Question

Two technologists are working together preparing for a shoulder arthrogram. Myra, RT, is the sterile eprson and Dwayne, RT is assisting Myra as needed. During the set up the sterile pack and field, Dwayne notices that Myra has contaminated the sterile field with her scrub top. Dwayne brings the break in the sterile field to Myra's attention immediately. Myra responded by stating that the contamination was only along the top parameter of the field and would not interfere with the business portion of the sterile field.

a) What are Myra and Dwayne's responsibilities?

b) How should Dwayne handle Myra's lack of responsibility?

c) What follow up should occur after the procedure has concluded?

Answer 1

1. Maintain strict aseptic techniques

2. Assisting the surgeon for procedure

3. Maintain records and reports.

4. Checking the consent

5. Monitoring the patient.

II. Lack of responsibility:

1. Immediately tell her to leave the surgical site

2. Advice her to repeat the entire scrubbing and survived techniques.

3. Make incident report on her.

4. Arrange class on surgical sterilization.

III. Follow up:

1. Adequate rest

2. Encourage fluid intake

3. Monitor surgical site carefully

4. If there is any sign of infection immediately inform to physician

5. Ice pack recommend you reduce pain and swelling.