basic introduction to an operation - or design and aseptic techniques

Basic Introduction to an Operation

Reynaldo O. Joson, MD

1985;2001

The Operating Room

Basic Architectural Design

The Operating Room

Basic Architectural Design

Aseptic / Antiseptic Rationale

Match

1. Most sterile zone

2. Most unsterile zone

A. Zone I - outer

B. Zone II - middle

C. Zone III - inner

Match

1. Most sterile zone - C

2. Most unsterile zone - A

A. Zone I - outer

B. Zone II - middle

C. Zone III - inner

Proper Operating Room Attire

Aseptic / Antiseptic

Rationale

Proper Operating Room Attire

Clean OR gown / scrub suit

Clean cap and mask

Clean slippers

- All hairs in the head except eyebrow should be covered by cap and mask.

- Nose and mouth should be covered by mask.

To minimize droplets into operating field!

Scrubbing the Upper Extremities

before operating and assisting in operation

Aseptic / Antiseptic

Rationale

Extent of scrubbing the upper extremities

Rinsing after

scrubbingImproper way!

Hand position

after rinsing

Rinsing after

scrubbing

Which is the proper way?

A. Hands up

B. Hands down

Rinsing after

scrubbing

Which is the proper way?

A. Hands up

A. Hands up

B. Hands down

Hand position

after rinsing

Which is the proper way?

A. Hands up

B. Hands down

A

B

Gowning with Sterile Attire

Aseptic / Antiseptic

Rationale

Match:

1. Sterile areas of gown

2. Nonsterile areas of gown

A. Shaded area

B. Unshaded area

Match:

1. Sterile areas of gown - A

2. Nonsterile areas of gown - B

A. Shaded area

B. Unshaded area

Wearing Sterile Gloves

Aseptic / Antiseptic

Rationale

Prepping of Operative Field

Aseptic / Antiseptic

Rationale

Draping of Operative Field

Aseptic / Antiseptic

Rationale

Preventing Contamination of Operative Field and

Instruments

Aseptic / Antiseptic

Rationale

Surgical Instruments

Types, Uses, and How to Handle