1. IC0023: Attire for Surgical and Procedural Areas
Developed 7/29/2015 jg
Reviewed 7/30/2015 cm
“THE STONY BROOK WAY IS MY WAY”

2. Policy IC0023 Attire for Surgical and Procedural Areas
All persons who enter semi-restricted area of the hospital’s designated surgical and invasive procedure areas wear approved attire to protect both patients and perioperative personnel.
Only hospital issued and laundered scrubs are worn in Operating Rooms (OR)/procedural areas.
“THE STONY BROOK WAY IS MY WAY”

3. Policy IC0023 Attire for Surgical and Procedural Areas
Restricted Area:
A designated space contained within the semi-restricted area and accessible only through a semi-restricted area. The restricted area includes the operating and other rooms in which surgical or other invasive procedures are performed. (AORN)
“THE STONY BROOK WAY IS MY WAY”

4. Policy IC0023 Attire for Surgical and Procedural Areas
Scrubs must be taken from scrub machine daily. These are changed promptly if they become wet or contaminated.
Home laundering is not permitted.
“THE STONY BROOK WAY IS MY WAY”

5. Policy IC0023 Attire for Surgical and Procedural Areas
Scrubs must be clean and hospital-laundered
What is wrong with this picture?
Home laundering cannot reach
Sustained temperatures high
Enough to sanitize clothes to the
Degree needed for surgical/procedural
Wear.
“THE STONY BROOK WAY IS MY WAY”

6. Policy IC0023 Attire for Surgical and Procedural Areas
Semi-restricted Area:
The peripheral support areas of the surgical/procedural suite
The area may include storage areas for equipment and clean and sterile supplies; work areas for processing instruments; sterilization processing room(s); scrub sink areas; corridors leading from the unrestricted area (i.e. Nursing stations) to the restricted areas of the suite
Access to the semi-restricted area is limited to authorized personnel and patients accompanied by authorized personnel. (AORN)
“THE STONY BROOK WAY IS MY WAY”

7. Policy IC0023 Attire for Surgical and Procedural Areas
Transition Area:
Traffic is permitted to allow movement of personnel from unrestricted to semi-restricted or restricted areas
Personnel may enter in street clothing and exit into the semi-restricted or restricted area in surgical attire
“THE STONY BROOK WAY IS MY WAY”

8. Policy IC0023 Attire for Surgical and Procedural Areas
Monitored Unrestricted Area:
Permitted traffic includes authorized personnel, patient, and their families
Health Care Workers (HCW) in scrub attire use this area of transition for the purpose of patient management and hospital business
“THE STONY BROOK WAY IS MY WAY”

9. Policy IC0023 Attire for Surgical and Procedural Areas
Restricted and semi-restricted areas include:
Labor and Delivery ORs
Cardiac Cath Lab
EP Lab
Operating Rooms
Interventional Radiology
CVC (Cerebro Vascular) Suites
Central Sterile
“THE STONY BROOK WAY IS MY WAY”

10. “THE STONY BROOK WAY IS MY WAY”

12. Policy IC0023 Attire for Surgical and Procedural Areas
“THE STONY BROOK WAY IS MY WAY”

13. Policy IC0023 Attire for Surgical and Procedural Areas
OR/Procedural Scrub Attire is not to be worn to and from work or between facilities. When wearing OR/procedural scrub attire in the UNRESTRICTED areas, a tied closed cover gown or a clean and buttoned lab coat is required.
Not Acceptable
“THE STONY BROOK WAY IS MY WAY”

14. Policy IC0023 Attire for Surgical and Procedural Areas
Wearing OR/procedural scrub attire outside Is a violation of policy
“THE STONY BROOK WAY IS MY WAY”

15. Policy IC0023 Attire for Surgical and Procedural Areas
All persons must cover their head and facial hair when in the semi-restricted and restricted areas-NO EXCEPTIONS.
Hair coverings must cover ALL facial hair, sideburns, and hair at the nape of the neck. Only hospital supplied head coverings are worn.
Knight hoods and masks are required for
facial hair
If Knight Hood and mask do not cover all facial
hair, a bouffant cap is used to contain any
remaining exposed hair
“THE STONY BROOK WAY IS MY WAY”

16. Policy IC0023 Attire for Surgical and Procedural Areas
All facial and head hair must be completely covered
“THE STONY BROOK WAY IS MY WAY”

17. Policy IC0023 Attire for Surgical and Procedural Areas
Masks are worn in the presence of scrubbed individuals, or when open sterile supplies or equipment is present
Masks must cover the nose and mouth completely, fitting snugly beneath the chin
Masks are available over each scrub station and are changed after each use
“THE STONY BROOK WAY IS MY WAY”

18. Policy IC0023 Attire for Surgical and Procedural Areas
What’s Wrong With This Picture?
A clean mask should be donned before
every procedure.
Masks should not be worn hanging from the
neck.
The mask should always be worn above the
nose.
Masks must be worn when open sterile supplies and equipment are present Masks must be removed before leaving the procedure area and changed between cases
“THE STONY BROOK WAY IS MY WAY”

19. “THE STONY BROOK WAY IS MY WAY”
Policy IC0023 attire for surgical and procedural areas
Street clothes are NOT worn under surgical attire. Tee shirts, if worn, must be completely covered by surgical attire including the neck area.
“THE STONY BROOK WAY IS MY WAY”

20. Policy IC0023 Attire for Surgical and Procedural Areas
Undershirts must be completely covered by scrubs if worn
“THE STONY BROOK WAY IS MY WAY”

21. Policy IC0023 Attire for Surgical and Procedural Areas
All head and neck jewelry with the exception of stud earrings must be removed- NO EXCEPTIONS
Stud earrings may remain only if they are
covered at all times
Bracelets and loose fitting watches are not
permitted
Rings and watches are not worn by those who
perform a surgical scrub
“THE STONY BROOK WAY IS MY WAY”

22. Policy IC0023 Attire for Surgical and Procedural Areas
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23. “THE STONY BROOK WAY IS MY WAY”
Reference:
SBUH Policy and Procedure: IC0023: Attire for Surgical and Procedural Areas; 7/28/2015
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