Pre-op sterile nurse’s path

Pre-op sterile nurse’s path

In implant surgery, the rigor of the sterilization protocol and the quality of asepsis directly impact the safety of the procedure. The sterile assistant plays a central role in the preoperative phase, ensuring that the surgical environment meets strict aseptic standards. This preoperative pathway involves a sequence of precise steps that are essential for preventing healthcare-associated infections and ensuring the procedure runs smoothly.

1. anticipating surgical needs

Before the sterilization process begins, the sterile assistant must be aware of the planned procedure (single implant, bone graft, immediate loading, etc.), the surgeon’s preferences, and the number of people present in the operating room.

Based on this, the assistant prepares:

A customized sterilization trolley with the necessary instruments (contra-angle, tips, curettes, etc.)

Appropriate surgical kits (implant surgery, sinus lift, guided surgery, etc.)

Sterile single-use consumables: drapes, gowns, sleeves, gloves, irrigation tubing, etc.

2. preparation and verification of medical devices

All medical devices must be:

Cleaned, disinfected, and sterilized according to validated protocols (cycle at 134 °C for at least 18 minutes, per NF EN ISO 17665)

Stored in approved sterilization packaging, sealed and dated

Inspected for packaging integrity, expiration date, and sterility indicators

👉 Note: Any compromised or questionable material must not be brought into the operating room.

3. preparation of the operating room

The room must be set up before the patient enters, within a controlled timeframe to ensure environmental sterility.

The sterile assistant is responsible for:

Placing sterile drapes on the table and around the patient chair

Establishing sterile zones, with a logical organization of instruments and supplies

Disinfecting surfaces using detergent-disinfectants compliant with EN 13727 and EN 13624

Setting up DASRI waste bags for immediate disposal of contaminated materials

4. gowning and entering the sterile zone

The sterile assistant is the first to gown and enter the sterile area:

Surgical handwashing per EN 1499

Donning sterile attire (gown, gloves, cap, FFP2 or surgical mask based on risk level)

Checking the proper gowning of the rest of the team

Assisting the surgeon with sterile gowning, ensuring no aseptic breach occurs

5. intraoperative anticipation

Though part of the intraoperative phase, the sterile assistant must anticipate surgical steps and organize the instrument table accordingly:

Sequencing instruments based on the procedure’s stages

Ensuring quick access to backup items (extra sleeves, suction, hemostatic materials, etc.)

HYGITECH recommendations for an optimized preoperative pathway

Sur le sujet

Non sterile isolation gown

• Packung mit 100 Stück Packung mit 100 Stück

Blouse d'isolation stérile par 50

• boite de 50 boite de 50

Recharge poches à déchets d'aspiration

ADAPTATEURS CANULES HYGITECH (1)

• 1 Stück 1 Stück

Protection sleeve 90 cm with adhesive for tubing

• Packung mit 250 Packung mit 250