Proper use of surgical instruments minimizes trauma. Electrocoagulation can be used for minor hemorrhage large vessels should be ligated. To avoid excessive tissue damage, only the vessel to be occluded is in contact with the electrode. In using electrocoagulation, a high frequency current is applied to a small area of tissue (the bleeding vessel) and electric energy is converted to heat, resulting in coagulation of tissue and sealing of the vessel. Only the vessel to be occluded should be incorporated in a ligature or clip. Hemostasis is achieved by ligation, pressure, electrocoagulation and avoiding damage to major vessels. Exposed tissue must be protected from drying or contamination.Įffective hemostasis and maintenance of blood supply allows visualization of the surgical field while preserving the total blood volume. Tissues should not be cut or separated without reason and tissue dissection is usually done along fascial planes. Gentle handling of tissues will help minimize postsurgical pain. Gown front is sterile only from waist to shoulder level.Draped tables are sterile only above the table level.Non-sterile persons never reach across a sterile field.All persons who touch sterile articles must be sterile.If in doubt about sterility of item or person, it is not!.All articles must be sterilized before use in procedure.Potential sources of contamination include the team members, the patient, all articles used in the procedure, the surgical room or area, and other personnel entering the surgical area. "Asepsis is a chain which is only as strong as its weakest link." Aseptic technique is required at all times and all team members are responsible for monitoring for breaks in aseptic technique.
expeditious performance of the surgical procedure.
appropriate use of monitoring equipment. maintenance of sufficient blood supply to tissues. Surgical and medical aseptic techniques encompass similar strategies such as hand hygiene but with distinct differences.Proper surgical technique is important to prevent wound infection, promote wound healing, and ensure likelihood of a satisfactory outcome to the surgical procedure. Insertion and maintenance of invasive devices are guided by published evidenced-based recommendations supporting education, training, and standardized care for patients with central lines, surgical sites, ventilators, and urinary catheters. You do not have permission to view this object. A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Clean technique leads to a decrease of the overall number of microorganisms present rather than the absence of microorganisms as is found in surgical asepsis.Ref 30-3 Yokoe DS, Mermel LA, Anderson DJ, et al. Clean technique, or medical asepsis, is another practice to prevent or reduce the risk of transmission of organisms from one person to another or from one place to another. Situations in which surgical asepsis technique is applied include surgery as well as other areas where invasive procedures are done such as placement of intravenous lines, urinary catheters, chest tubes, and any other indwelling devices. You do not have permission to view this object.Īseptic techniques, defined as the process for keeping away disease-producing microorganisms, may be used in any clinical setting. Guideline for hand hygiene in health-care settings: Recommendations of the Healthcare Infectio. You do not have permission to view this object.Īseptic technique improves patient safety and prevents healthcare-associated infections that may negatively impact outcomes including: increasing patient morbidity and mortality, increasing healthcare costs for patients and their families, prolonging length of stay, increasing resistance of microorganisms to antimicrobials, and increasing physical and mental discomfort for the patient.Ref 30-2 Centers for Disease Control and Prevention. Following observations of Ignaz Semmelweis and others over 100 years ago, the practice of aseptic technique is an infection prevention method that is recognized as an important factor in the prevention and transmission of healthcare-associated infections.Ref 30-1 Association of Perioperative Registered Nurses (AORN).
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