Dressing table preparation

Authors: Rednenko VV, Rednenko LI, Poplavets E.V.

Editor: Rednenko V.V.

Note:

• Performed in the dressing room.
• The sterile table is set up for 6 hours.
• After taking the instruments from the table, it is immediately closed.
• The nurse takes the instruments from the sterile table with sterile dry tweezers.
• Unused instruments taken from the sterile table are not returned.

Target: maintaining the sterility of medical instruments, syringes, needles, which ensures the prevention of nosocomial infections.

Clinical situation:

Set up a sterile dressing table for dressing.

Equipment for the practical skill:

• manipulation table;
• work table:
• sterile box (dressing material: cotton balls, gauze napkins, gauze balls; suture material, medical instruments, etc.);
• gloves, mask, gown;
• disinfectant solution;
• clean napkins;
• container for used material;
• sterile box on a pedal unit (gown, mask, gloves, cap, sheet, tweezers, linen pins, container for tweezers).

Order of the skill performance:

Preparatory stage:

• Before setting the sterile table, the nurse should:
• wash her hands (see practical skill "Hygienic hand washing")
• put on a mask and gloves
• treat the table twice with a disinfectant solution at 15-minute intervals, then remove the remaining disinfectant solution with a clean rag
• remove gloves, wash hands (see practical skill "Hygienic hand washing").
• check the box with clothes (tightness, sterilization date), put the opening date and time on the tag.
• perform hygienic hand treatment (see practical skill "Hygienic hand antisepsis")

Main stage:

• open the box on the pedal unit, check the indicator color change according to the standard
• take out sterile tweezers from the box and take out one by one:
  
  • tweezers container (put on the work table)
  • sterile gown, mask, gloves (put on according to the algorithm)
• take out the sheet with sterile tweezers and put it in your left hand, place the tweezers in a dry sterile container
• unfold the sheet folded in 4 layers on outstretched arms and cover the procedure table with a movement "away from you" so that the lower edges hang down by 20-30 cm
• grab only the 2 upper layers at the edges with 2 pins in front (the table is covered)
• open the sterile table by the front pins "away from you", fold the layers like an accordion, not bringing them to the edge by 10-15 cm, the pins hang down behind the table
• put the necessary on the table with tweezers sterile instrument, dressing material in a convenient order (or according to the diagram)
• take by the front pins, lift them up, straighten the "accordion" and with a movement "towards yourself" close the table without touching the sterile part of the table.

Final stage:

• Attach a tag to the upper left corner of the sheet (indicate the date, time of setting the sterile table and the signature of the nurse).