The gloves of the instrument nurse were accidentally punctured by a needle while the surgery going on, does the instrument nurse can proceed to assist?

The circulating nurse keep 1 foot distance from the mayo table while offering the additional sterile instruments with the picking forcep, does the nurse maintain the sterility within the OR field?

When the surgeon announces for closure of the operative site, the needle slip on the hand of the instrument nurse and it fell down, is that sharp object can still be used?

The circulating nurse already setting up the sterile field and lay out sterile instruments. She remains in the room while waiting for the other surgical team members. Is the action ideal?

Circulating nurse opened the sterile pack with his bare hand and placed it on the mayo table, does the nurse able to maintain the sterile field free from any contamination?"

1. It is also known as puncture gloves of the instrument nurse or the Instrument Nurse Puncture.

 Scenario: While on the surgery the instrument nursejongled the needle and accidently pierced his/her hand with it.

 Action: Cleared punctured gloves are a no-no, the instrument nurse should refrain from helping that way. In the event that gloves are breached they turn into a way of contaminating the sterile space around the operation region. The problem should be raised to the surgical team and the affected gloves discarded, and the nurse puts on a new sterile gloves to continue the process.

 2. Circulating Nurse and Sterility

 Scenario: The circulating nurse position herself one feet from the mayo table as will offer additional sterile instruments with the helping of the picking forceps.

 Action: Yes the nurse can maintain sterility in this depending with the need for the surgical aseptic measure. Since the circulating nurse does not come in close contact with the operating room field while assigning sterile instruments with forceps she does not compromise on the sterility of the OR field.

 3. Dropped Needle

 Scenario: This moves on stage with the needle dropping on the theatre floor immediately after the surgeon announces the sterillization and closure of the wound.

 Action: No, the needle should not be again used because it spreads the infections from one patient to another, this can be done by the bacteria. Any object that has a sharp edge that is dropped on to the floor is believed to have landed on several different stains and therefore cannot be rolled on an area that is regarded as being sterile. It should be disposed off, and a new needle should be gotten for the process.

 4. Present Practice Pertaining to the Circulating Nurse Preparing the Sterile Field

 Scenario: The circulating nurse locates the uncontaminated zone and positions the instruments/tools and the circulating nurse remains in the operating room awaiting the other surgical members to come.

 Action: However, the performance of this action, is not preferred. The circulating nurse should ensure that the supplies in the sterile manner and then leave the field so that they do not compromise the tissue. The circulating nurse should attempt not to repeatedly go through the steri field again, if possible should use a belt and braces approach to barrier precautions.

 5. Some examples are; It is unlawful when handling or opening sterile pack the practitioner touch it with bare hands.

 Scenario: Ambulatory nurse using front hand they ask for sterile pack then connect the sterile pack used front hand and put it over mayo table.

 Action: However, doing so is unbeneficial as such an action undermines the intactness of the pack’s hygiene. The packs should be opened in as sterile manner as possible to ensure that the pack is not contaminated with bacteria; this could be achieved by wearing aseptic gloves or in opening the pack in a manner that will not bring into contact with the contents of the pack. Though, it may not be appreciated fully, the nurse should not touch the area singled out for the sterile surgery known as the sterile filed.

 Summary

 Punctured gloves: As simple as touching an object, do not continue to wear gloves; switch gloves if possible.

 Distance from mayo table: ,but safe if forceps are used with a correct aseptic method.

 Dropped needle: Garbage; the material that it is made from cannot be recycled; the garment is unwelcome.

 Circulating nurse waiting: After setup is complete, should leave the sterile field or only minimal necessary motion should be done around surgical area.

 Opening sterile pack: MUST be done aseptically; handling with hands is forbidden.

 Technique of sterile measures and requirements is most useful to health facility particularly throughout operations with a purpose of minimizing infection