Hand hygiene, sterile barrier and skin preparation protocol

Hospital Infection Control

KEIT DAY HOSPITAL

Hand hygiene, sterile barrier and skin preparation protocol

Official Manual of Clinical, Care and Organizational Protocols

1. Document Control Information

2. Scope of Application

Applicable to all surgical activities, invasive dressings and every procedure requiring sterile technique.

3. Responsibilities

• All healthcare professionals: hand hygiene and compliance with sterile technique.
• Scrub nurse and operating room nurse: verification of the correct preparation of the instrument table and sterile field.
• Operating surgeon: supervision of compliance with aseptic conditions.

4. Operating Procedure

• Perform hand hygiene using the appropriate technique and at the times specified by the protocol.
• Correctly wear a surgical cap, mask, sterile gown and single-use sterile gloves.
• Prepare the surgical field using sterile, waterproof, single-use kits and dedicated materials.
• Perform the patient’s skin preparation according to the procedure, with careful antisepsis and compliance with the contact time of the product used.
• Repeat skin preparation when required by the procedural protocol and in the event of contamination.
• Immediately replace gloves or sterile materials in the event of breakage, contamination or suspected contamination.
• Document any deviations from the protocol and implement corrective measures.

5. KEIT Operational Standards

• In the KEIT operating theatre, the patient’s skin is thoroughly disinfected according to the surgical team’s operating protocol; for implant procedures, the protocol requires maximum attention to timing, asepsis and continuity of the sterile field.
• For procedures involving breast implants, the team requires a change of sterile gloves before the final placement of the implant.
• Surgical hand antisepsis is performed before sterile gowning by all personnel involved in the sterile phase.

6. Records and Documentation

• Operating room preoperative checklist.
• Sterile technique non-conformity register.
• Staff training records.

7. Review and Updates

Periodic updates based on operating room audits, training and reviews of IPC procedures.

8. Related Attachments and Forms

• Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
• Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.

9. Final Approval