1. Preparation for Surgery Sterile Field Maintenance
Sterile preparation of Back Table, Mayo Stand, Ring Basin, and Prep Stand

2. Textbook Reading
Review Pages thoroughly

3. Back Table

4. Back Table
Provides a large sterile area for preparation and storage of needed supplies and equipment
All instruments and supplies that are needed for a surgical procedure are kept on the Back Table
The Back Table is usually the first to be set up

5. Back Table Setup
Back table should be positioned so that the STSR can retrieve needed supplies and instruments without turning their back towards the back table
Position yourself to conserve steps and unnecessary movements
Try to stay centered on the back table and use your shoulders and arms to move needed items
Work in sections on the back table
Learn a logical and efficient pattern for back table setup
Repeat the same setup pattern for every case
Be aware of all movements near your sterile back table

6. Back Table Setup Techniques
Place drapes in order of use. Items can be placed on a corner of a back table, draped mayo stand, or basin in the ring stand
Other supplies may be place in their permanent locations such as sponges, medicine cups, needle board, saline container, and bowls
Place basins and medicine cups near but not over the edge of the back table
Place instrument tray (s) on your designated area on back table
Remove loose instruments in tray (s) and place stringed instruments on a towel roll
Replace loose instruments in a manner that enables quick handling and accurate counting
All sharps should be place in needle board to prevent injury

7. Back Table Setup Techniques
Back table should be orderly and consistent
Position of all sponges, needles, blades, and instruments should be accessible and easily counted
All liquids and medicines should be labeled and placed in a safe area until needed
Adequate work area should be maintained for tasks during surgery or additional instrumentation

8. Back Table Setup Organization is the key to efficiency
Efficiency is the key to organization

9. Common Back Table Setup

10. Back Table Set up Example

11. Back Table Set up Example

12. Tray Set up Example

13. Mayo Stand

14. Mayo Stand The mayo stand is a modified table
The mayo stand can be adjusted in height and moved to and from the sterile field
All necessary and immediate items are placed on the mayo stand for immediate use
When moved over the patient, the bottom side is considered contaminated due to that space being unobserved during surgery
Do not place hands or items under mayo stand
The mayo stand is used often and frequently
May not use mayo stand on hand cases

15. Mayo Stand Setup
Use towels to help pad mayo stand and prevent instruments from going through mayo stand cover
Place instruments that are most likely to be used on mayo stand
Use a rolled towel to position stringed instruments on mayo stand
Close ratcheted instruments that go on mayo stand
Typically place all hemostats and then other ringed instruments in pairs
You need something from every instrument classification
Think patient anatomy and pathology
Place scissors with tips pointing down
Knives are placed with tips pointing away from you
Place all pick ups to be used with tips pointing away from you
Place any needed sponges on mayo to be used for start of surgery
Place suction tubing, light handles, bovie with holster, and scratch pad on mayo stand

16. Mayo Stand Set up Example

17. V V ↓ You and mayo’s legs are Here Towel Roll Patient’s feet ↓
Self-retaining retractor
Appropriate for case
knife V V
Metz Scissors
Mayo Scissors
Hand held retractors appropriate for procedure
You and mayo’s legs are Here ↓
All hemostats and pairs of everything else
pertinent to procedure
Ringed instruments
Towel Roll
Forceps for case
Toothed and tissue in pairs
Proper length
Suction tubing
With proper tip attached
Light
glove
Light
glove
Laps or raytex x 2
Bovie Holster
and Pencil
Patient’s feet ↓

18. V V ↓ You and Mayo’s legs are Here Towel Roll Patient’s feet ↓ glove
Light
glove
Light
glove
knife V V
Suction tubing
With proper tip attached
Metz Scissors
Mayo Scissors
Laps or raytex x 2
Bovie Holster
and Pencil
Hand held retractor appropriate for procedure
You and Mayo’s legs are Here ↓
Forceps for case
Toothed and tissue in pairs
Proper length
Ringed instruments
All hemostats and pairs of everything else
pertinent to procedure
Towel Roll
Patient’s feet ↓