Surgical |

Surgical gown donning

Why and how to put on a surgical gown aseptically

How do you maintain patient and staff safety in the OR? In addition to other personal protective equipment (PPE), such as face shields and isolation gowns, surgical gowns protect both the patient and operating room personnel from the transfer of microorganisms, bodily fluids and particulate material. PPE and surgical gowns are regular parts of standard patient and staff safety protocols, but during the COVID-19 pandemic, a greater need suddenly emerged and made the importance of proper protection clearer than ever.

Why don a surgical gown

Surgical gowning procedures are critical to successful and safe surgical procedures. Applying aseptic technique in donning – or wearing – a surgical gown is central to patient and OR staff safety in surgery.

Surgical gowns:

  • Protect staff from transfer of microorganisms, bodily fluids and particulate material
  • Maintain the sterile operating area
  • Help prevent infections of the surgical wound

Improving patient and staff safety and outcomes

Patient and OR staff safety in the surgical environment depends on many factors, but maintaining an aseptic environment is critical to improving patient and staff safety in the operating room. Patient safety equipment, such as surgical gowns and gloves, make up the tools healthcare professionals use in the operating room to support aseptic practice. Aseptic technique consists of a set of processes and steps that help to minimise the risk of introducing pathogens into a sterile operating room and are part of overall patient safety protocols that surgical teams follow.

And even in non-theatre situations, protective equipment can be important for healthcare professionals. When the COVID-19 pandemic suddenly struck, PPE like FFP face masks and face shields became critical. Even though surgical procedures were cancelled in most countries, non-sterile PPE protected wearers from contamination.

Minimising risk of surgical site infections (SSIs)

Use of personal protective equipment and adhering to aseptic practice is critical to minimising risk of contamination that can lead to complications, such as surgical site infections (SSIs). Surgical gowns are one such form of protection. Patient outcomes are not sufficient, and patients need additional treatment when they contract SSIs.

Surgical gowns as OR staff and patient safety equipment

Surgical gowns provide protection for both OR staff and patients. Gowns act as a barrier against microbial transmission, and with a physical barrier in place, it is less likely that microorganisms will transfer between patients and staff. Surgical gowns also help minimise the shedding of skin cells and other contaminants, reducing the risk further.

Safety first: Being prepared with gowns and appropriate PPE

When the COVID-19 pandemic hit, hospitals and healthcare organisations suddenly required an unprecedented amount of protective equipment, such as FFP masks, face shields, and standard surgical gowns as well as isolation gowns. Most hospital facilities faced shortages, prompting many healthcare organisations (and even governments) to include additional PPE supply to be able to meet future health crises safely.

Mölnlycke was one of the few suppliers who could support the need for high-quality PPE devices and face masks from the beginning to the end of the pandemic, recognising even before the pandemic that being prepared is one key element of prevention and protection. Making sure you have enough of the right PPE on hand to protect patients and staff is step one to maintaining safety and supporting a culture of safety

How to maintain patient safety: Preparing for aseptic gown donning

Before putting on a surgical gown, full aseptic preparation process takes place to maintain the sterility of the operating room environment.

Surgical gown donning

The nine steps of how to put on a surgical gown aseptically

 

  • A surgeon opening the gown
    1. 멸균 가운을 잡고 오염의 위험이 없이 가운을 열 수 있는 영역으로 들어갑니다. 양손을 진동에 넣는다. 가운을 몸에서 멀리 잡고 완전히 펴도록 합니다. 

  • Healthcare professional demonstrating second step of donning a gown
    2. 양손과 팔뚝을 진동과 소매에 밀어 넣습니다. 손을 어깨 높이에 놓고 몸에서 멀리 두십시오.

  • Healthcare professional demonstrating step 3 of gown donning
    3. 오픈 장갑을 착용하는 경우 커프를 엄지 손가락 높이로 당깁니다. 닫힌 장갑을 낀 경우 손을 커프 가장자리로 밉니다.

  • Surgeon and circulating nurse demonstrating step 4 of gown donning
    4. 순환 간호사는 가운 안쪽만 만지면서 가운을 어깨 너머로 당겨야 합니다.

  • Healthcare professionals demonstrating step 5 of gown donning
    5. 순환 간호사는 후크 및 루프 고정을 준비해야 합니다.

  • Healthcare professionals demonstrating step 6 of gown donning
    6. 순환 간호사는 가운의 내부 벨트를 묶어야 합니다.

  • Healthcare professional demonstrating step 7 of gown donning
    7. 그런 다음 장갑을 끼십시오. 장갑 후 벨트 카드를 양손으로 잡고 왼쪽 바깥쪽 벨트를 벨트 카드에서 분리하고 벨트를 왼손에 둡니다. 

  • Healthcare professional demonstrating step 8 of gown donning
    8. 순환 간호사에게 벨트 카드를 건네고, 순환 간호사가 외부 벨트를 전체 길이로 늘리는 동안 왼쪽으로 3/4 회전하십시오. 

  • Healthcare professional demonstrating step 9 of gown donning
    9. 순환 간호사가 들고 있는 벨트 카드에서 바깥쪽 벨트를 꺼내 왼쪽에 있는 다른 바깥쪽 벨트와 함께 묶습니다. 

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