00:04
Welcome to preparing a sterile
field in sterile gloving.
00:08
So in this skill, I'm going to show
you how to prepare a sterile field.
00:12
Now this is going to be used for
lots of common nursing procedures,
inserting a Foley
catheter, for example.
00:18
Then I'm going to show you how to
add sterile items to that field
and also how to sterile glove.
00:25
So before we get started,
we've got to open our sterile kit.
00:29
Now, this will turn
into your sterile field
and I'll show you that shortly.
00:33
Now before we take off,
I want to talk to you quickly about clean
versus sterile equipment.
00:39
So we talk about clean equipment,
this is going to be something
you're going to use in routine
care, for example,
like just gloves, that are typically
placed on the wall in your patient room.
00:50
This is for routine
maintenance care.
00:53
Now when we're talking
about sterile equipment,
this is something that's
typically encased in a package.
00:59
Now we do this because we want
to reduce the amount of microbes
or organisms that
gets to the equipment.
01:05
So we're going to need our
sterile kit number one,
then we're going to need like
a hard table or hard surface,
typically your bedside table
we're going to work from.
01:15
Now before we even get started,
when you get your equipment, you want
to make sure you inspect it closely.
01:21
So we want to look for any
wetness, any soiled marks,
we want to make sure there's
no weird tears or openings
on that package or the
package is damaged at all.
01:30
Then we want to make
sure that as an end date
that the expiration
date is still good.
01:36
So just think about this way, you don't
want to eat spoiled or expired food,
or most of us don't anyway.
01:42
But when we are using equipment,
expiration date is really important
because that's going to make sure
that equipment is safe and
effective for our patient.
01:51
And lastly, on most equipment,
there's going to be some sort of enclosure,
maybe like an
intact sterile tape,
we want to make sure
this is still sealed.
02:00
That way, we know that the
equipment is still sterile.
02:04
So we open a sterile kit before any
procedure, we want to do our hand hygiene.
02:10
Then we want to remove the
plastic covering of the package.
02:13
And then we want to make sure we place
that package on a clean dry surface.
02:17
This may seem like a no-
brainer, but in the hospital,
these bedside tables are used for eating
for patients, all kinds of things,
we want to make sure
that where we are going
to lay our sterile field,
it's nice and clean.
02:31
Next, once we open that kit,
we're going to take the top flap
and we're going to open that
furthest away from our body.
02:39
Then there will be two side
flaps that you're going to see
and you want to
take one side flap,
open that outward,
then we're going to take the
next flap we see on the side
and also open that
outward as well.
02:52
Now lastly,
you're going to take the final flap
and take that one,
open it towards your body.
02:58
Notice even in that motion,
I move back a little bit,
we want to be conscious not to
lean over the sterile field.
03:10
Let's take a look at
opening our sterile kit.
03:12
So if you remember
before we get started,
we want to take a
look at that equipment
and make sure it's safe to use.
03:18
So first of all,
take a look at your package.
03:20
Make sure it's not
wet, it's not soiled,
the package itself
is not damaged,
then we want to remember to
check our expiration date.
03:29
So this is really important
on use of patients
because if it's out of
date, we cannot guarantee
that that's safe to
use on a patient.
03:38
Also, some sterile
equipment for example,
may have like a
sterile tape like this.
03:43
If it does, make sure this
is intact and not opened.
03:47
That way we can ensure
sterility of the equipment.
03:50
Now once we've
inspected our package,
let's now open our sterile kit.
03:54
And first, we're going to
perform our hand hygiene.
04:01
Now once we do this, we can remove
the plastic covering of the package.
04:06
We're going to have to take off this
intact tape here and peel this open.
04:16
We're going to remove this package
from the plastic covering
and open this up.
04:28
And we can get this
out of our way.
04:31
Alright,
so once I've got my package open,
I'm going to take this top flap.
04:36
I'm going to grasp the outside
of this and open that flap first.
04:41
Now before we get started,
one thing to keep in mind,
you're thinking, "Okay,
this is a sterile item.
04:45
I don't have gloves on,
I'm touching the outside."
So why this is acceptable is
because this outside portion
is what's going on the table
and not used on our patient.
04:55
Alright,
so let's look at this top flap.
04:58
We're going to grasp this and
open away from our body.
05:02
So one thing to remember about
sterile kits and these field,
it's really tricky because
sometimes this will try to
go flat back open on
your sterile field.
05:12
So a little trick I like to
do is take these corners,
and fold them kind of on
the outside and curl them,
so they don't flop
back this way.
05:21
The other thing you just saw
me do is touch the outside.
05:24
We'll talk about that
in just a second.
05:26
So once I've taken the top flap
and open it away from my body,
there's two side flaps, and I'm going
to take each one and open those.
05:36
So I'm grasping the
outside of the package,
opening this up
and I'm curling these
underneath themselves,
so they don't flop backwards.
05:46
I'm taking my neck next flap
and opening this as well.
05:51
And this can be
tricky, as you can see.
05:53
So notice I'm
touching these edges
and really trying to make
sure these curled down.
05:59
Then I'm going to
take my final flap
and I'm going to open
this toward my body.
06:04
Now watch when I do that,
I'm going to move away because I do
not want to interrupt my sterile field.
06:11
So now this is open,
a trick I want to show you,
it's really important that
we have this in the way
that we can perform
our patient care.
06:19
This is an ideal so
I can take the edges
and move this appropriately
or move it side to side.
06:27
Now a really important
concept was sterile field.
06:30
Well, there's a few.
06:31
First one is notice you saw me
touch that and you're thinking,
"Yeah, I thought you weren't
supposed to do that."
But you have a 1-inch border on a sterile
field that is acceptable to touch.
06:44
So again, you have a 1-inch
border around this sterile field
that is not considered sterile and we can
use this to move our package if need be.
06:54
So let's say I need to
move it up my table,
I can touch this 1-inch
and maybe move it
forward or back or
wherever I need it.
07:02
Now that this is open,
I cannot touch anything
inside this sterile field
and anything inside
this one inch border
because everything inside
the package is sterile.
07:14
And remember,
I don't want to leave this
and I want to maintain eye
contact on it at all times.