. Anchor the cuff on your thumb. With your
fingers still under the cuff, pull the cuff
up and away from your hand and over the
knitted cuff of the gown.
. Repeat the preceding step to finish glov-
ing your other hand.
To gown and glove the surgeon, follow these
Pick up a gown from the sterile linen pack.
Step back from the sterile field and let the
gown unfold in front of you. Hold the
gown at the shoulder seams with the gown
sleeves facing you.
Offer the gown to the surgeon. Once he
or she has the arms in the sleeves, let go
of the gown. Be careful not to touch
anything but the sterile gown. The cir-
culator will tie the gown.
Pick up the right glove. With the thumb
of the glove facing the surgeon, place your
fingers and thumbs of both hands in the
cuff of the glove and stretch it outward
making a circle of the cuff. Offer the glove
to the surgeon.
Be careful that the
surgeons bare hand does not touch your
Repeat the preceding step for the left
Cleaning the Operating Room
Cleanliness in the operating room is an ab-
solute must. Cleaning routines must be clearly
understood and carefully followed. The cause of
postoperative wound infections have on occasion
been traced to the operating room. Since no two
patients are alike and all patients have their own
resident bacteria, every surgical case must be
At the beginning of each day, all the fixtures,
equipment, and furniture in each operating room
are damp dusted with an antiseptic germicide solu-
tion. During the operation, keep the room clean
and orderly at all times. Should sponges be
dropped on the floor or if blood or other body
fluids spill, clean the area immediately using a
disinfectant germicide solution and a clean cloth.
Between each operation, clean all used items. The
area of the floor occupied by the surgical team
is cleaned, using the wet vacuum method. If a wet
vacuum is not available, mops may be used if a
clean mop head is used following each operation.
Gowns and gloves are removed before leaving the
room. All linens and surgical drapes are bagged
and removed from the room. All trash and
deposable items are bagged and taken from the
room. All instruments are washed by gloved hands
or placed in perforated trays and put through a
At the completion of the days operations,
each operating room should be terminally cleaned
using an antiseptic germicide solution with the
following tasks accomplished:
Clean all wall- or ceiling-mounted
Clean all spotlights and lights on tracks.
Thoroughly scrub all furniture used in the
room, including the wheels.
Clean metal buckets and other waste recep-
tacles and, if possible, put them through
Clean scrub sinks.
Machine scrub the entire floor in each
room. If a machine is not available, use
a large floor brush.
Suction up the disinfectant germicide solu-
tion that is used on the floor, using a wet
vacuum. If mops are used, make sure a
clean mop head is used for each room. The
use of mops in the operating room is the
LEAST DESIRABLE method of cleaning.
GENERAL SAFETY PRECAUTIONS
IN THE OPERATING ROOM
Since safety practices are important to em-
phasize, this section will cover some of the situa-
tions that are potentially hazardous and discuss
what might be done to eliminate the hazard.
All personnel should know the location of all
emergency equipment. This includes drugs, car-
diac arrest equipment, and resuscitators. All
electrical equipment and plugs must be of the ex-
plosion-proof type and bear a label stating such.
There should be written schedules of inspections
and maintenance of all electrical equipment. Navy
regulations prohibit the use of explosive anesthe-
tics in the operating room. These regulations,