REYES, ANNA - MS 1 PERIOP. Gowning

 

PAMANTASAN NG LUNGSOD NG MAYNILA COLLEGE OF NURSING

Medical- Surgical Nursing 1 SKILLS LABORATORY CHECKLIST Procedure: DONNING STERILE GOWN (for surgical procedure)

Reyes, Anna Soa M. Name: ________________ __________________________________ _______________________ _____

December 19, 2020 _Date:____________ _Date:______________________________ __________________

BSN 3 - 2 Year Level and Block:_______________________

Clinical Instructor:________________

Rang scale: 3

Performed correctly, systemacally according to standard with correct raonale.

2

Performed correctly, with correct raonale but not systemac.

1

Performed correctly, but not systemac and with inadequate raonale.

0

Performed incorrectly.

I.

Raonale

Procedure 1. Do surgical scrubbing (surgical

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handwashing) prior to entering the OR/ theater.

2. Once at the OR, dry hands with

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sterile towel (following the steps sited at the surgical handwashing checklist checklist)) -

Circulang nurse must main ma inta tain ined ed th the e pr prin inci cipl ple e of  sterility by having contact with unsterile unste rile surface surfacess only and by distancing at least 1 foot from the sterile eld or to any sterile personnel.

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Main inttai ains ns ste sterrilit ility y of th the e gow gown and posions it for donning.

2. Once your hands are securely pinching the gown. Hold the gown near the gown's neck and allow it to unfold.

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To avoid contaminang outer surfac sur face, e, ung unglov loved ed hands hands can only touch the exposed layer of  the gown.

3. Step back from the shelf and allow the gown to drop. Make sure the gown does not touch any surrounding

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Be c ar areful a n nd d d o no not l e ett t he he gown touc touch h anything anything unste unsterile rile as it drops.

3. The circulang nurse standing at the opposite side of the table will assist the scrub nurse in opening the wrapper of the sterile gown. -

To eliminate some of the controllable sources of   contaminaon in the performance of asepc procedures In Ine eec ec ve hand hand dr dry ying res result ults wet hands are an infecon risk in incr crea easi sing ng th the e pote poten nal al for for cross-infecon.

The The circ circul ula ang ng nu nurs rse e ssho houl uld d only only be touching the folds of the

wrapper. Aer Aer the the wra wrap pw was as op open ened ed the the circulang nurse moves back away from the area, then the scrub nurse approach the table. Picking up the Gown 3. With one hand, pick up the en enre re folded gown from the wrapper by grasping the gown through all layers, being careful to touch only the inside top layer which is exposed. -

Performance 3 2 1 0

Remarks

 

unsterile objects. 4. Grasp the inside shoulder seams and open the gown with the armholes facing you.

- Proper idenca idencaon on of the armholes provide a smooth and easy access of inserng the gown.

Inserng your arms into the sleeves of the gown 5. Carefully insert your arms part way Ke Keep ep ha hand ndss iins nsid ide e tthe he cu cus s to into the gown one at a me, keeping prevent contaminaon and a hands at shoulder level away from the preparaon for closed gloving. body. 6. Slide the arms further into the gown sleeves and when the ngerps are level with the proximal edge of the cu, grasp the inside seam at the cu hem using thumb and index nger. Be careful that no part of the hand protrudes from the sleeve cu.

Fastening the gown 7. A theatre assistant/ circulang nurse will fasten the gown behind you, posioning it over the shoulders by grasping the inside surface of the gown at the shoulder seam. The theatre

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Shrug your arms into the sl slee eeve vess whil while e ke keep epin ing g yo your ur hands han ds wra wrappe pped d int into o the cus cus unl you get your gloves.

Prev revents nts an any y p pa art of the gow gown n from from to touc uchi hing ng a nonnon-st ster eril ile e ob obje ject ct

pr prov ovid ides es

comp comple lete te

coverage of undergarments.

assistant’s hands should only ever be in contact with the inside surface of the gown. 8. The theatre assistant/ circula circulang ng nurse then prepares to secure the gown at the neck and upper back. Gowns dier in how they are secured, but most with have either es, buons or Velcro tabs. 9. The circulang person then es the gown at waist level at the back. Note: before the nal e of the gown the scrub nurse must rst perform the sterile close gloving procedure.

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This This adh adhere eress to the ste steril rilee-

sterile, unsterile-unsterile unsterile-unst erile movements and, to avoid contaminang the front of the gown that is already considered sterile. -

Gowns of the surgical team are considered sterile in front from the chest to the level of the sterile eld.

Final e of the gown 10. The scrub person will take hold of the belt tab which is securing the belt es. Keeping hold of the le side e with the le hand pull the tab with the righthand es sll secured and hand the tab to the circulang person. Variaon: in the absence of the belt tab, the scrub nurse may use a sterile forceps to hold the p of the belt. The forceps will then be handed to the circulang nurse. The circulang nurse must only

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Secur ecure e th the e cl clos osur ure e of the the gow gown n by

as assi sis sng ng

th the e

circ circul ula ang ng

nurse in handling the tab while sl slll preven prevenng ng contac contactt with with them. -

Cir irccul ula ang ng n nur urse sess sho houl uld d only only come com e con contac tactt wit with h unster unsterile ile itemss and areas. Contact with item unster uns terile ile surgic surgical al team team could could

hold on to the forceps, careful not to touch any part of the e.

contaminate gown and gloves. Gown must enclose undergarments.

11. 11. The The circ circul ula ang ng pers person on wi will ll ta take ke hold hold

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Un Unst ster eril ile e pe pers rson onne nell ke keep ep in

 

of the tab/ forceps being very careful not to touch the e and will move to the side or behind the scrub person. The scrub person will then turn if necessary, to enable them to reach and retrieve the e.

conta contact ct wit with h uns unster terile ile items items and

areas

and

knowledgeable

must

be

on

the

proximity to the sterile eld and personnel

to

avoid

contaminaon.

12. When the scrub person is properly posioned they will then take hold of the belt e only being careful not to

- Sterile OR personnel come in direct contact with persons who wears gowns and gloves only.

touch the tab forceps pull with on the e leaving theor circula circulang ngand person only the tab/ forceps in their hand The circulang person must hold on ghtly to the tab/ or release clamp of the forceps so that when the scrub person pulls on the e the tab/ forceps doesn't come with it and contaminate them. 13. Finally the scrub praconer will secure the es on le side.

Theitems that they will touch are the   sterile equipment. Any supply brought by an unsterile sta should transfer the item in a sterile manner.

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Securing

the

es

properly

provides complete coverage of  unde underg rgar arme ment ntss

fr from om

be bein ing g

exposed.

ANNA SOFIA M. REYES ______  _________  __________________ _________________ ______________ Signature over Printed Name of Student Evaluated By:  _________________________  ________________ ________________ _______ Signature over Printed Name Clinical Instructor

References : hps://geekymedics.com/surgical-scrubbing-gowning-gloving-guide/ hps://www.newcastle-hospitals.org.uk hps://www.newcastle-hospi tals.org.uk /Infecon %20Control/SurgicalScrubGownandGloveProceduresPolicy201706.pdf