Infection Control Practices Policy Surgical Attire Revisions

Infection Control Practices Policy
Surgical Attire Revisions
Infection Control Practices Policy
Surgical Attire Revisions
Upon arrival prior to assuming initial
duties in the semi-restricted or
restricted areas, all personnel must
change into clean surgical scrub attire
that is hospital issued and laundered
by the facility or a facility approved
laundry service
• Previous policy did not specify
that surgical attire must be
donned upon arrival to
hospital/procedural area or that
scrubs must be laundered by the
facility as required by the AORN
Guidelines.
Infection Control Practices Policy
Surgical Attire Revisions
All healthcare personnel may wear
surgical scrubs outside of the
restricted or semi-restricted areas
without changing upon return if the
following are adhered to:
• Wear a clean lab coat/cover
garment over the surgical scrubs
• Remain on the UCLA campus
including the Medical Plaza and
Neuroscience buildings
•
Clarification of where scrubs can be worn
once donned in the restricted or semirestricted areas was added.
Infection Control Practices Policy
Surgical Attire Revisions
All healthcare personnel must change
their surgical scrubs as follows:
• At least daily
• Whenever they become soiled
• After being involved with an
infected case
• After leaving the UCLA campus
and returning to a restricted or
semi-restricted area
• After traveling between the
Westwood and Santa Monica
campuses and returning to a
restricted or semi- restricted area
• Clarification of when scrubs must be
changed once donned in the
restricted or semi-restricted areas
was added.
Infection Control Practices Policy
Surgical Attire Revisions
Incorrect
Correct
Surgical attire consists of a two-piece
pantsuit and hat or hood. Additional
attire worn underneath should be
confined. No long-sleeved shirts are
permitted.
• Statement added not permitting long
sleeved shirts under the scrubs.
AORN Guidelines require
undergarments to be “contained”
under the scrubs.
Infection Control Practices Policy
Surgical Attire Revisions
Personnel may wear long-sleeved
jackets made of non-linting material
that are approved for use in the semirestricted or restricted areas and
laundered by the facility or a facility
approved laundry service.
• Consistent with the AORN
Guidelines.
Infection Control Practices Policy
Surgical Attire Revisions
Correct
Incorrect
All personal head coverings must be
fully covered by the facility-approved
fluid resistant disposable cap.
• Consistent with the AORN
Guidelines.
Infection Control Practices Policy
Surgical Attire Revisions
All backpacks and brief cases
brought into the semi-restricted or
restricted areas must be placed in a
plastic bag and stored in a
designated area off the floor.
Any items needed for patient care
such as cameras or computers or
stethoscopes should be removed
from the bag prior to the procedure
and cleaned appropriately
considering the manufacturer’s
recommendations and guidelines, if
pertinent.
• Consistent with AORN Guidelines
and the Standard of the Community.
Infection Control Practices Policy
Surgical Attire Revisions
It is recommended the shoes worn in
semi-restricted or restricted areas
have closed toes and backs, low
heels, non-skid soles and not have
holes or perforations.
Shoe covers are mandatory for shoes
that have been worn outside of the
restricted areas and optional for
shoes only worn within the restricted
areas.
• Revision bases on Senior
Leadership’s recommendation.
Infection Control Practices Policy
Surgical Attire Revisions
Cuticles, hands, and forearms are
free of open lesions and breaks in
skin integrity (e.g. sutured
lacerations, ulcers, cuts, tears, open
wounds). No bandages or dressing
are allowed under sterile gloves.
• Policy expanded.
Bandages are not allowed under sterile gloves
FAQ’s
1.
What is a restricted or semi-restricted area?
 Restricted areas include the operating and invasive procedure rooms and the clean
cores.
 Semi-restricted areas include the peripheral support areas of the surgical suite which
have storage areas for clean and sterile supplies, work areas for storage and
processing of instruments, and corridors leading to the restricted areas of the surgical
suite.
2.
When should I change my scrubs?
 At least daily
 Whenever they become soiled
 After being involved with an infected case
 After leaving the UCLA campus and returning to a restricted or semi-restricted area
 After traveling between the Westwood and Santa Monica campuses and returning to a
restricted or semi-restricted area
3.
Can I bring my backpack/computer into the OR?
 All backpacks and briefcases brought into the Operating Room must be placed in a
plastic bag and stored in a designated area off the floor. Please remove any items
needed for patient care (cameras, computers, stethoscopes, etc.) prior to the
procedure and clean appropriately, if pertinent.
FAQ’s
4.
Can I wear a long sleeve shirt under my scrubs?
 You may not wear a long sleeve shirt under your scrubs. AORN guidelines require
undergarments to be “contained’ under the scrubs.
5.
Can I wear a cloth hat?
 You may wear a cloth hat but it must be covered by one of the Operating Rooms fluid
resistant disposable cap.
6.
May I wear clogs?
 It is recommended that the shoes worn in the Operating Room have closed toes and
backs, low heels, and non-skid souls. They may not have holes or perforations.
7.
Do I need to wear shoe covers?
 Shoe covers are mandatory for shoes that have been worn outside of the restricted
area and optional for shoes only worn within the restricted areas.
8.
I have a bandage on my hand. May I scrub and glove over it?
 Cuticles, hands and forearms must be free of open lesions and breaks in skin integrity.
No bandages or dressings are allowed under sterile gloves.
FAQ’s
9.
I work at RR. May I wear my scrubs to the Medical Plaza?
 You may wear scrubs outside of the restricted or semi-restricted areas if:
 You wear a clean lab coat or cover gown over your scrubs
 Remain on the UCLA campus. This includes the Medical Plaza and Neuroscience
Buildings.
 If you travel from RR to SMH or vice versa, you must change scrubs upon entering a
restricted or semi-restricted area.
10.
Do I have to wear a cover gown when leaving a restricted area?
 Yes. There is one exception: the healthcare personnel transporting patients to the ICU
and immediately returning to the restricted or semi-restricted area do not need to don
a cover garment.
11.
May I wear a fleece jacket in the Operating Room?
 No. Personnel may wear a long sleeve jacket that is made of non-linting material and
is approved for use in the Operating Room or any other restricted and semi-restricted
areas.
12.
Am I allowed to wear personal scrubs or launder my scrubs at home?
 Only the green hospital issued scrubs may be worn. You may not wear personal
scrubs or home launder scrubs.