Preparing and Maintaining a Sterile Field - The Memorial Souad ...
Preparing and Maintaining a Sterile Field - The Memorial Souad ...
Preparing and Maintaining a Sterile Field - The Memorial Souad ...
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<strong>The</strong> <strong>Memorial</strong> <strong>Souad</strong> Kafafi Medical Center<br />
Skills Competency Checklist<br />
Title: <strong>Preparing</strong> <strong>and</strong> <strong>Maintaining</strong> a <strong>Sterile</strong> <strong>Field</strong><br />
Critical Elements MET NOT MET<br />
<strong>Preparing</strong> a <strong>Sterile</strong> <strong>Field</strong> With Commercial Package<br />
1. Place sterile package on a clean, dry surface.<br />
2.<br />
3.<br />
Open flaps in this order to create a sterile field:<br />
a. Open the flap farthest from own body.<br />
b. Open side flaps.<br />
c. Opens flap nearest body.<br />
Treat as unsterile the area 1 inch from all edges of the wrapper,<br />
<strong>and</strong> any area hanging over the edge of the table.<br />
<strong>Preparing</strong> a <strong>Sterile</strong> <strong>Field</strong> with Fabric or Paper-Wrapped<br />
Package<br />
4. Check <strong>and</strong> remove chemical indicator strip.<br />
5.<br />
6.<br />
Remove outer wrapper <strong>and</strong> place inner package on a clean, dry<br />
surface.<br />
Open inner wrapper following the same technique described in<br />
#2 above.<br />
<strong>Preparing</strong> a <strong>Sterile</strong> Drape<br />
7. Place package on a clean, dry surface.<br />
8.<br />
9.<br />
10.<br />
Hold the edge of the package flap down toward the table <strong>and</strong><br />
grasp the top edge of the package <strong>and</strong> peel back.<br />
Pick up sterile drape by the corner <strong>and</strong> allow it to fall open<br />
without touching unsterile surfaces.<br />
Place drape on a clean, dry surface, touching only the edge of<br />
the drape.<br />
11. Do not fan the drape.<br />
12.<br />
13.<br />
14.<br />
Adding Supplies to a <strong>Sterile</strong> <strong>Field</strong><br />
Using the non-dominant h<strong>and</strong> peel back the wrapper in which<br />
the item is wrapped, creating a sterile barrier field with the<br />
inside of the wrapper.<br />
Holding the contents through the wrapper several inches above<br />
the field, allow the supplies to drop onto the field inside the 1-<br />
inch border of the sterile field.<br />
Do not let arms pass over the sterile field; do not touch supplies<br />
with non-sterile h<strong>and</strong>s.
15.<br />
16.<br />
Dispose of wrapper <strong>and</strong> continues opening any needed supplies<br />
for the procedure.<br />
Adding <strong>Sterile</strong> Solutions to a <strong>Sterile</strong> <strong>Field</strong><br />
If sterile field is fabric, or otherwise at risk for strike through,<br />
use a sterile bowl or receptacle. It may be added to the field by<br />
unwrapping as described in the preceding section.<br />
17. Place sterile bowl near the edge of the sterile field.<br />
18. Check that sterile solution is correct <strong>and</strong> not expired.<br />
19. Remove cap off solution bottle by lifting directly up.<br />
20. If cap will be reused, set it upside down on a clean area.<br />
21.<br />
Hold bottle of solution 4 to 6 inches above the bowl to pour<br />
needed amount into the bowl.<br />
Other<br />
22. Do not leave a sterile field unattended or outside field of vision.<br />
Comments:<br />
Validated by: Date Validated:<br />
Employee Name:<br />
Education Department<br />
Clinical Instructor / Ms. Marwa Hassan