PRINCIPLES of STERILITY

Review

 Principle Number 1: Only sterile items are used within the sterile field.

 Principle Number 2: Sterile persons are gown and gloved.

 Principle Number 3: Tables are only sterile at Table Level

 Principle Number 4: Sterile Persons Touch ONLY Sterile Items while Unsterile OR Personnel Touch Only Unsterile Items

 Principle Number 5: Unsterile persons avoid reaching over sterile field and sterile persons avoid touching or leaning over an unsterile area.

 Principle Number 6: Edges of anything that encloses sterile contents are considered unsterile

 Principle Number 7: Sterile field is set-up just before a surgical procedure

 Principle Number 8: Sterile areas are continuously kept in view.

 Principle Number 9: Sterile persons keep well within sterile area.

 Principle Number 10: Sterile persons keep in contact with sterile areas to minimum.

 Principle Number 11: Unsterile persons avoid sterile areas.

 Principle Number 12: Destruction of integrity of microbial barriers result in contamination

 Principle Number 13: Microorganisms must be kept to irreducible minimum

CONFIDENTIALITY
REVIEW

CONFIDENTIALITY
keeping information given by or about an individual in the course of a professional relationship secure and secret from others. respecting other people's secrets, which they would not want to become further known without their consent.

 The obligation to maintain confidentiality does not normally end with the individual's death. It applies to all forms of transmission;
Verbal Written Digital Manual or hardcopy records Videos and illustrations etc.

CONSIDERATIONS in Breaching CONFIDENTIALITY

Cases in which the professional knows or suspects that an individual is acting illegally. Cases in which the professional knows or suspects that an individual is harming others. Cases in which the professional knows or suspects that an individual might harm others in the future. Cases in which the professional knows or suspects that an individual is harming themselves.

 Cases in which the professional knows or suspects that an individual might harm themselves in future. Cases in which the professional knows or suspects that a minor is being exploited or abused by others. Cases in which the professional knows or suspects that a competent adult is being exploited or abused by others.

SAFETY

SAFETY

10 Essential Objectives of OR Safety by WHO

1. The team will operate on the correct patient at the correct site. 2. The team will use methods known to prevent harm from administration of anesthetics, while protecting the patient from pain. 3. The team will recognize and effectively prepare for life-threatening loss of airway or respiratory function.

10 Essential Objectives of OR Safety by WHO

4. The team will recognize and effectively prepare for risk of high blood loss. 5. The team will avoid inducing an allergic or adverse drug reaction for which the patient is known to be at significant risk. 6. The team will consistently use methods known to minimize the risk for surgical site infection.

10 Essential Objectives of OR Safety by WHO

7. The team will prevent inadvertent retention of instruments or sponges in surgical wounds. 8. The team will secure and accurately identify all surgical specimens. 9. The team will effectively communicate and exchange critical information for the safe conduct of the operation. 10. Hospitals and public health systems will establish routine surveillance of surgical capacity, volume and results.

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