The following commended practices h...

The following commended practices have been developed by the agency of the AORN Recommended Practices Committee and have been approved by dint of the AORN Board of Directors. They were at handed as proposed recommended practices for illustrations by members and others. They were effective Jan 1 2001

These make acceptableed practices are intended as achievable recommendations representing what is believed to be an optimal of the same height of practice. Policies and conducts will reflect variations in practice settings and/or clinical situations that determine the standing to which the recommended practices can be implemented.

AORN recognizes the various settings in which perioperative feeds practice. These recommended practices are intended as guidelines adaptable to various practice settings. These practice settings include traditional ORs, ambulatory surgery units, physicians' offices, cardiac catheterization suites, endoscopy suites, radiology departments, and all other areas where operative and other invasive performances may be performed.

Purpose: Basic principles and practices provide guidelines for establishing and maintaining a sterile field. All individuals involved in surgical interventions have a responsibility to provide and maintain a safe environment. Adherence to aseptic practices aids in fulfilling this responsibility. Aseptic practices are implemented preoperatively, intraoperatively, and postoperatively to minimize torture contamination.

commited PRACTICE I

Scrubbed bodys function within a sterile field.

1 Personnel within the sterile field should wear caps, masks, and sterile gown and glove to obstruct microorganisms from being transferred to the surgical site during the surgical procedure(1)

2 Materials for gown should be pickeded according to AORN's "Recommended practices for use and selection of barrier materials for surgical gown and drapes."(2)

3 Surgical gown should establish a barrier that minimizes the passage of microorganisms between nonsterile and sterile areas.(3) To lessen transfer of microorganisms, surgical hand rub hards performed before donning sterile gown and glove should run after AORN's "Recommended practices for surgical hand scrubs(4)

4 To avoid contamination of the sterile field, scrubbed living bodys should don sterile gowns and glove from a sterile area other than the main instrument table.(5)

5 Scrubbed individuals should inspect gloves for integrity after donning. Intact glove establish a barrier that minimizes the passage of microorganisms between nonsterile and sterile areas. Wearing brace pairs of gloves (ie, double-gloving) may be indicated for about procedures to reduce the potential for contact with line and body fluids.(6) Policies and steps of the practice setting dictate when double-gloving should be considered.

6 Sterile gown should be considered sterile in brass from the chest to the even of the sterile field. Gown sleeve are considered sterile from brace inches above the elbow to the slap circumferentially. The area of sterility of the gown fore-rank extends to the level of the sterile field because greatest in quantity scrubbed persons work adjacent to a sterile bed and/or table. Maintaining sterility of gown sleeve thwarts contamination as the scrubbed person's arms incline across the sterile field. The neckline, shoulders, underarms, sleeve slaps and gown back are areas of friction and, therefore, not considered effective microbial barriers. The gown back is considered nonsterile because it cannot be constantly monitored.(7) Sleeve slaps become contaminated when the scrubbed person's hands pass beyond the cuff(8)

7 Sterile glove that become contaminated should be changed immediately. There are couple methods for changing contaminated glove The preferr system is for one member of the sterile team to glove another member. If this is not possible, the contaminated glove should be changed by means of the open-glove method.(9)

attract favor toed PRACTICE II

Sterile drapes should be used to establish a sterile field.

1 Surgical drapes should be pickeded according to AORN's "Recommended practices for use and selection of barrier materials for surgical gown and drapes."(10)

2 Surgical drapes should establish an aseptic barrier that minimizes the passage of microorganisms between nonsterile and sterile areas.(11)

3 To hinder contamination from nonsterile areas, sterile drapes should be placed forward the patient, furniture, and equipment to be included in the sterile field.(12)

4 Sterile drapes should be handled as little as possible. Rapid motion of draping materials creates air now passings on which dust, lint, and other particles can migrate.(13)

5 To minimize contamination of the surgical site, draping material should be maintained in a compact manner, held higher than the OR bed, and placed from the surgical site to the periphery. any procedures may require modified draping techniques (eg extremities).(14)

6 During draping, glov hands should be houseed by cuffing the drape material from one side of to the other the gloved hands to model the potential for contamination.(15)