BASIC

PRINCIPLES OF
DELIVERY
ASEPSIS
 Principles of Asepsis
1. Only sterile items are used within sterile
fields. All articles used in an operation have
been sterilized previously.
2. Persons who are sterile touch only
sterile items/ areas; persons who are not
sterile touch only unsterile items/ areas.
3. If in doubt about sterility of anything,
consider it unsterile.
4. Non-sterile persons avoid reaching
over a sterile field; sterile persons
avoid leaning over unsterile area.
5. Tables are sterile only
at table levels.
6. Gowns are considered sterile
only from waist to shoulder level
in front, and the sleeves.
7. The edge of anything that encloses
sterile contents is unsterile.
8. Sterile persons keep well within
sterile areas.
 9. Non-sterile persons keep away
from sterile areas.
 10. Sterile field is created as close as
possible to the time of use.
 11. Sterile areas are continuously
kept in view.
 12. Destruction of integrity of
microbial barriers results in
contamination. Moisture can
cause contamination.
 13 .When microorganisms cannot be
eliminated; they must be kept to an
irreducible minimum.
 1. Checks completeness of
supplies
 2. Removes all pieces of jewelry
 3. Trims nails if needed. Remove
nail polish or artificial nails
 4. Wears surgical mask.
 5. Stands before the sink keeping
body away from it.
 6. Turns on the faucet and
adjusts the pressure of the water
using the foot or elbow control.
 7. Hold hands below the elbows, wetting the
skin from the fingertips to elbow
 8. Wets and applies about 1 tsp of liquid
antimicrobial soap on the palm using foot
control and works up a lather.
 9. Using the prepackaged brush-sponge pad,
open the package and removes the nail
cleaner and cleans the nails on each hand
and discard the cleaner.
 10. Removes the brush from the package and
discard the wrapper without putting down the
brush for the scrub will begin.
 11. Moisten the brush or pad and dispenses
the soap into it (if the brush is not
impregnated with the cleaning agent).
 12. Using the brush, makes 20 strokes on the
nails
 13. Using circular strokes, scrub all
skin surfaces. Each fingers, Palms,
Back of the hands. Forearms (divide into
two then 10 strokes on each 4 parts of
the first half of the forearm then another
10 strokes on each parts of the second
half of the forearm paying extra attention
on the elbow)
 14. After scrubbing on the less dominant
hand, rinses the brush and continues the
procedure on the dominant hand.
 15. When the scrub is finished on the
dominant hand, drops the brush and with
the use of the foot control, turns on the
water allowing the water to run from the
fingertips to the elbow.
 16. Turns off the water using foot
control, knee or elbow control.
 17. Position the hands and elbows
above waist without touching any
part of the scrub uniform.
 18. Enters the swing door of the
operating room using the back or the
buttocks then turns toward the back
table to grab the sterile gown.
Donning and Removing Sterile
Gloves (Close and Open Gloving)
DONNING CLOSED GLOVES
 1. Peel open the outer pack from the corners. The
 inner pack is sterile. Gripping it through your gown, open it to
display the gloves.

 2.With your gown covering your fingers, use your right hand to
remove the left glove. Hold your left hand palm up, fingers
straight. Lay the glove on your left wrist, and grip the cuff with
your left
 thumb.

 3.Place your right thumb inside the top cuff edge. Make a fist with
your right hand and stretch the glove over your left fingertips.

 4 . Keeping your left fingers straight, pull down the glove.

 5.Repeat the above procedure to don the other glove, that is: use
your gloved left hand to lay the right glove on your right wrist.
Slide your left thumb inside the top of the cuff, make a fist, and
stretch the cuff over your right fingertips. Pull down the
sleeve and glove together.
Open Donning
 1. Pick up the cuff of the fight glove with
your left hand. Slide your right hand
into the glove until you have a snug
fit over the thumb joint and
knuckles. Your bare left hand should
only touch the folded cuff - the rest of
the glove remains sterile.
 2. Slide your right fingertips into the
folded cuff of the left glove. Pull out the
glove and fit your right hand into it.
 3. Unfold the cuffs down over your gown
sleeves. Make sure your gloved
fingertips do not touch your bare
forearms or wrists.
Gowning
 1. Explain to the client what you are
going to do.
 2. Observe other appropriate
infection control procedures.
 3. Provide for the client privacy.
 4. Open the package of sterile gloves.
 5. Unwrap the sterile gown pack.
 6. Wash and dry hands carefully.
 7.Put on sterile gown :
 1. Grasp the sterile gown at the
crease near the neck, hold it
away from you, and permit it to
unfold freely without touching
anything.
 2. Put the hands inside the
shoulders of the gown,
and works the arms partway into
the sleeves without touching the
outside of the gown.
 Completion of Gowning:

 Have a co-worker hold the waist tie of

your gown, using the sterile gloves, or
a sterile forceps or drapes .This
approaches keeps the ties sterile.

 Make the tie and secure it in front of the

gown.

 Have a coworker take the two ties at

each side of the gown and tie them at
the back of the gown
Removing Gloves
 1. Take hold of the first glove at the
wrist.

 2. Fold it over and peel it back, turning it

inside out as it goes. Once the glove is
off, hold it with your gloved hand.

 3. To remove the other glove, place your

bare fingers inside the cuff without
touching the glove exterior. Peel the
glove off from the inside, turning it
inside out as it goes. Use it to envelope
the other glove.