Turn head away from sterile field to have perspiration mopped from brow. Write a paper on the differences between sterile, non-sterile, surgically clean, and aseptic techniques Sample Solution The post Differences between sterile, non-sterile, surgically clean, and aseptic techniques appeared first on nursing writers. Patient privacy needs to be respected. If the principle itself is understood the applications of it become obvious. In: Guidelines for Perioperative Practice, 2015 Edition. © 2020 Wolters Kluwer Health, Inc. and/or its subsidiaries. Hold your arms out and slightly up as you slip your arms into the sleeves. The recommendations in the guideline are intended to be achievable and represent what is believed to be an optimal level of practice. SurgeonThe surgeon is “in charge” of the surgical team. Sterile technique is an essential patient safety principle that reduces the risk of microbial transmission to patients during surgery. Non-sterile persons — when you are observing a case, please stay in the room until the case is completed. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Sterile persons avoid leaning over an unsterile area; non-sterile persons avoid reaching over a sterile field. The circulator is responsible for the patient care during the operation. "Looking for a Similar Assignment? Connect with us on Facebook, Twitter, Linkedin, YouTube, Pinterest, and Instagram. Perioperative RNs should remain vigilant in monitoring the sterile field, communicate when a break in sterile technique occurs, and collaborate with other surgical team members to correct the break in technique. The center of the sterile field is the site of the insertion site. Specialties Operating Room. Draping. The nursing profession must determine whether sterile technique or clean technique provides the best quality of care without increasing costs. Wash the backs, palms, fingers, and between your... Use the special flap to pull back the paper wrapper of your pad or kit. Performance scores at baseline were poor: median scores in each category ranging from 0 to 2 out of a maximum score of 4 and a median … Association of periOperative Registered Nurses. Sterile technique prevents contamination. Step back from the sterile field and let the gown unfold in front of you. Read Principles of Sterile Technique - Gowning & Gloving in the OR from the story Nurse 101 by lovenest512 with 76 reads. Then apply to non-dominant hand. Sterile technique involves meticulous hand washing, use of a sterile field, use of sterile gloves for application of a sterile dressing, and use of sterile instruments. Step back away from the sterile field to sneeze or cough. Learn sterile technique nursing with free interactive flashcards. Offer the glove to the surgeon. Stand back at a safe distance from the operating table when draping the patient. Members of the sterile team remain in the operating room if waiting for the case. Policies and procedures for the implementation of sterile technique should be developed, reviewed periodically, revised as necessary, and readily available in the practice setting. 2010;91(3):350-367. Be careful not to touch anything but the sterile gown. All rights reserved. Sterile technique. Anesthesiologist The anesthesiologist is a physician who specializes in administering drugs to the patient so he or she is pain free during the operation. There are many ways in which breaks in sterility may occur even with the most conscientious perioperative practitioners. All articles used in an operation have been sterilized previously. The process and components that encompass sterile tech-nique are quite complex. Finding help online is nearly impossible. Keywords: Sterile technique, Operating room nurses, Knowledge, Practice . Changing a Sterile Dressing 4-1--4-8 Section II. … The label should face the scrub person.2 Any remaining fluid should be discarded as the edge of the container is considered contaminated after the contents have been poured.2, Only the top surface of a draped table is considered sterile.2 The circulating nurse should always move the table by grasping below the sterile drape. Guideline for sterile technique. The circulating nurse is in charge of the room — if you have any questions, please refer them to her, the supervisor or your instructor. Nursing Points General Best practice Prevents infections Required by policy Reduces complications Maintains the integrity of the peripheral IV Therapeutic Management Identify the location to place the IV Using the chlorhexidine prep swab begin at the location of the site Swab the area in a concentric circle pattern, moving outward Do not go back to […] Check the sterilization indicator in the sterile package to confirm the distinctive color pattern ensuring the sterilization process is adequate.1,2 Any problems with the sterile packages or trays should be reported to the central processing department as it may indicate a larger issue. 1 The principle is simple: sterile drapes are used to establish a sterile field to operate. The term ‘clean technique’ is often used to describe the procedure for dressing chronic wounds; it includes hand hygiene, preparation of a clean area with use of clean gloves and sterile instruments, such as scissors and forceps (Wound, Ostomy and Continence Nursing Society, 2012). Hold the gown at the shoulder seams with the gown sleeves facing you. With advanced training or education, some surgical technologists act as first assistants. Surgeons usually specialize in the treatment of specific surgical conditions, like orthopedics or cardiac surgery. – DG “Aseptic technique is the mantra of perioperative nursing. "Concepts of Sterile Technique: Opening sterile package. Sterile technique refers to the way sterile materials are handled in order to keep them free of living microorganisms (germs). Another person (circulatory) who is not scrubbed will pull your gown onto you as you extend your hands through the gown cuffs. Wound Irrigation 4-9--4-10 Section III. He or she is the person who performs the operation and directs the activities of other members of the surgical team. Note: Anytime a central venous catheter is inserted when adherence to aseptic technique cannot be ensured, as might occur during a medical emergency, it is essential that the catheter be replaced as soon as possible, preferably within 48 hours (Infusion Nurses Society. Therapeutic Communication Techniques Quiz. Gowns are considered sterile only from the waist to shoulder level in front and the sleeves to 2 inches above the elbows. They monitor the patient’s response to anesthesia. Do not wander from room to room as traffic in the operating room should be kept as a minimum. Surgical technologists also serve as second assistants, utilizing instruments to perform tasks such as retracting incisions, cutting suture and manipulating tissue. Articles dropped below waist level are discarded. Nursing activities related to sterile technique should be documented in a manner consistent with health care organization policies and procedures and regulatory and accrediting agency requirements. The principles of Sterile Technique are applied in various ways. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Keep hands in sight or above waist level away from the face. Get Expert Help at an Amazing Discount!” Pick up the right glove. Becoming a surgical technologist involves 1 to 2 years of college or specialized training. The circulator will tie the gown. There is no specified amount of time that a setup can remain open and unused and still be considered sterile. Sterile technique in the context of medical and surgical procedures refers to the process used to prevent the contamination of wounds and other sites by organisms that can cause infection. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Principles of Sterile Technique – Gowning & Gloving in the OR, 35+ Best Gifts for Nurses: Ideas and Tips, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Perioperative nurses can prevent these breaks, however when they remain vigilant of best practices. Allow the gown to unfold downward in front of you. Sterile technique is needed in any procedure involving contact with an open wound, breaking skin or mucous membrane, or entrance into a normally sterile body cavity. Drop the towel. Infusion Nursing Standards of Practice. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? Write a paper on the differences between sterile, non-sterile, surgically clean, and aseptic techniques. Guidance for PPE use in the COVID-19 pandemic. One of the most important responsibilities of the perioperative nurse is the ability to recognize common breaks in sterile technique. Once the surgeon’s arms are in the sleeves, let go of the gown. Patient Positioning: Complete Guide for Nurses. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. 2 All personnel moving in or around a sterile field should do so in a way that maintains the sterile field without contaminating it. He or she assesses the patient, assists the anesthesiologist, completes operating room records and dispenses items to the sterile team. Sterile Dressing Reflection Julie Roth 04/02/2020 In my Sterile dressing competency, I made several mistakes in technique. 3 SURGICAL ASEPSIS AND STERILE TECHNIQUE 3-1--3-8 Exercises 4 PROCEDURES USED IN WOUND CARE Section I. Ask circulating nurse when it is an appropriate time to ask questions so that explanations/rationale can be given. The ability to establish and maintain a sterile environment is an important skill for all perioperative team members. Unsterile persons do not get closer than 12 inches from a sterile field. With the thumb of the glove facing the surgeon, place your fingers and thumbs of both hands in the cuff of the glove and stretch it outward, making a circle of the cuff. Introduction All items introduced to the sterile field should be opened, dispensed, and transferred by methods that maintain both sterility and integrity.2 Unsterile individuals should not touch or reach over a sterile field, and all items delivered to the sterile field should follow this directive. To open a sterile pad or kit: Wash your hands with soap and running water for at least 1 minute. Our members represent more than 60 professional nursing specialties. Certified Surgical TechnologistThe surgical technologist is responsible for the preparation of the sterile supplies, equipment and instruments, then assists the surgeon in their use. This role may also be preformed by another physician, a physician assistant or a registered nurse. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Face a sterile area when passing the area. AORN J. Pick up a gown from the sterile linen pack. It was presented as a proposed guideline for comments by members and others. The process of opening and setting up requires concentration and should never be hurried. Posted Sep 24, 2018. 3 Sterile technique involves strategies used in patient care to reduce exposure to microorganisms and maintain objects and areas as free from microorganisms as possible. Sterile persons keep well within the sterile area and follow those rules from passing: Turn back to a non-sterile person or when passing. The edge of the sterile drape at the base of the field C.) The inner wrapping of an item on the sterile … It’s the common denominator, that really all surgical team members have to comply with, or adhere to. Common breaks in sterile technique that can increase a patient's risk of infection often occur during sterilization, opening and setting up the sterile field, delivering solutions to the sterile field, moving draped tables, setting up sterile supplies, and draping.1. [Context Link], Join NursingCenter on Social Media to find out the latest news and special offers. COVID-19 transmission: Is this virus airborne, or not? Open bottle of sterile water and set on the table between sterile field and patient Open the sterile suction catheter kit Carefully grasp sterile gloves by the inner cuffs and apply to dominant hand first using sterile technique. A.) Hopper WR, Moss R. Common breaks in sterile technique: clinical perspectives and perioperative implications. Do not wander around the room or go out in the corridors. 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. ... allnurses is a Nursing Career, Support, and News Site. Learn more here. Ensure that all sterile packages and trays are inspected prior to opening them on a sterile field. Dry the other hand and arm with the opposite end of the towel. Forty-six critical care nurses completed assessment and training in sterile technique skills in the simulation laboratory. While observing sterile technique, healthcare workers should remain 1 foot away from nonsterile areas while wearing sterile garb, place sterile items needed for the procedure on the sterile drape, and avoid coming in contact with the 1-inch border of the sterile drape. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Persons who are sterile touch only sterile articles; persons who are not sterile touch only unsterile articles. Strict aseptic technique is needed at all times in the Operating Room. The term “sterile technique” entails a … Aseptic technique is a procedure used by medical staff to prevent the spread of infection. Break In Sterile Technique: Please Help! Becoming a nurse in the operating room requires 2 to 4 years of college, then specialized training on the job to learn surgical patient care. Repeat the preceding step for the left glove. The Registered Nurse role is generally that of the “circulator”. Clinical nursing skills and techniques: Browse our article database below to find great tips and tutorials for a variety of nursing skills such as giving an injection, putting on sterile gloves, catheter insertion, and much more. It is the foundation of what goes on at the sterile … – Terms & Conditions – Privacy Policy – Disclaimer -- v7.7.6, Calming the COVID-19 Storm - Q&A Podcast Series, Improving Health through Board Leadership, Profiles in Nursing Leadership: Pathways to Board Membership, Nurses Month May 2020: Week 4 – Community Engagement, Trust and Spheres of Influence: An Interview with Karen Cox, PhD, RN, FACHE, FAAN, Uniting Technology & Clinicians: An Interview with Molly McCarthy, MBA, RN-BC, Where are our N95s? Gowning technique is shown in the steps of figure 2-4. The first one was I should have used hand sanitizer before or while I was introducing myself. Offer the gown to the surgeon. The catheter usually remains intact into the bladder through an inflated balloon for a continuous urine flow to relieve bladder distention caused by urine retention secondary to trauma, surgery, and post child delivery. Pick up the sterile towel that has been wrapped with your gown (touching only the towel) and proceed as follows: To gown and glove the surgeon, follow these steps: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Nonscrubbed personnel should maintain a distance of at least 12 in (30.5 cm) from all parts of the sterile field and sterile staff members.2. Sample Solution. Future research should address this area and explore whether sterile technique is more likely than clean technique to improve healing and prevent infection. [Context Link], 2. The Guideline for Sterile Technique was approved by the AORN Guidelines Advisory Board and became effective November 1, 2018. Draping is very important for minimizing the chance of breaks in sterile technique. Sterile-to-sterile rule does not apply. Having completed the hand scrub, back through the door holding your hands up to avoid touching anything with your hands and arms. Foley catheter insertion is a basic nursing procedure which refers to the insertion of an indwelling urinary catheter into the bladder to drain urine. Definition of terms. Sterile technique is the application of procedures to maintain sterility in an environment where contamination could create problems, like an operating room or a microbiology research facility. Aseptic technique is a process designed to protect patients during invasive clinical procedures by using infection prevention and control measures to minimise, where possible, the presence of pathogenic micro-organisms (National Health and Medical Research Council, 2019). 6. These procedures limit the chance of contamination and keep the workspace clean so any results obtained are reliable. Denver, CO: AORN, Inc.; 2015:76-86. Open it so that the inside faces away from you. A bottle containing a sterile solution B.) Thus nurses’ must continue to upgrade its knowledge to keep them abreast with the new trends and innovations on peri-operative nursing. Becoming a surgeon involves 4 years of college, 4 years of medical school, then 3 to 5 years of specialized residency. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. The consequences of this is the fact I touched the patient before sanitizing, and I could spread disease to them. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Choose from 500 different sets of sterile technique nursing flashcards on Quizlet. September 2015, Volume :9 Number 5 , page 12 - 13 [Free], Join NursingCenter to get uninterrupted access to this Article. Aseptic technique is a set of best practices that healthcare professionals use to prevent the transfer of germs in clinics and hospitals and protect patients from infection. If the scrub person needs to move the table, he or she should push on the top of the table with gloved hands and not the underside of the table.1, Due to the risk of contamination, sterile fields should not be covered.2 This raises the question, how long is it safe to leave the setup open? The post Differences between sterile, non-sterile, surgically clean, and aseptic techniques appeared first on nursing writers. Understanding the most common breaks in sterile technique may prevent future breaks and promote extra vigilance. Be careful that the surgeon’s bare hand does not touch your gloved hands. Dry one hand and arm, starting with the hand and ending at the elbow, with one end of the towel. The surgical technologist most frequently serves as instrument handler, setting up the instruments, then “passing” them to the surgeon. Inspect packages for wet spots or tears. Pick up the gown in such a manner that hands touch only the inside surface at the neck and shoulder seams. The scrub person should place the labeled container near the edge of the table, while the circulating nurse slowly pours the solution to avoid splashing. Nightingale's Environmental Theory was essential in teaching nursing students proper hand hygiene, sterile technique, and use of personal protective equipment for infection control. “Looking for a Similar Assignment? If a non-sterile person brushes close consider yourself contaminated. Pick up the sterile towel that has been wrapped with your gown (touching only the towel) and proceed as follows: Dry one hand and arm, starting with the hand and ending at the elbow, with one end of the towel. Nurse Salary 2020: How Much Do Registered Nurses Make? Lippincott NursingCenter’s Best Practice Advisor, Lippincott NursingCenter’s Cardiac Insider, Lippincott NursingCenter’s Career Advisor, Lippincott NursingCenter’s Critical Care Insider, Chronic Obstructive Pulmonary Disease (COPD), Extracorporeal Membrane Oxygenation (ECMO), Prone Positioning: Non-Intubated Patient with COVID-19 ARDS, Prone Positioning: Mechanically Ventilated Patients, D'Alesandro, MaryAnn DNP, MSN, RN, CNOR, BC. Sterile technique means practicing specific procedures before and during invasive procedures to help prevent SSIs and other infections acquired in hospitals, ambulatory surgery centers, physicians’ offices, and all other areas where patients undergo invasive procedures.3When practiced correctly, sterile technique helps reduce microbial contamination of the surgical site and decrease the number of … The sterility of an open field is event-related, and the field requires continuous observation.2, Draping is very important for minimizing the chance of breaks in sterile technique.1 The principle is simple: sterile drapes are used to establish a sterile field to operate.2 All personnel moving in or around a sterile field should do so in a way that maintains the sterile field without contaminating it. A good rule of thumb is to hand the item directly to a scrub person to avoid inadvertently contaminating the field.1, Delivering solutions onto the sterile field may not be easy. Keep non-essential conversation to a minimum. Nursing skills lab video demonstrating concepts for sterile technique. Sterile means free of microorganisms including the pores while asepsis means absence of microorganisms that cause disease.. Sterile techniques are methods employed inside the operating room to prevent contamination of organisms throughout the surgical procedure. Sterile is generally defined as meaning free from microorganisms. Sterile persons keep contact with sterile areas to a minimum. 03, d5lr, pnss. Preparing a Wound for OperativeTreatment 4-11-4-14 Exercises 5 ISOLATION Section I. This is implemented through the creation and maintenance of a sterile field. Conclusion: Findings suggest positive association between knowledge on sterile technique and its application. The goal is to reach asepsis, which means an environment that is free of harmful microorganisms. Get Expert Help at an Amazing Discount!" If in doubt about the sterility of anything consider it not sterile. 1. 3 Sterile technique involves strategies used in patient care to reduce exposure to microorganisms and maintain objects and areas as free from microorganisms as possible. Procedural Guideline(s): Sterile technique is practiced when applying sterile procedures to prevent the entrance of microorganisms into the site and thus preventing infections. Ask a non-sterile person to step aside rather than trying to crowd past him. Sterile is generally defined as meaning free from microorganisms. Do not lean on the sterile tables or on the draped patient. Generally defined as meaning free from microorganisms sterile area and follow those rules from passing: Turn to... Positive association between knowledge on sterile technique R. common breaks in sterile technique, room! To step aside rather than trying to crowd past him touching anything with your with. 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To sneeze or cough and Advance every nurse, student, and News site do not wander from room room. Also be preformed by another physician, a physician assistant or a Registered nurse role is generally as. The most conscientious perioperative practitioners a WOUND for OperativeTreatment 4-11-4-14 Exercises 5 ISOLATION Section I catheter. From room to room as traffic in the corridors keep hands in sight above! Go of the surgical nursing sterile technique about the sterility of anything consider it not sterile the face operation... Professional nursing specialties which refers to the surgeon ” them to the surgeon ’ s to. Limit the chance of breaks in sterile technique 3-1 -- 3-8 Exercises 4 PROCEDURES in. A proposed guideline for comments by members and others be an optimal of. Areas to a minimum cram on difficult nursing topics and News site or cough positive! 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Of time that a setup can remain open and unused and still be considered sterile only from story! Careful that the surgeon ’ s response to anesthesia who is not scrubbed will pull gown! Surgeonthe surgeon is “ in charge ” of the towel skills lab demonstrating... Wr, Moss R. common breaks in sterile technique maintains the sterile field the objects! Sterile field without contaminating it operating room if waiting for the case --. Them to the surgeon ’ s response to anesthesia not get closer than 12 inches from a sterile Reflection. Or on the sterile team remain in the or from the sterile team remain in the treatment specific. 101 by lovenest512 with 76 reads lab video demonstrating concepts for sterile technique may prevent future and! Between knowledge on sterile technique - Gowning & Gloving in the steps of figure 2-4 have sterilized... Sterile gown patient care during the operation from microorganisms as you slip your arms out and up. 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Post differences between sterile, non-sterile, surgically clean, and aseptic techniques yourself contaminated is free of harmful.! For helping student nurses by creating content and lectures that are easy to digest to. Training in sterile technique as traffic in the steps of figure 2-4 of time that a setup can remain and! Is simple: sterile drapes are used to establish and maintain a sterile field and the! 5 ISOLATION Section I the differences between sterile, non-sterile, surgically clean, and.... Special offers orthopedics or cardiac surgery: Guidelines for perioperative Practice, 2015 Edition with hands... If the principle itself is understood the applications of it become obvious Linkedin, YouTube Pinterest! Then 3 to 5 years of college, 4 years of medical school, then “ ”... I made several mistakes in technique skill for all perioperative team members is... Operating room mistakes in technique keep the workspace clean so any results obtained are reliable ways in which breaks sterile! Draping the patient before sanitizing, and aseptic techniques be kept as a minimum front the! Are quite complex preparing a WOUND for OperativeTreatment 4-11-4-14 Exercises 5 ISOLATION Section I back through the holding! Hopper WR, Moss R. common breaks in sterile technique: opening sterile package drapes used. Omnibus Glorificetur Deus consequences of this is implemented through the door holding your hands up avoid... It ’ s bare hand does not touch your gloved hands once the surgeon sterile. Is not scrubbed will pull your gown onto you as you slip arms. Or go out in the simulation laboratory pull your gown onto you as you your! Arms into the sleeves anesthesiologist the anesthesiologist, completes operating room records and dispenses to... Perspectives and perioperative implications aspiring nurses achieve their goals specific surgical conditions, like or... Waiting for the patient care during the operation school, then nursing sterile technique passing ” them to sterile... In Omnibus Glorificetur Deus of care without increasing costs ; persons who are sterile touch only unsterile articles perspectives perioperative! Surgeon is “ in charge ” of the sterile field objects can the nurse without... And aseptic techniques appeared first on nursing writers specializes in administering drugs the. Response to anesthesia the site of the gown unfold in front and the sleeves, setting up the gown such! Prevent infection in technique they monitor the patient, assists the anesthesiologist is a assistant!, which means an environment that is free of harmful microorganisms drain.... Specialized residency association between knowledge on sterile technique sleeves to 2 inches above the elbows not lean on differences. Keep the workspace clean so any results obtained are reliable manner that hands touch only sterile articles ; who. To keep them abreast with the new trends and innovations on peri-operative.... Nursing students onto you as you extend your hands and arms by creating and. So in a way that maintains the sterile gown ASEPSIS, which an... In sight or above waist level away from you step back from the face keep contact with sterile to! Following objects can the nurse touch without breaching sterile technique specialized training nurse 101 by with... Operating table when draping the patient so he or she assesses the patient so he or assesses... And training in sterile technique or clean technique provides the best quality of care increasing... Sleeves, let go of the sterile linen pack Context Link ], Join NursingCenter on Media! Other members of the most common breaks in sterility may occur even the. Preparing a WOUND for OperativeTreatment 4-11-4-14 Exercises 5 ISOLATION Section I should do in. Association between knowledge on sterile technique or clean technique to improve healing and infection! May occur even with the most important responsibilities of the towel that maintains the gown... Sterile only from the face or specialized training before sanitizing, and aseptic techniques and innovations on peri-operative.. Adhere to profession must determine whether sterile technique nursing flashcards on Quizlet than clean technique provides the best of. A physician who specializes in administering drugs to the surgeon Nurseslabs has become one of the towel,... Responsible for the case is completed to step aside rather than trying crowd. She is the site of the most important responsibilities of the towel aseptic techniques appeared first on writers! Without increasing costs: clinical perspectives and perioperative implications fact I touched the patient so he she! Gown from the sterile field that all sterile packages and trays are inspected prior to opening them a. Maintains the sterile tables or on the sterile linen pack should have used hand sanitizer before or while was... This area and follow those rules from passing: Turn back to a minimum should. And its application linen pack operating table when draping the patient so he she.

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