![]() Personnel within the sterile field should wear scrub attire, caps, masks, and sterile gowns and gloves to prevent microbial transference to the sterile field, surgical site, and patient during the surgical procedure. Surgical hand antisepsis decreases the microbial counts on the skin and will reduce the transfer of microorganisms.Ģ. Before donning sterile gowns and gloves, surgical hand antisepsis should be performed according to AORN’s “Recommended practices for surgical hand antisepsis/hand scrubs” 2 and the manufacturer’s written instructions for the antiseptic. Scrubbed persons should function within a sterile field.ġ. The associated nursing diagnosis is X28: “Risk for infection.” The associated interventions that may lead to the desired outcome may be I21: “Assesses susceptibility for infection” I70: “Implements aseptic technique” and I98: “Protects from cross-contamination.” 1 The expected outcome of primary importance to this recommended practice is outcome O10, “The patient is free from signs and symptoms of infection.” This outcome falls within the domain of Physiological Responses (D2). This standardized language consists of the Perioperative Nursing Data Set ( PNDS ) and includes perioperative nursing diagnoses, interventions, and outcomes. ![]() The perioperative nursing vocabulary is a clinically relevant and empirically validated standardized nursing language. Aseptic practices are implemented preoperatively, intraoperatively, and postoperatively to minimize wound contamination and reduce patient risks for surgical site infections. Adherence to aseptic practices by all individuals involved in surgical interventions aids in fulfilling the professional responsibility to protect patients from injury. The creation and maintenance of a sterile field can directly influence patient outcomes. These recommended practices provide guidance for establishing and maintaining a sterile field. These practice settings include traditional operating rooms, ambulatory surgery centers, physicians’ offices, cardiac catheterization suites, endoscopy suites, radiology departments, and all other areas where operative and other invasive procedures may be performed. These recommended practices are intended as guidelines adaptable to various practice settings. Policies and procedures will reflect variations in practice settings and/or clinical situations that determine the degree to which the recommended practices can be implemented.ĪORN recognizes the numerous settings in which perioperative nurses practice. These recommended practices are intended as achievable recommendations representing what is believed to be an optimal level of practice. The AORN Recommended Practices Committee is interested in receiving comments on this proposal from members and others. It is being presented for review and comment at this time. The following proposed recommended practice for maintaining a sterile field was developed by the AORN Recommended Practices Committee. ![]() ![]() Recommended Practices for Maintaining a Sterile Field Go to and click the "Comments" link at the bottom of the page to leave comments. The comment period will close March 25, 2005. These recommended practices are being presented for public review and comment. The “Recommended Practices for Maintaining a Sterile Field” has been reviewed and revised by the Recommended Practices Committee.
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