Infection Control Basics Sterile wound dressing Definition Clean Technique Clean technique refers to the use of routine hand washing hand drying and use of nonsterile gloves Clean Technique ID: 906099
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Clean, Aseptic and Sterile Technique
Infection Control Basics
Slide2Sterile wound dressing
Slide3Definition: Clean Technique
Clean technique
refers to the use of routine hand washing, hand drying and use of non-sterile gloves
Slide4Clean Technique
Use clean technique if staff or objects will touch intact skin, intact mucous membranes or dirty (contaminated) items.
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Examples of When Clean Technique is Used
Clean tech is appropriate for:
Taking blood pressures
Examining patients
Feeding patients
Slide6Definition: Invasive Procedures
Acts done to patients that come in contact with the wounds, blood stream, the inside of the body, or normally sterile parts of the body
Remember invasive procedures invade the inside of the body
Slide7Definition: Aseptic Technique
Aseptic technique is used for short invasive procedures. It involves:
Antiseptic hand hygiene (alcohol, betadine or chlorhexidine)
Usually sterile gloves
Antiseptic (
e.g
alcohol) on patient’s skin
Use of clean, dedicated area
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Aseptic Technique
Use aseptic technique for brief invasive procedures that may break skin or mucous membranes, or normally sterile parts of the body
Example: placing a urinary catheter, suctioning, placing an IV, emptying a ICD drain
Slide9Definition: Sterile Technique
Sterile technique is used for surgery or the preparation of sterile materials for multiple patients. It involves:
Surgical hand rub with long acting antiseptic
Hands dried with sterile towels
Sterile field
Sterile gown, mask
Sterile gloves
Sterile supplies
Skin prep
A dedicated room
Slide10Sterile Technique
Use during surgery and for invasive procedures with high rates of infection
Examples:
Any long invasive procedure
Placement of central lines and thoracic lines
Bulk preparation of IV fluids or medications
Slide11Differences Between the Types of Techniques
Space and work flow where procedures are done
Type of hand hygiene
Use of Personal Protective Equipment, including clean, or sterile gloves
Use of patient skin antisepsis
Use of a sterile drape or sterile field
Slide12Clean
Aseptic
Sterile
Procedure space
On ward or at beside
Dedicated area
Dedicated room
Gloves
Clean or none
Sterile
Sterile surgical
Hand hygiene before the procedures
Routine
Aseptic, e.g. alcohol
Surgical scrub
Iodophors, chlorheximide
Skin antisepsis
No
Alcohol
Long acting agent
Sterile field
No
No*
Yes
Sterile gown, mask, head covering
No
No
Yes
Slide13To Prevent Contamination
Keep clean, dirty, and sterile items separate:
Only put sterile items in a sterile field
Change gloves and wash hands if going from a contaminated act to a aseptic or sterile act
The sterile field is considered sterile except for the 2.5 cm border
Wet items are considered contaminated
Planning reduces errors
Slide14T
rash
Plan appropriate leak proof, puncture proof containers for the transfer and disposal of sharps, infectious waste, and specimens
Sharps containers should be moved to the point of use so sharps aren’t dropped or left behind.