Recently at work we have begun to implement the new AORN standards including wearing jackets in the OR around open sterile supplies. I as a circulator don't generally have an issue with new expectations coming down the pike but after this being implemented several months ago, am a bit concerned with this.
Prior to this new requirement, when I washed my hands, I washed all the way up to my elbows. Now when I wash my hands, I wash my hands to the sleeve of my jacket and that is it.
The problem is that when a patient comes into the room and we have to help them over on the bed from the stretcher or back, many times my forearms are coming into contact with the patient while rolling. The next patient receives the same treatment but I have likely not changed my jacket or washed my forearms/sleeves.
In an ideal world, I would have had the time and replaced my jacket with a clean one but in actual practice, I don't.
How do others feel about this new expectation? It was put into place to prevent the spread of contamination and infection but in reality and practice, is it?
I understand that there are a lot of practices that I may not agree on the effectiveness but I still follow them and will support their implementation but this is one that I just can't seem to wrap my head around the efficacy of it.
Anyway, if you have a moment to share your ideas or thoughts, I would love to hear them. Thanks
No the Dr/PA/Tech's etc who scrub in remove the jackets before washing. They don't wear it when scrubbed in . The circulating nurse/reps etc wear the jacket.
Last edit by OR-RN2011 on Jan 21, '12
: Reason: typo