Judith Kaifas, RN Senior Nurse Consultant Standard Textile Co., Inc. One Knollcrest Drive
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Transcript of Judith Kaifas, RN Senior Nurse Consultant Standard Textile Co., Inc. One Knollcrest Drive
Judith Kaifas, RNSenior Nurse ConsultantStandard Textile Co., Inc.
One Knollcrest DriveCincinnati, Ohio 45237
513-761-9255800-999-0400
THE USE OF BARRIER SURGICAL FABRICS
IN THE OR
THE USE OF BARRIER SURGICAL FABRICS
IN THE OR
Glossary of Terms
Staff in the ORProductsHands On
SURGICAL TERMS
Who’s in the O.R.?
First Assistant
Scrub Nurse
Circulating Nurse
Anesthesiologist Possible Others, Depending Upon Complexity
Surgeon
O.R. Layout for Open Heart1 Perfusionist 2 Perfusionist 3 Circulating nurse4 First scrub nurse 5 Surgeon6 Patient7 Anaesthetist/CRNA 8 Anaesthetic resident 9 Anaesthetic resident10 Surgical assistant
11 Surgical assistant 12 Second scrub nurse13 Circulating nurse
STAFF
Surgical Towels
Drying the hands of surgical staff Padding back tables and/or mayo
stands To “square off” around a fenestration Wrapping surgical instrumentation Padding between basins Instrument rolls/tie books
Surgical Towels are utilized in the O.R. for a variety of different functions. These include:
Surgical Gowns
Gowns are sterile from:
•Nipple line to the level of the sterile field
•2 inches above the elbow to the cuff on the sleeves
Sterile Gowns establish a barrier that minimizes the passage of organisms between nonsterile and sterile areas
Surgical Wrappers Surgical wrappers used:
to protect the contents of surgical packs
from becoming contaminated, and allow for aseptic presentation of pack contents
Certain larger sizes may also serve as back
table covers (when not anticipated to be in
contact with liquids). Can sometimes be used as an ancillary drape to
cover areas away from the surgical site
SURGICAL COVERSMayo Cover/Table Cover
Surgical Drapes Fenestrated Non-Fenestrated
Q: What is a fenestration?A: A fenestration is a fixed opening
incorporated into the design of the surgical drape to facilitate access to the operative site
Fixed Fenestration Surgical Drapes
Winged Flap & Snap Laparotomy
Ortho Split
Small Universal
Cystoscopy
U- DrapeWinged F&S Lap/Lith
Universal Draping Systems Promoted as an advantageous
alternative to a fixed fenestration program of surgical drapes
Reduction in inventory SKUs Universal component parts are utilized
for high percentage of cases, eliminating the need for a broad array of procedure-specific drapes
Reduction in acquisition costs Universal components are less costly
than fixed fenestrated products Simplified pack-making
U-IV System
U-II System
AORN Association of periOperative Registered
Nurses Non-governmental body
Publishes and maintains a series of “Recommended Practices” addressing appropriate selection criteria and “best practice” use of surgical apparel, drapes, and packaging systems
“Barrier” Fabrics
Three causal factors: Time Pressure Fluid (Liquid)
Utilized to prevent occurrence of strikethrough “Penetration of microorganisms, particulates,
or fluid through a fabric” – AORN
Important Note
When employing reusable surgical draping products, it is imperative that only NON-PENETRATING towel clamps be utilized.
SURGICAL WASTE
Universal Precautions:A method of infection control that
requires that all blood and body fluids be considered infectious and that the same safety precautions be taken whether or not the patient is know to have a bloodborne infectious disease
Thank You
HANDS ON