1. Asepsis Copyright © 2012 by Mosby, an imprint of Elsevier Inc.

2. Sterile Field Scrubbed personnel function in a sterile field. Surgical gown is considered sterile: – from 2 in above the elbow down to the edge of the cuff and the front of the chest to the level of the surgical table.

3. Unsterile parts of surgical gown: – Neckline – Shoulders – Top of the cuff – Lower portion of the gown – Back Sterile Field

4. Sterile Drapes Cover the entire animal, furniture, and equipment. Watch for strike-through.

5. Opening Items for Use in Sterile Field Inspect for sterility: No holes or tears Sterile indicators

6. Opening Items for Use in Sterile Field Open, dispense, and transfer by methods that maintain sterility and integrity of product.

7. Opening Fluids for Use in Sterile Field

8. Moving Around the Sterile Field Be aware of sterile and nonsterile areas in the surgery room. Unscrubbed personnel should always face the surgical field. Unscrubbed personnel should not step between two sterile fields or scrubbed personnel. There should be minimal talking Surgery room door should remain closed as much as possible.

9. Circulating Nurse Opens packs and is the runner for the surgical team.

10. Opening Peel-Away Pouches

11. Opening Wrapped Packs Open on a clean, flat, dry surface in surgery room.

12. Opening Wrapped Packs

13. Opening Gowns and Gloves Open on a clean, flat, dry surface in surgery room.

14. Surgical Assisting—Duties during Surgery Copyright © 2012 by Mosby, an imprint of Elsevier Inc.

15. Accepting Sterile Packs Be careful not to inadvertently contaminate the assistant or the sterile field. Be aware of the nonsterile portions of the packaging.

16. Scalpel Blades and Handles Use needle holders to place blades.

17. Scalpel Blades and Handles

19. Threading Eyed Needles Place needle holder about two-thirds of the way into the needle’s curve for secure and controlled handling. The suture passes through the needle eye from inside the needle’s curve to the outside. The suture and the needle should be in a needle holder so the surgeon can use them immediately.

20. Threading Eyed Needles

21. Passing Ring-Handled Instruments Close ratchet Ring handles facing the floor

22. Passing Ring-Handled Instruments, Curved

23. Instrument Count Why is this important? How to do it right.

24. Sponge Count How to do it right.

25. Draping Cloth hand towels Fenestrated drapes Ground drapes Linen Paper Commercially prepared paper or plastic

26. Lateral near Lateral, far Cranial Caudal Top Draping

27. Secure ground drapes

28. Place towel clamp Draping

29. Place penetrating towel clamp

30. Place nonoperative towel clamp Draping

31. Finished draped surgical site