONING CONCEPT IN OT
• UN RESTRICTED ZONE
- Changing room, reception area, pantry
- Street cloth is allowed
• SEMI RESTRICTED ZONE
- Induction room, recovery, store,office
- Traffic limited to proper attire
ᵒ
• RESTRICTED ZONE
- Fully attire must perform
- OR, scrub room, sterile store
- Strile procedure is to be perform here.
- Humidity 50% - 60 %
- Temperature 18ᵒc - 22 ᵒc
 OT ATTIRE
• All OT personnel
were required to
change street
clothes before
entering OT.

• Ot attire is a part of
aseptic enviroment in
ot.
PURPOSE OF THE OT ATTIRE
• To provide protection from exposure to infection
to the patient and also to the surgical team.
COMPONENT OF THE OT ATTIRE
 SURGICAL
SCRUBBING,GOWNING AND
GLOVING
• Is the recommanded practices for all
personnel entering contact with sterile
field.

• Mandatory for the sterile team before the

surgical interventation.

• Break in the technique will increase the

potential of infection to the surgical
patient.
SURGICAL SCRUB

• Surgical scrub is a process of removing or

decreasing from the hands and the
forearms as many no: of bacterial count
and resident skin flora as possible to a
safe level of surgical acceptance by
mechanical scrub with the help of a scrub
brush and with a chemical antiseptic.

• Done before gowning and gloving and

before each surgical procedure.
SURGICAL SCRUB PROCESS
• Surgical scrub consist of two
process, these are as follow:

A.Mechanical scrubbing
process removes microorganism
by friction & reduces resident flora
and bacterial count from the skin
B. CHEMICAL PROCESS
-process inactives microorganism with a
chemical antiseptic

- Prevents the growth of microorganism

by it antiseptic action.
 SCRUB FACILITY
1. Scrub area
2. Scrub sink
3. The water tap
4. Scrub brush
5. Nail brush
6. antiseptic agent
7. Running water
 PREPARATION BEFORE
SCRUBBING
• Nails should be cut short and free of dirt.
• Check for skin of the hands & forearms for
infections, cut,abrasions, burns and skin
break on the skin surface
• remove all jewelry from fingers, wrist
• Be sure all hair is covered by head wear
• Face mask adjust must snugly and
comfortable over the nose
• Clean eye glass if worn
• Open Sterile gloves
• plastic apron wear in
every case
• Shoe cover
PROCEDURE OF THE SURGICAL
SCRUB

• The following are the step of the scrub:

STEP 1
- Wet the hands and forearms
- Apply the antiseptic detergent
- Apply 7 step movement
STEP 2

• Wet the hands and the forearms

• Take a clean scrub brush
• Scrub the nails -10 strokes
 DRYING THE HANDS AND ARM

• Reach down to open the sterile package

• pick up towel with hand by one corner
• Do not drip water to the pack
• Be aware of the enviroment to prevent
contamination
• Grasp the opposing corner of the towel
with other hand and open the towel full
length
• Use one end of the towel to dry one hand
and arm
• Use a circumferential motion to rub from
hand to upper arm
• Do not rub back from hands to upper arm
• repeat the procedure to drying the second
arm
PROCEDURE OF GOWNING
• Sterile gown is donned immediately after
drying of hands with sterile towel
• reach gown to the sterile pack and lift the
folded gown directly upward
• step back away from the table into an
abstructed area to provide a wide margin
of safety while gowning
• Extend both arms into the armholes
simultaneously
• Holding the inside front of
the gown just at the
armhholes with both
hands
• Let the gown unfold,
keeping the inside of the
gown toward the body
and the hands in the arm
holes
• Discard the gown if the
top gown drop
inadvertently
• Extend both arms into the
armholes simultaneously
• The circulator behind bring the
gown over the shoulder by
eaching the inside to the
shoulder and arm seams
• Gown is pulled on, leaving the
cuffs of the sleeves extended
over the hands
• Do not full cuff over tha hands
• secure the back of the gown-
tying the string
PROCEDURE OF GLOVING
• Done immediately
after gowning
• 2 methods use -
closed and open
method
OPEN METHOD
 REMOVING CONTAMINATED
GOWN &
GLOVING
• Gown is removed before gloves
• protect clean arm and scrub suit when
removing gown from contamination
• With gloves on , grasp the front shoulder
of gown and pull forward.
• When removing gloves - use glove to
glove method and skin to skin method.
DO NOT DO THIS IN OR
THANK YOU