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HHC Health & Home Care Clinical Policy And

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<strong>HHC</strong> HEALTH & HOME CARE Section: 13-4<br />

Infection Control: Sterile Technique __RN<br />

PURPOSE:<br />

To perform sterile procedures in accordance with<br />

infection control standards.<br />

CONSIDERATIONS:<br />

1. Items that are sterile are totally free of germs or<br />

microorganisms. These items will always be<br />

packaged to prevent contamination.<br />

2. Provided the packaging is not damaged, wet, soiled,<br />

discolored, or stained, the item will be considered<br />

sterile indefinitely unless there is a specific<br />

expiration date noted on the item.<br />

3. Storage of sterile items must be in a clean, dry, dust<br />

free environment to prevent contamination of the<br />

supply when opening the package.<br />

4. Such items could include dressings, IV supplies,<br />

catheters and catheter supplies, tubing, solutions for<br />

feeding, intravenous, wound care, irrigation, etc.<br />

5. Once sterile solutions are opened, they must be<br />

dated and discarded at established intervals.<br />

EQUIPMENT:<br />

Sterile gloves<br />

Sterile tray or items for procedure to be performed.<br />

PROCEDURE:<br />

1. Adhere to Universal Precautions.<br />

2. Inspect all packaging. If damaged, wet, or stained,<br />

do not use the items. Verify that the sterility has not<br />

expired.<br />

3. Inspect all bottles or solution bags for signs of<br />

contamination. This includes chips, tears, cracks,<br />

cloudiness, discoloration, or solid items floating<br />

inside, no matter how small.<br />

4. When opening the item take extreme care to make<br />

sure the inside does not touch anything on the<br />

outside.<br />

5. Do not touch any sterile item with your hands.<br />

Always wear sterile gloves before touching sterile<br />

items. (See Donning Sterile Gloves, No. 14.05.)<br />

6. Always place sterile items only on a sterile surface.<br />

This may include a separate sterile tray or cloth<br />

(may be paper). The inside of the sterile package<br />

can be used as the sterile surface, if it has not<br />

touched a non-sterile item.<br />

7. Perform sterile procedure.<br />

8. Dispose of soiled supplies in appropriate containers.<br />

AFTER CARE:<br />

Document procedure performed in patient's record.<br />

281

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