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Aseptic Technique

AB
Asepsiswithout contamination
aseptic and sterile techniquemethod to prevent contamination
sources of microorganismsPeople. fomites, air, error, cross-infection
Staff sources of contaminationskin, hair, nasopharynx
patient sources of contaminationskin, oropharynx, tracheobronchial tree, GI and Reproductive tracts
Fomiteinanimate objects that can carry organisms
examples of fomitesdust on surfaces, instruments, OR tables
Most common route of organism transmissionhuman error - hands
Critical items are usedin tissues below skin/ mucous membranes
critical items must besterile
semi-critical items must bedisinfected
semi-critical items are usedto contact intact skin / mucous membranes
Non-critical items must becleaned and disinfected
non-critical items are usedaway from operative site
Sterile field includespatient, surgeon, scrub person, draped OR furniture
Surgical Conscience meanshonesty about contamination and fixing it
Principles of aseptic tech are usedin preparation and creation of sterile field
major areas of shedding includeneck, head, hands, axilla, perineum, legs, feet
ways to contain skin organismsbathing, maximum coverage
Ways to control the respiratory tractwear mask and change after each case
endogenous flora isflora that lives within
part of gown that must be coveredcuffs of gown
sterile items received by sterile person must belifted up and away
a bottle of watermust be poured and not recapped
reducing movement around the fieldrelates tokeeping organisms minimal
facing a sterile field to pass relates tokeeping the field in view
setting up just in time relates tocreating field close to time of use
checking barrier integritycheck seal, expiration, indicator, holes, stains


Instructor / Certified Surgical Technologist
Renton Technical College
Renton, WA

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