TL;DR
Medical Asepsis (Clean Technique): Practices reducing pathogen numbers — distinguished from surgical asepsis (sterile technique).
Medical Asepsis (Clean Technique)
Definition
Practices reducing pathogen numbers — distinguished from surgical asepsis (sterile technique).
Equipment & Tools
Instruments and tools relevant to medical asepsis (clean technique):
| Instrument | Category | Use |
|---|---|---|
| Mayo scissors | Cutting | Heavy tissue and suture cutting, straight (suture) or curved (tissue) |
| Kocher clamp | Clamping | Grasping heavy tissue (fascia), has teeth, NOT for vessels |
| Balfour retractor | Retraction | Self-retaining abdominal retractor with lateral and bladder blades |
| Deaver retractor | Retraction | Deep retraction in abdominal/pelvic surgery, C-shaped blade |
| Mosquito clamp | Clamping | Hemostasis on small vessels, fully serrated, delicate |
Safety Considerations
Maintaining safety during procedures involving medical asepsis (clean technique) requires adherence to sterile technique:
- Movement around the sterile field must not cause air currents, no reaching over the field, no turning back to the field
- Sterile drapes are placed from the operative site outward (near to far)
- Sterile persons touch only sterile items; unsterile persons touch only unsterile items
Calculation Methods
Relevant parameters for medical asepsis (clean technique) in the surgical setting:
- Steam (autoclave)
- Saturated steam under pressure. Gravity: 250 F (121 C) x 30 min. Prevacuum: 270 F (132 C) x 4 min. Flash: 270 F x 3 min (unwrapped)
- ETO (ethylene oxide)
- Chemical gas sterilization. 600mg/L concentration, 130 F, 2-5 hours exposure, 8-12 hours aeration. For heat/moisture-sensitive items
Regulatory Context
Regulatory context for medical asepsis (clean technique) includes federal and state requirements. Healthcare facilities must comply with CMS Conditions of Participation, state licensure requirements, and accreditation standards (Joint Commission or AAAHC). Non-compliance can result in citations, fines, or loss of Medicare/Medicaid reimbursement.
Why It Matters
Difference between medical and surgical asepsis tested on CST, CNA, and MA exams.
Related Terms
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