IC0023: Attire for Surgical and Procedural Areas Developed 7/29/2015 jg Reviewed 7/30/2015 cm “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas All persons who enter semi-restricted area of the hospital’s designated surgical and invasive procedure areas wear approved attire to protect both patients and perioperative personnel. Only hospital issued and laundered scrubs are worn in Operating Rooms (OR)/procedural areas. “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Restricted Area: A designated space contained within the semi-restricted area and accessible only through a semi-restricted area. The restricted area includes the operating and other rooms in which surgical or other invasive procedures are performed. (AORN) “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Scrubs must be taken from scrub machine daily. These are changed promptly if they become wet or contaminated. Home laundering is not permitted. “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Scrubs must be clean and hospital-laundered What is wrong with this picture? Home laundering cannot reach Sustained temperatures high Enough to sanitize clothes to the Degree needed for surgical/procedural Wear. “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Semi-restricted Area: The peripheral support areas of the surgical/procedural suite The area may include storage areas for equipment and clean and sterile supplies; work areas for processing instruments; sterilization processing room(s); scrub sink areas; corridors leading from the unrestricted area (i.e. Nursing stations) to the restricted areas of the suite Access to the semi-restricted area is limited to authorized personnel and patients accompanied by authorized personnel. (AORN) “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Transition Area: Traffic is permitted to allow movement of personnel from unrestricted to semi-restricted or restricted areas Personnel may enter in street clothing and exit into the semi-restricted or restricted area in surgical attire “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Monitored Unrestricted Area: Permitted traffic includes authorized personnel, patient, and their families Health Care Workers (HCW) in scrub attire use this area of transition for the purpose of patient management and hospital business “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Restricted and semi-restricted areas include: Labor and Delivery ORs Cardiac Cath Lab EP Lab Operating Rooms Interventional Radiology CVC (Cerebro Vascular) Suites Central Sterile “THE STONY BROOK WAY IS MY WAY”

“THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas OR/Procedural Scrub Attire is not to be worn to and from work or between facilities. When wearing OR/procedural scrub attire in the UNRESTRICTED areas, a tied closed cover gown or a clean and buttoned lab coat is required. Not Acceptable “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Wearing OR/procedural scrub attire outside Is a violation of policy “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas All persons must cover their head and facial hair when in the semi-restricted and restricted areas-NO EXCEPTIONS. Hair coverings must cover ALL facial hair, sideburns, and hair at the nape of the neck. Only hospital supplied head coverings are worn. Knight hoods and masks are required for facial hair If Knight Hood and mask do not cover all facial hair, a bouffant cap is used to contain any remaining exposed hair “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas All facial and head hair must be completely covered “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Masks are worn in the presence of scrubbed individuals, or when open sterile supplies or equipment is present Masks must cover the nose and mouth completely, fitting snugly beneath the chin Masks are available over each scrub station and are changed after each use “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas What’s Wrong With This Picture? A clean mask should be donned before every procedure. Masks should not be worn hanging from the neck. The mask should always be worn above the nose. Masks must be worn when open sterile supplies and equipment are present Masks must be removed before leaving the procedure area and changed between cases “THE STONY BROOK WAY IS MY WAY”

“THE STONY BROOK WAY IS MY WAY” Policy IC0023 attire for surgical and procedural areas Street clothes are NOT worn under surgical attire. Tee shirts, if worn, must be completely covered by surgical attire including the neck area. “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas Undershirts must be completely covered by scrubs if worn “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas All head and neck jewelry with the exception of stud earrings must be removed- NO EXCEPTIONS Stud earrings may remain only if they are covered at all times Bracelets and loose fitting watches are not permitted Rings and watches are not worn by those who perform a surgical scrub “THE STONY BROOK WAY IS MY WAY”

Policy IC0023 Attire for Surgical and Procedural Areas “THE STONY BROOK WAY IS MY WAY”

“THE STONY BROOK WAY IS MY WAY” Reference: SBUH Policy and Procedure: IC0023: Attire for Surgical and Procedural Areas; 7/28/2015 “THE STONY BROOK WAY IS MY WAY”