Medical surgical asepsis

Medical surgical asepsis

Asepsis - 

              It is the condition of being free from disease producing microorganism.
Asepsis is the method by which we prevent microbial continuation during invasive procedure or care of breaches in skin integrity.

Medical asepsis - 

               medical asepsis is the state of being free from disease causing microorganism. 

Its concern with spreading of microorganisms through facility practices such as sterilizing or disinfecting. The technique used to maintain medical asepsis include hand washing, growing, and wearing facial mask and providing information to patients about basics hygiene practice. 

Basic principle of medical asepsis 

1: Wash hands frequently, but especially before handling foods, before eating after using a handkerchief, after going to the toilet, before and after each clint contact and after removing gloves. 

2: Keep soiled items and equipment from touching the clothing. 

Do not place soiled bed linen or any other items on to the floor. 

3: Avoid having client's cough, sneeze or breath directly on others. 

4: Move equipment away from you when brushing, dusting or scrubbing articles. 

5: Clean the least soiled area first then more soiled ones. 

6: Dispose soiled or used items directly into appropriate containers. 

7: pour liquid that act to be discarded directly into the drink so as to avoid splitting in the sink and on to you. 

8: Avoid learning against sink, supplies and equipments. 

9: Avoid touching your eyes, face, nose, or mouth. 

10: Use practices of personal grooming that help prevent spreading of microorganisms. 

11: Follow guidelines contently for isolation or burrier technique as prescribe. 

Surgical Asepsis :-

 Surgical asepsis is a strict process and include procedure to eliminate microorganism from an area and is practiced by nurses and other health workers in operation theatre and some other treatment areas. 

It is appropriate in wards and other departments for invasive procedure such as insertion of central venous catheter .

Basic principle of surgical asepsis 

Only sterile object can touch other sterile object. All material in contact with the surgical wound or used within the field must be sterile. 

Open sterile packages so that the first edge of the rapper is directed away from the worker to avoid the possibility of a sterile surface touching unsterile clothing. 

The outside of sterile package is consider contaminated.

* gowns of the surgical team are considered sterile in from the chest to the level of the sterile field, the sleeves are also consider sterile from 2 inches above the elbow to the stockinette cuff.

* sterile drapes are used to create a sterile field. 

During draping of a table or a patient the sterile drape is held well above the surface to be covered and is position from front to back. 

* Avoid spilling any solution on a cloth or paper used as field for a sterile setup. 

The moisture penetrate through the sterile clothes and carries organism by capillary action to contaminate the field. A wet field in contaminated if the surface immediately below is not sterile. 

* Hold sterile object above the level of the wrist this will help to ensure keeping the object within site and prevent accidental contamination.