1. Judith Kaifas, RN Senior Nurse Consultant Standard Textile Co., Inc. One Knollcrest Drive Cincinnati, Ohio 45237 513-761-9255 800-999-0400 jkaifas@standardtextile.com

2. THE USE OF BARRIER SURGICAL FABRICS IN THE OR

3. Glossary of Terms Staff in the OR Products Hands On

4. SURGICAL TERMS

5. Who’s in the O.R.?  First Assistant  Scrub Nurse  Circulating Nurse  Anesthesiologist  Possible Others, Depending Upon Complexity  Surgeon

6. O.R. Layout for Open Heart 1 Perfusionist 2 Perfusionist 3 Circulating nurse 4 First scrub nurse 5 Surgeon 6 Patient 7 Anaesthetist/CRNA 8 Anaesthetic resident 9 Anaesthetic resident 10 Surgical assistant 11 Surgical assistant 12 Second scrub nurse 13 Circulating nurse

7. STAFF

8. Surgical Towels Drying the hands of surgical staff Padding back tables and/or mayo stands To “square off” around a fenestration Wrapping surgical instrumentation Padding between basins Instrument rolls/tie books Surgical Towels are utilized in the O.R. for a variety of different functions. These include:

9. Surgical Gowns  Gowns are sterile from: Nipple line to the level of the sterile field 2 inches above the elbow to the cuff on the sleeves  Sterile Gowns establish a barrier that minimizes the passage of organisms between nonsterile and sterile areas

10. Surgical Wrappers Surgical wrappers used: to protect the contents of surgical packs from becoming contaminated, and allow for aseptic presentation of pack contents Certain larger sizes may also serve as back table covers (when not anticipated to be in contact with liquids). Can sometimes be used as an ancillary drape to cover areas away from the surgical site

11. SURGICAL COVERS Mayo Cover/Table Cover

12. Surgical Drapes Fenestrated Non-Fenestrated Q: What is a fenestration? A: A fenestration is a fixed opening incorporated into the design of the surgical drape to facilitate access to the operative site

13. Fixed Fenestration Surgical Drapes Winged Flap & Snap Laparotomy Ortho Split Small Universal Cystoscopy U- Drape Winged F&S Lap/Lith

14. Universal Draping Systems Promoted as an advantageous alternative to a fixed fenestration program of surgical drapes Reduction in inventory SKUs Universal component parts are utilized for high percentage of cases, eliminating the need for a broad array of procedure-specific drapes Reduction in acquisition costs Universal components are less costly than fixed fenestrated products Simplified pack-making

15. U-IV System

16. U-II System

17. AORN Association of periOperative Registered Nurses Non-governmental body Publishes and maintains a series of “Recommended Practices” addressing appropriate selection criteria and “best practice” use of surgical apparel, drapes, and packaging systems

18. “Barrier” Fabrics Three causal factors: Time Pressure Fluid (Liquid) Utilized to prevent occurrence of strikethrough “Penetration of microorganisms, particulates, or fluid through a fabric” – AORN

19. Important Note When employing reusable surgical draping products, it is imperative that only NON-PENETRATING towel clamps be utilized.

20. SURGICAL WASTE Universal Precautions: A method of infection control that requires that all blood and body fluids be considered infectious and that the same safety precautions be taken whether or not the patient is know to have a bloodborne infectious disease

21. Thank You

22. HANDS ON