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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