gloving technique procedure

IPE shall be installed/removed in such a manner so that the worker is not exposed to contact from energized conductors or second points of contact. 6. Keeping your right fingers straight, pull down the glove with your left hand, using a combination of glove and sleeve pulling. Put on cleanroom gloves, gloves should be rolled over coverall sleeves. Key features Introduces the reader to the basics of veterinary surgical practice Includes many pencil drawings and clinical photographs to accompany the text Provides a useful resource for building basic surgery skills Covers key topics for ... Safely working on energized circuits and maintaining the reliability of the electrical system. Check out the Surgical Gloving Technique guide here. 0000002405 00000 n When gowning oneself, grasp the gown firmly and bring it away from the table. GLOVING TECHNIQUE . B. "This manual has been designed to introduce trainees to safe surgical techniques and obstetric clinical skills in a structured workshop environment. Inserts the dominant hand into the glove and draws it on leaving the cuff turned well down over the hand. Open gloving technique. Only qualified line workers shall be permitted to encroach M.A.D. 5. 2014 - 2015 ACORN Standards for Perioperative Nursing The process of scrubbing, gowning and gloving is one that all members of the surgical team must complete before each operation. 1201 Pennsylvania Ave. NW Washington, D.C. 20004 United States Put gloves on using "closed-gloving technique" • Open paper package of first set of gloves • Turn packet with fingers of gloves facing procedurer (Picture 2). (IPE) must be installed for the given voltage being covered. Gloves used in the medical asepsis need not to be sterile. Check out the Surgical Gowning Technique OSCE mark scheme here. external wrapper of the gloves when taking the gloves and to keep hands inside the cuff at all times during the gowning and gloving procedure. Non-Sterile Cleanroom Gowning Procedure Non-Sterile Cleanroom Gowning Removal Procedure Background of the study The operating theatre is a controlled environment where surgical teams have to adhere strictly to the infection control principles. 9. Top to bottom gowning technique. Open the package of gloves. The employer must ensure that any employee who performs energized line work is qualified (See 29 CFR 1910.269) through training and experience to perform the work assigned. Gloves must be powder free (powder may contaminate work area and can adsorb and retain hazardous drugs) and sterile Visually inspect gloves for defects prior to use. Anchor the cuff on your thumb. The majority of safety rules are written as a reactive measure. The only difference is that the scrubbed person extends the hands all the way through the cuffs and sleeves. Repeat the preceding step to glove your other hand. - One study conducted a prospective, randomized, trial of 143 procedures involving 284 people and found the glove failure rate (i.e., blood contamination of the fingers) was 51 percent when one glove was worn but only 7 percent with double-gloving. Wash hands with soap and water, and dry thoroughly- removing jewelry • Disinfect sterile gloves with 70% sterile IPA. In the surgical scrub, the hands and forearms are decontaminated. Found inside – Page 71Procedure. guideline. 3.8. Donning. sterile. gloves: open. technique. Purpose To have a barrier between the nurse's hands and the patient to prevent the transmission of infectious agents in either direction, and to prevent contamination ... If you are the scrub corpsman, you will have opened your sterile gown and glove packages in the operating room before beginning your hand scrub. Your healthcare provider wants you to change a dressing or perform other care using sterile glove technique. Repeat procedure with left glove. Approach the mayo stand again to open the gloves. Open Gloving 1. A few . The process of scrubbing, gowning, and gloving is one that all members of the surgical team must complete before each operation. Gowning and Gloving. This book is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. You are now ready to don your gown and sterile gloves. Medical Gloving . Following these steps, each and every time will help prevent contamination inside the cleanroom. Leave the cuff of the gloves folded to have an easy accessibility to pull towards the sleeves. Double glove with sterile gloves. Having the outside glove wrapper open before scrubbing allows the surgeon to lift the left glove with his/her right hand, holding the glove by the turned down cuff. When performing closed gloving, you must first pull the gown cuffs up and over your wrists before donning the gloves. 1692 0 obj <>stream This text aims to facilitate the more rapid learning required in a modern surgical programme, with concise chapters on the main techniques that need to be mastered in the early years of training. ASSISTED GOWNING & GLOVING PROCEDURE. After the procedure. Created by Matrix Group International, Inc. Discharge Instructions: Using Sterile Glove Technique. B. 4. Appendix 1 - Surgical hand preparation with an alcohol-based formulation. 2.2 This policy relates to all staff that are required to perform a scrubbing, gowning and gloving process to maintain a sterile field whilst performing and or assisting with using this Best Practice. 0000002093 00000 n ?����������9��� � :� � {#:��R�h����)�kH�H��� How does a line worker know if the IPE/IPPE is fit for service? • Left hand to grab the left glove on the opposite side • Flip gloves over onto palm of hand without fingers being out of the cuff.. It involves the donning of a sterile surgical gown and gloves in such a way as to maintain sterility of the outside of both gown and gloves. line workers are handling any such devices (including any tools, material or equipment that The main purpose of this book is to address some important issues related to gynecologic laparoscopy. Place the steps in order. During the surgical scrub, you must avoid harsh friction with the brush, because it causes irritation and skin breakdown. than the part being worked – are insulated with IPE. For URD equipment the criteria for the ‘Lock to Lock’ Best Practice shall be observed. Pick up one glove by the folded cuff edge . References 1. Self-gloving can be done using a closed or an open gloving technique. Sterile procedures are required before and during specific patient care activities to maintain an area free from microorganisms and to prevent infection. C. Pull the gown downward from the shoulders and off the arms. Aseptic technique aims to achieve asepsis during invasive clinical procedures - that is, the absence of sufficient pathogens to cause an infection in the client. Remove and discard the gloves using glove to glove and skin to skin technique. H��&8��33�+p.a�f�6��c�uPi`�ǰ逸ҏg\����&8^1�:x�8���CԈAP�������N0�3ph��b0s`Z�`ݨ����tn�N�� �(�a[|H00�7��Ȁ���e.�(3o����+���wf����Bu�q4���g�7 �A�oT�t �gW��� X�C Popular choices of cleanroom gloves include neoprene, latex, vinyl, nitrite, and tri-blend chemical gloves. Gowning and Gloving. using this Best Practice. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . x��T�K�a��}�~�5ܜ�Ћ��,S5��fFc�9IhJ�w,�1���K����]�H$E�@�.L"3 /� �����. The AORN "Recommended practices for sterile technique" provides guidance for setting up, maintaining, and monitoring a sterile field. Some surgeons and nurses have eagerly adopted the practice while others have stubbornly refused, citing objections ranging from poor fit, feel and comfort of wearing two sets An explanatory, nonexperimental design was used to determine differences between raters for each of two methods (direct observation and videotaped review) of evaluating open gloving technique of student practical nurses. gown and gloves. glove. This technique can be used if a catheterisation is performed on table by the circulating nurse. I&I BEST PRACTICE: ENERGIZED PRIMARY RUBBER GLOVING METHOD. The purpose of the Standards is to provide information surgical team members can use to develop and implement polices and procedures for gowning and gloving. Head Start staff are required to follow these directions when encountering the situations outlined in the Gloving Procedure. 10. You cannot work near or adjacent to a conductor that is uncovered if it is within your M.A.D. That completes our gowning procedure. <<474CACB763CB3341A8ED660EDEDAAAB1>]>> True. Safety Manuals & Rules. This technique is used for minor procedures when only the hands need to be covered (for example sterile patient preparation, bone marrow biopsy, urinary catheterization). Hold the glove you just removed in your gloved hand. 0000003733 00000 n How much cover is required when working with non-insulated tools? The term “extended reach” is used to describe being within five feet of energized conductors and/or equipment or having a conductive object within five feet of energized conductors and/or equipment. Aseptic Gowning Technique Aseptic Technique Gowning. double gloving for surgical procedures. 194 0 obj <>stream If upon inspection insulated protective equipment is found to be defective, the equipment shall be identified and removed from service. Gloving and Gowning • Surgical caps and masks are worn by all who are present in the surgery room . In the Clinical Skills Lab gloves are reused so please take the gloves off carefully -so as not to tear them 2. The purpose of creating a sterile field is to reduce the number of microbes present to as few as possible. the worker may be holding) they shall properly install the properly rated IPE to the extent Ensure all fingers are the right way out 3. reinforce best practices as related to gowning and gloving in the perioperative setting. ,���Q n �!��@_�t�H�∉"��c` �� If an employee(s) is working on a ground or the neutral, all energized phases within. Make sure to keep hands in the cuffs. Myth: Perforations in single-gloves are detected just as easily as with double-gloves. 1. that all parts within the workers M.A.D. Clean the trolley with soap and water or disinfectant solution as before. The skills and techniques necessary to distinguish exposed live parts from other parts of electric equipment. Surgical Gowning Technique Push the hands and forearms into the sleeves of the gown, advancing the hands only to the proximal edge of the cuff if the closed gloving technique will be used. Turn the second glove inside out while pulling it away from your body, leaving the first glove inside the second. For example, a nurse administering parenteral medication or . This new edition will also expand on common complications that might be encountered during surgical procedures and outlines how to best avoid or prepare for this situation. Assistant passes us an internal packaging of sterile gloves without touching the inner layer. 4. Remove gloves and place in waste bag. To gown and glove the surgeon, follow these steps: 1. h�b```b``fb`e``�aa@ 6 �X�d�ѠЦР�q�a��@I�,nW��� >�I���"�md2�"��­�K�f.�P� Covers all aspects of common shelter surgeries, including surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management Provides coverage of dogs, cats, rabbits, and other small mammals Written ... • Glove without assistance by touching only the inside of the glove. 2. Proper Sterile Gloving Technique for Non-Operating Room . All jewelry should have been removed. %%EOF As a result, this guide assumes you have already decontaminated your hands using an appropriate surgical scrubbing procedure. A. Wash hands with soap and water. Scrubbing, gowning and gloving technique MAMC Surgical Post Graduate Surgical Skill Course Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page Step 7 in the video on the previous page demonstrates how to use the closed-glove technique (05:30 minutes). Employees shall also be trained in and familiar with any other safety practices, including applicable emergency procedures (such as pole top and manhole rescue), that are not specifically addressed by this section but that are related to their work and are necessary for their safety. • Use sterile technique when donning, wearing, and changing the sterile gown and gloves. ,TE�?S�� ԙ^ Then proceed to gloving. [including extended reach] effective cover-up Topics include the use of surgical attire and personal protective equipment; appropriate selection and evaluation of surgical gowns, gloves, and drape products for each procedure; use of sterile technique to . which demonstrated that the double gloving technique significantly decreased contamination in most areas studied (P < .01). Phone: (202) 991-6300 Fax: 1-202-217-4171. Sterile means germ-free. They contain a Foley catheter, water-soluble lubricant jelly, a 10cc syringe with sterile water for the Foley balloon, a sterile drainage bag with sample port and tubing, sterile drapes, sterile gloves, iodine, sterile gauze, sterile specimen cup, and forceps. which is required by formal policy in most medical institutions. The procedure above is known as "'open glove technique", which is for use without a surgical gown. When working from an aerial lift the 'Cradle to Cradle' Best Practice shall be observed. 2. Presented by: CARMINA FELISILDA- GURREA, RN ASEPTIC TECHNIQUE: PRINCIPLES AND PRACTICES Surgical site infections (SSIs) are the second to third most common site of health care associated infections (HAIs). The glove material depends on how reactive the cleanroom environment is. 3. Truth: 6 there are some steps to be followed before wearing a pair of glove. 2. Gently pull the glove over the dominant hand making sure the thumb and fingers fit into the proper spaces of the gloves. The gloving technique is done immediately after the gowning technique. Peel off the second glove by putting your fingers inside the glove at the top of your wrist. 0000000016 00000 n Two pairs of ASTM- tested chemotherapy gloves must be used when compounding, administering, managing a spill, and disposing of hazardous drugs. The term “effective cover-up” is used to describe the installation of phaseto-phase rated insulating protective cover on energized conductors and/or equipment of different potentials when the lineman is within reaching distance or in areas extended by handling conductive objects. Putting on Gloves: 1. OSHA 29 CFR 1910.269(a)(2)(ii) qualified persons shall also be trained and competent in: Note: For the purposes of this section, a person must have this training in order to be considered a qualified person. GLOVING without assistance • Open sealed package of sterile gloves before scrubbing, gowning; place inner package on sterile surface • Once gowned, take cuff of left glove with right hand (1); make sure thumb in correct position • Slide glove onto left hand, wriggle fingers slightly to help • Only touch inside of glove, cuff with Putting on Gloves: 1. Applicable service dates shall be observed. Found inside – Page 9Surgical. techniques. Newer latex gloves actually have a much lower incidence of allergy given improvements in the process of creating latex gloves (Figures 3a and b). For longer procedures, formalsterile gloves are preferred. Approach the mayo stand again to open the gloves. The Standards are presented with the understanding that it is the responsibility of the HCF to develop, 11. How much cover is required if you are working on the center phase of a 3 phase circuit on cross arms? 0000003178 00000 n With your fingers still under the cuff, pull the cuff up and away from your hand and over the knitted cuff of the gown. Before getting into a position where the qualified line worker can reach into, extend any conductive object into, or extend any other part of the body into the M.A.D., properly rated IPE/IPPE shall be used to insulate/isolate energized conductors and/or other conductive parts at a different potential. False. Assessment of Hand Hygiene, Garbing, and Gloving Competency Documented visual observation of hand hygiene, garbing, and gloving technique should occur during initial orientation training of compounding personnel and at least once annually, for low- and medium-risk level facilities, and at least semi-annu- This handy, practical reference vividly describes techniques that are passed along orally, but rarely can be found in print in such a clear, concise presentation. gloving for all invasive/Interventional procedures. Sterile glove technique is a way to protect you from infection. What IPPE is required for working on energized ‘secondary voltage’ circuits? Employees shall be trained in and familiar with the safety-related work practices, safety procedures, and other safety requirements in this section that pertain to their respective job assignments. Selection of IPE/IPPE shall be for the circuit voltage class to be worked. Assessment of Hand Hygiene, Garbing, and Gloving Competency Documented visual observation of hand hygiene, garbing, and gloving technique should occur during initial orientation training of compounding personnel and at least once annually, for low- and medium-risk level facilities, and at least semi-annually . 2. Dispose of the gloves safely. 0000001357 00000 n Peel the glove away from your body, pulling it inside out. From patient preparation to hand washing, from equipment to basic surgical procedures, this highly practical manual by Drs. 6. A respected resource for decades, the Guide for the Care and Use of Laboratory Animals has been updated by a committee of experts, taking into consideration input from the scientific and laboratory animal communities and the public at large ... Walk over a cleanroom tack mat to prevent contamination before entering the cleanroom area. devices, the employee’s reach is extended the full length of that conductive device. Use of a double gloving technique decreased cross-contamination by greater than 50%. Energized or de-energized part(s) may have to be temporarily covered in order to install IPE on all parts necessary to insulate/isolate the part that is to be worked on. Clerical errors can prove fatal. The new WHO guidelines provide recommended steps for safe phlebotomy and reiterate accepted principles for drawing, collecting blood and transporting blood to laboratories/blood banks. In the surgical scrub, the hands and forearms are decontaminated.A sterile surgical gown and pair of gloves are subsequently donned; creating an aseptic environment. 1. Urinary catheterization kits are sterile. fSTEPS IN OPEN GLOVING. The employee(s) may be too close to the conductor. The circulator pulls the gown over the scrubbed person's By introducing the unpinning microbiology to explain how infection occurs and spreads and the practical steps and precautions that you need to follow, this book will equip you with the knowledge and information necessary to play your part ... IMPLEMENTATION: 4. Place the gloves on the paper wrapper with the fingers pointing AWAY from you a) Thumb on 'top' b) Right glove on right side c) Left glove on left . Isolator Sleeves and Gloves • Isolator sleeves and gloves must be checked and cleaned daily. 7. Grasp the 2 inch (5 cm) wide cuff with the thumb and the first two fingers of the non dominant hand, touching only the inside of the cuff. Safe Special Surgical gloves Affordable Price - Purchase online special surgical gloves with 100% safety guarantee on www.nulife.com, surgical gloves manufacturers online,Nulife is brought to you by MRK Healthcare, a medical technology company with a worldwide reputation for products that offer superior protection, with high levels of comfort and performance in over 70 countries around the world. h��VmO�0�+��i��q"�J}��X��S�~0�i���J� ���N���2҈����w�;e " --Dan O'Connor, Outpatient Surgery Magazine "This pocket-size book offers concise information for rapid reference, step-by-step instructions for perioperative practices, and evidence-based content based on current perioperative standards ... 3. Wash your hands. Do not use if defects seen. A suitable gowning procedure should start from top to bottom. The proper use [and selection] of the special precautionary techniques, personal protective equipment, insulating and shielding materials, and insulated tools for working on or near exposed energized parts of electric equipment. • Some facilities will use this classic scrub technique for the first scrub of the day, and then use a waterless scrub (which is like a special hand sanitizer for surgical procedures) prior to gowning and gloving for subsequent procedures. This manual was developed by members of the Pharmaceutical Microbiology Workgroup and includes individuals with specialized experience and training. The instructions in this document are guidelines for FDA analysts. Occupational Health. Designed specifically to meet the needs of nursing students in the initial stages of training, the book focuses on the essential knowledge and skills needed for effective patient-care while at the same time helping students to achieve the ... • Sleeves generally last about 6 months. We put an internal packaging of gloves on a clean surface . h. Surgical gloves worn during invasive surgical procedures should be changed when a visible defect or perforation is noted or as needed. Nine percent (413/4,381) of single gloves were perforated compared with 11% (457/4,150) of outer gloves in the double gloving group. The employee(s) may be standing too high on the pole. Safe working procedures and safety rules are implemented to prevent disabling injuries and to save lives. No. • If an employee(s) is working on the center phase on all configurations, all conductors, 4. trailer The energized conductor or equipment is insulated or guarded by properly rated protective equipment. • Don sterile gloves using appropriate technique so as to not contaminate sterile areas of the gloves. It is performed after gowning or, in the case of the open gloving technique, may be used during sterile procedures that do not require donning a sterile gown. Some surgeons and nurses have eagerly adopted the practice while others have stubbornly refused, citing objections ranging from poor fit, feel and comfort of wearing two sets 4.3 Aseptic Technique Open Resources for Nursing (Open RN) In addition to using standard precautions and transmission-based precautions, aseptic technique (also called medical asepsis) is the purposeful reduction of pathogens to prevent the transfer of microorganisms from one person or object to another during a medical procedure. The purpose is gloves are worn to complete the sterile dress in order that the one who wears them may handle sterile equipment. Make sure to keep hands in the cuffs. Donning A Sterile Gown And Gloves Closed Method Images. Gowning technique is shown in the steps of figure 2-4. Place the glove's rolled cuff edge at the seam that connects the sleeve to the gown cuff. Double glove with sterile gloves. This prevents touching of the outside surface of the glove. What voltage separates distribution voltage from transmission voltage? The purpose is gloves are worn to complete the sterile dress in order that the one who wears them may handle sterile equipment. Figure 2-5.-Gloving. If working from a structure, rubber protective insulating sleeves are not required when line workers are working circuits with a potential of 600 volts or less if there is no upper arm exposure and the worker will not encroach the M.A.D.to any primary conductors or equipment. This book is a practical guide to the basics of surgery for interns, residents and practising surgeons. Fold up the dressing/procedure pack and place all contaminated material in a bag designated for clinical waste, making sure all sharps are removed and disposed of in a sharps container. 180 0 obj <>/Filter/FlateDecode/ID[<9FD6D6B2B8C0BB41BDF716BA68C505C6><76B8BFEBC9CEAC46B1B9DBA44EFB7427>]/Index[156 39]/Info 155 0 R/Length 115/Prev 1516974/Root 157 0 R/Size 195/Type/XRef/W[1 3 1]>>stream They serve as a barrier when the nurse handles articles contaminated by the feces or wound . Having completed the hand scrub, back through the door holding your hands up to avoid touching anything with your hands and arms. Transmission of microorganisms can be minimized by aseptic procedures. The present study was undertaken to assess this basic clinical skill of donning surgical gloves among interns and to know whether this Unless an equipotential zone (EPZ) has been established, at the work location, for the protection of that worker, gloves & sleeves shall be worn. The contents of this volume essentially complements the volume 1; with chapters that cover both basic and advanced concepts on complex topics in oral and maxillofacial surgery. The first step in donning sterile gloves, after choosing the correct size is: A) Wash hand with soap and water using good hand washing technique B)Use the folded cuffs in the wrapper to open the sides fully C)Open the wrapper fully, touching only the outer 1inch edge of the paper D)Fold the first flap of the outer wrapper away from . Procedure for 'Surgical Scrub, Gown and Gloving'. Found inside – Page 3The closed-gloving technique. A, The hands are advanced to the edge of the cuff, but not through the cuff. B, The glove is placed down on the forearm, with the fingers pointed toward the elbow. C, The other hand stretches the glove over ... All rights reserved Step 3. 0000002172 00000 n All rubber/ plastic insulated equipment shall be inspected for any damage, wear or contamination that would compromise its ability to insulate or isolate the lineman from different potentials. Five trials compared the number of perforations detected by glove wearers during surgery in standard double gloving versus indicator systems (Duron 1996, Nicolai 1997, Avery 1999a, Laine 2001, Laine 2004a). 1682 11 double gloving for surgical procedures. 4. • IPE should be installed from below the conductor(s). Sterile technique means practicing specific procedures before equipment and paths to ground within M.A.D. To work on de-energized parts, can a line worker remove their gloves and sleeves after everything is covered properly? The closed-glove technique is used: A. only when the hands have never passed through the gown cuffs B. when regloving without assistance during the procedure C. to assist a surgeon in donning sterile attire D. as a method for correcting glove contamination f5. For over 50 years, Berry & Kohn's Operating Room Technique, 13th Edition has been the text of choice for understanding basic surgical principles and techniques. Found inside – Page 94Procedure guideline 4.9 Donning a sterile gown and gloves : closed technique An assistant is required to open the sterile gloves and tie the back of the gown . 94 95 97 from you. 99 + . Specific patient -. �^{�IWCB�� ��[��y�`�H�-��V��$���-�z]���[��]��Ƒ�[�x�P��؟�Ҁ*î�Y*UBpF�apٚ��p400Uttt00��0��Pg2#1��*��h� � Wash hands with soap and water, and dry thoroughly- removing jewelry © Electrical Transmission & Distribution Partnership 1995–TEXT. If your wearing a gown (such as in the OR), you shouldn't use open glove technique, but rather should use a different method called "closed-glove technique. Found inside – Page 402Types · Nursing Diagnosis • Open gloving: A method of applying the gloves by oneself while the hands are exposed. This method is used • Risk for infection ... Ibox 26.3 SN Nursing Action Rationale Closed gloving technique 1. 3.4.00 - Gowning, Gloving, and Masking Procedures . 1. All healthcare professionals are to follow this policy in order to protect patients from the risk of infection. Gloving Technique The following instructions will supplement the Head Start Gloving Procedure. The objective of this procedure is to familiarize the phlebotomy student in the proper method to don and remove the protective clothing required in isolation procedures. Correct positioning of the worker when applying rubber goods is of utmost importance. The Global Patient Safety Challenge, brings together the expertise of specialists to improve the safety of care. The area chosen for the first Challenge in 2005-2006, was infection associated with health care. The aerial lift device may be positioned too high or too close. Appendix 2 - Protocol for surgical scrub with an antiseptic solution. 1. The palm of the hand inside the gown sleeve must be facing upward toward the palm of the glove. Open Gloving Technique (page 279) Gowning for the open gloving method is the same as for the closed gloving method. When an employee(s) are able to reach past the IPE, one or more of the following may be occurring: 8. endstream endobj 157 0 obj <>>>/Lang(en-US)/Metadata 109 0 R/Outlines 142 0 R/PageLabels 146 0 R/PageLayout/SinglePage/Pages 149 0 R/Type/Catalog/ViewerPreferences<>>> endobj 158 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 159 0 obj <>stream Keywords: Anesthesia induction, contamination, dou-ble gloving, general anesthesia, intraoperative infec-tion control. 3. Berry & Kohn’s Operating Room Technique has been the text of choice for understanding basic surgical principles and techniques for more than 50 years. The main objective of this study is to compare adherence to preoperative sterile gowning and hand hygiene technique among . Objective . work area - that are at a different electrical potential If working from an insulated aerial lift workers shall follow the ‘Cradle to Cradle’ Best Practice.