2.3 Sterile Technique

Unit Two - Clean, Aseptic, and Sterile Technique

Sterile technique is used for long, invasive procedures with high risk of infection

Sterile technique involves:

Mask and bonnet (head covering)

Surgical hand scrub: A scrub with water and a medicated sponge-brush (2 or 3% chlorhexidine) that reaches all 4 anatomical surfaces of the hands, wrists and forearms.

OR

Surgical hand rub:

Hands dried with sterile towels

Sterile gown

Sterile gloves: REMEMBER that the your STERILE gloves are the LAST things that you don!

 DO TOUCH ANYTHING EXCEPT STERILE EQUIPMENT OR ITEMS THAT HAVE A STERILE BARRIER ONCE YOU’VE DONNED YOUR GLOVES!

Sterile Equipment

Patient antiseptic rinse

Patient skin prep

Dedicated operatory

Sterile technique is indicated for:

Bone plating

Bone grafts

Implant placement

Orthognathic surgery

Sinus grafts

Soft tissue grafts

Sterile Field Work Flow Checklist:

☑️ Clean and disinfect operatory

☑️Place equipment

☑️Arrange personal protective equipment

☑️Arrange hand drying towels

☑️Ensure that staff can move from hand washing to hand drying to separate sterile area without contaminating the sterile field

☑️Plan where and how each item or specimen will be opened, discarded, and processed

Remember:

To prevent contamination:

Keep clean, dirty, and sterile items separate

Change gloves and wash hands if going from a contaminated act to an aseptic or sterile act

Time skin asepsis and surgical hand rub with a clock

The sterile field is considered sterile except for the 2.5 cm border of drape

Wet items are considered contaminated

 

Share This Book