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Nurse Anesthetist Program Anesthesiology Nursing Simulation Learning Lab Session: Sterilegowning,gloving,andproceduresetup Course: Module: Semester: SimIII CVT 3

LearningObjectives: Thisclinicalskillsmoduleprovidesaframeworkforunderstandingtheimportanceof,andtheprinciplesbehind,sterile technique.Followingparticipationinthismodule,studentsshould: 1.Discusstherationaleandimplicationsofadherencetopropersteriletechniqueduringinvasiveprocedures 2.Describepropersurgicalhandantisepsis,gowning,glovingandprocedurekitsetupusingasepticprinciples 3.Describepropersurgicalhandantisepsis,gowning,glovingandprocedurekitsetup,withoutbreakingsterile technique PreSessionLearningResources: 1.CompletetheTeamingupagainsthealthcareassociatedinfectionsprogrambyviewingtheintroductionandatleast2 subsequentrolescenarios.http://www.hhs.gov/ash/initiatives/hai/training/partneringtoheal.html 2.ReviewtheinstructionalslidesSurgicalhandantisepsis,gowningandgloving http://www.aado.org/file/pssiws_oct10/07_handantisepsis_gowning_gloving.pdf 3.Reviewtheinstructionalprogramsfor: a.surgicalscrubhttp://www.brooksidepress.org/Products/Scrub_Gown_and_Glove_Procedures/lesson_1_Section_4.htm b.gowninghttp://www.brooksidepress.org/Products/Scrub_Gown_and_Glove_Procedures/lesson_1_Section_5.htm c.glovinghttp://www.brooksidepress.org/Products/Scrub_Gown_and_Glove_Procedures/lesson_1_Section_6.htm d.procedurekitsetupContentsoftheARROWgardBluePLUSMultiLumenCVCKit http://medresidents.stanford.edu/cvc/materials_and_equipment_files/frame.htm SessionLearning/Activity: 1.Discussionactivity:incidence,causes,andpreventionofhealthcareassociatedinfections 2.Demonstrationandpracticeofpropersurgicalhandantisepsis,gowning,glovingandprocedurekitsetupusing asepticprinciples 3.Checkoffdemonstrationofpropersurgicalhandantisepsis,gowning,glovingandprocedurekitsetupusingaseptic principles SessionPerformanceAssessmentResources:

PerformanceChecklistSterilegowning,gloving,andproceduresetup
Surgicalhandantisepsis Correctlydonsthesurgicalcap,eyeprotection,andmask Correctlyopensthepacketofsurgicalscrubsoap Turnsonthewatercorrectly Correctlycleansbeneathfingernails Scrubshandsandforearmscorrectly Keepshandsandforearmselevatedandavoidscontamination Drieshandsproperly,usingaseparatesterileareaofthetowelforeachhand andProperlydisposesoftheusedtowel Gowningandgloving Properlyreceivesorunfoldsgowncorrectly Donsgloveswithoutcontaminatinggownorgloves Adjustsglovefit Turnsproperlytocloseoffthebackofthegown Doesnotcontaminateglovesorgown Yes Yes No No Remediation Remediation

Preparingsterilekit Accesssterileitemsinkit Preparessterileitemsandsortsinorderofuse Doesnotcontaminatekit Openglovingtechnique Pickupthecuffoftherighthandgloveusingyourlefthand.Avoidtouchingthe areabelowthecuff Insertyourrighthandintotheglove.Spreadyourfingersslightly,slidingthem intothefingers.Ifthegloveisnotoncorrectly,donotattempttostraightenit atthistime. Inserttheglovedfingersofyourrighthandunderthecuffoftheleftglove. Slideyourfingersintotheleftglove,adjustingthefingersoftheglovesfor comfortandfit.Becausebothglovesaresterile,theymaytoucheachother. Avoidtouchingthecuffsofthegloves. Insertyourrighthandunderthecuffoftheleftgloveandpushthecuffupover yourwrist.Avoidtouchingyourwristortheoutsideofthecuffwithyourglove. Insertyourlefthandunderthecuffoftherightgloveandpushthecuffupover yourwrist.Avoidtouchingyourwristortheoutsideofthecuffwithyourglove. Youmaynowtouchsterileitemswithyoursterilegloves.Avoidtouching unsterileitems.

Yes Yes

No No

Remediation Remediation

SessionLearningReferences: Date:

Nurse Anesthetist Program Anesthesiology Nursing Simulation Learning Lab Session: Sterilegowning,gloving,andproceduresetup Manikin(s)Required: SimManonstretcher(1) EquipmentRequired: none SuppliesRequired: sterilegowns(4),sterilegloves(8),sterilecentrallinepacks(4) AVRequired: DebriefroomAVcomputerandprojection AdditionalRequirements: Date: SimulationRoom(s): OtherRoom(s): DebriefRoom: 315