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Related Concept Videos

Asepsis01:28

Asepsis

The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Cleaning, Sterilization, and Disinfection01:30

Cleaning, Sterilization, and Disinfection

Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

To wash hands properly, follow these steps:
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...

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Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies
09:30

Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies

Published on: March 17, 2023

[Cleanliness in the operating room].

Toshiyasu Suzuki1

  • 1Department of Anesthesiology, School of Medicine, Tokai University, Isehara 259-1193.

Masui. the Japanese Journal of Anesthesiology
|May 22, 2010
PubMed
Summary

Traditional operating room protocols are being updated. Alcohol-based hand rubs replace scrubbing, tap water suffices for handwashing, and efficient layouts are prioritized over rigid zoning for improved surgical cleanliness and workflow.

Area of Science:

  • Infection Control
  • Surgical Hygiene
  • Healthcare Facility Design

Context:

  • Traditional operating room (OR) protocols regarding hand hygiene and environmental design are being re-evaluated based on recent scientific findings.
  • The efficacy of prolonged scrubbing with brushes for surgical hand antisepsis is questioned, with alcohol-based antiseptic hand rubs gaining prominence.
  • Established practices like the use of sterilized water for handwashing and strict OR zoning are being challenged for their scientific basis and impact on efficiency.

Purpose:

  • To critically assess current operating room cleanliness practices, including hand hygiene, water usage, and environmental zoning.
  • To highlight the shift towards evidence-based, efficient protocols in surgical settings.
  • To explore the potential benefits of revised OR layouts and footwear policies.

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Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies
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Principles of Rodent Surgery for the New Surgeon

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Summary:

  • Current evidence suggests that traditional surgical hand scrubbing with brushes is less effective than alcohol-based antiseptic hand rubs.
  • The use of sterilized water for handwashing in operating rooms lacks scientific justification; tap water is deemed sufficient.
  • Operating room zoning concepts are evolving towards work-efficiency-focused layouts, and systems like the One-footwear System offer advantages for operational efficiency.

Impact:

  • This research informs the revision of surgical site infection prevention strategies by promoting more effective and efficient hand hygiene methods.
  • It encourages a move away from scientifically unsupported practices, potentially reducing healthcare costs and improving resource allocation.
  • The findings advocate for modernized operating room designs and policies that enhance both safety and operational efficiency, paving the way for future commonplace adoption.