OPERATING

ROOM

TECHNIQUES
 OR
TECHNIQUES
 SCRUBBING
 DRYING OF HANDS
 GOWNING
 GLOVING
 PREPARING PATIENT’S
SKIN FOR SURGERY
 COMMON SURGICAL
INSTRUMENTS
 GENERAL
PRINCIPLES
 Microorganisms move through
space on air current.

 Microorganisms are transferred

from one surface to another
whenever a non-sterile object
touches another surface.

 Microorganisms move from one

object to another as a result to
gravity when a non-sterile item is
held above another item.
 GENERAL
PRINCIPLES
 Microorganisms
travel rapidly along
any moisture through
a wicking action.

 Microorganisms
move slowly along a
dry surface.

 Microorganisms are
released into the air
on droplet nuclei
whenever a person
 PRINCIPLES OF
ASEPTIC
TECHNIQUE
 Persons who are sterile
touch only sterile
articles, person who are
not sterile touch only
non-sterile articles.
 If in doubt about the
sterility of anything,
consider it not sterile.
 Non-sterile persons avoid
reaching over a sterile
field. Sterile persons
avoid leaning over a non-
sterile area.
 Tables are sterile only at
the table level.
 Gowns are considered
 PRINCIPLES OF
ASEPTIC
TECHNIQUE
 The edges of anything
that encloses sterile
contents is not
considered sterile.
 Sterile persons keep well
within the sterile area.
 Non-sterile persons keep
away from sterile areas.
 Sterile persons keep
contact with sterile area
to a minimum.
 Moisture may cause
contamination.
 SCRUBBING
 Preparation
Put on surgical attire
including cap & mask
Examine hands &
forearms for cuts &
abrasions
Remove watches,
bracelets & all finger
jewelry
Nails should be
clipped and
unpolished
 SCRUBBING
 Pre scrub
Turn on water & moisten
hands and arms
Lather hands & arms
thoroughly up to 2 inches
above the elbow with
antiseptic agent.
Clean fingernails under
running water with nail
cleaner under running water
and discard after use
Rinse hands and arms
thoroughly under running
water keeping hands up
allowing water to drop from
the elbows
Using pick up forcep, remove
brush from dispenser, rinse
 SCRUBBING
 Scrub
Scrub nails of hands, 30 strokes L & 30
strokes R
Scrub all sides of each finger, 5 strokes
per side. Start from the thumb up to
the small finger.
Scrub the dorsal surface of the hands
in 20 strokes of circular motion
Scrub palmar surface of hands in 20
strokes of circular motion
Mentally divide the arm into 3 up to 2
inches above the elbow. Brush 20
strokes for each 3rd of the arm
Repeat 2,3,4&5 fro the other arm and
hand, then drop the brush.
 SCRUBBING
 Rinse - Rinse hands and
arms separately without
touching anything,
keeping hands above
elbows
Keep hands in front,
above the waist and not
higher than the axilla
and move to location of
sterile towels.
 DRYING OF
HANDS
 From the
opened
sterile
pack,
pick up
folded
top end
corner of
 Away from table, opentowel
towel in full length by
holding towel on one end in
a slightly bent position to
avoid touching attire
 DRYING OF
HANDSPat dry 
fingers, in
between
fingers, back
and palm of
hands and in
oscillating
motion dries
arm ( Avoid
contaminating
hands in the
areas
proximal to
elbow )

 Reverse the towel to start

drying the other hand using the
same procedure before.
 Discard or drop towel.
 GOWNING
 Reach down
to the
sterile pack
and lift the
folded gown
directly
upward &
bring away
from table
in an
unobstructe  Hold the pre-
d area folded gown,
carefully
locating
neck band &
sleeves
holding it at
shoulder
level.
 Allow it to
unfold
 GOWNING
 Place
hands
inside the
armholes
and guide
each arm
through
the sleeves
by raising
 Position and
hands at spreading
shoulder the arms.
level and Do not
allow allow
circulating hands to
nurse to slide
securely tie outside the
or fasten gown cuff.
the gown at
the neck
 CLOSED

GLOVING
Open the sterile inner wrapper
containing sterile gloves while hands
are covered by gown sleeves
 Using the left
hand inside
gown, pick up
folded edge
of right glove
with thumb &
index finger
 Lay glove on
the sleeves of
the cuff of
the right arm,
thumb-side
down, with
glove
opening
positioned
toward the
fingers
 Position the
palm on the
right hand
upward
inside the
sleeve

 CLOSED
GLOVING
 With the
left hand
still
inside
the
sleeve,
grasp the
upper
side of
the
gloves
cuff and
 Pull the stretch it
sleeves over the
up to cuff of
draw the the
cuff over gown.
the wrist
and
extend
the
fingers of
the right
hand into
the
 CLOSED
GLOVING  Place the
fingers of the
right gloved
hand under
the cuff of
the
remaining
left glove

 Place glove over the cuff of the second

sleeves. Extend the fingers into the
gloves while pulling the glove up over
the cuff
 Adjust
gloves and
sleeves
 Place
gloved
hands
inside the
front
pocket of
OPEN GLOVING
 Working in
Sterile Attire
 Keep your
hands in front
of you and
above waist
level, below
axilla
 Do not turn
your back on
sterile field
 Pass front to
front or back to
back with
others in
sterile attire
 Change attire
when
contaminated
 Change or