SUR 111

Establishing the Sterile Field

Skill Assessments

• Continue with the following skill assessments from Lab #4:

• 12-1 Surgical Hand Scrub• Dry, Gown, Closed Gloving• Plan to get checked off on above• You should have been practicing and have this

down by now• New Skill: • Dress the Mayo Stand 12-6

Dressing the Mayo Stand

• Mayo stand properly distanced from sterile back table and set at appropriate height

• Above should have been done prior to opening sterile packs

• Sterile field should be established• Surgical hand scrub has taken place• You are gowned and double gloved• Prepare mayo stand cover at back table• Get a firm grasp on the inner folds and have

your hands inside the cuff to the right and left

Dressing the Mayo Stand

• Make a pocket• Approach the mayo stand maintaining

proper distance • Avoiding any part of your sterile gown to

touch the currently unsterile mayo • Only the pocket may go over the front lip

of the mayo stand• Do not allow the folds to fall

Dressing the Mayo Stand

• Slip pocket over the lip of the front of the mayo stand

• Place your dominant foot on the base• Work/slide mayo stand cover until it will no

longer slide

Dressing the Mayo Stand

• Work your way to the side of the stand, keeping your dominant hand in the cuff and your nondominant hand holding the folds and work the remaining cover one fold at a time over the stand (wiggle it on using both sides of the cover and both hands)

or• Continue to work mayo stand from the front

taking care not to allow folds to come loose and hit your gown above your chest fall below the stand (wiggle on from the sides)

Visual

• See textbook page 325 Figure 12-17• You will perform step A and B• The C step shown here in the book will be

modified with the towel lay out prior to towel roll placement

• Read technique on page 324 and information on the dressing mayo stand page 324

Dressing the Mayo Stand• Do not reach below mayo stand surface• You may ask for circulator assistance if it will not unfold

naturally over the base• Tuck excess material under the stand tray• Move the mayo close to your back table (it is now an

extension of your sterile field)• This prevents walking back and forth therefore

conserving movements• Cover with three towels (if a large stand one towel for

each half and then a third down the middle)• Make a towel roll for you instruments and place it at the

non-base end of the mayo stand• Continue with set up (back table)

Dressing the Mayo Stand

• For you lab practical:• Drape the mayo stand, towel it out and

finish your back table set up• You can prepare the towel roll for

instrument arrangement after the initial count

• Remember the initial count ends your timed portion

Final Mayo Stand PreparationOne Way

You are here →

Regarding the Mayo Stand• Mayo stand set ups vary per individual preferences• The key to a functional mayo stand is organization and

tidiness • This is an on going process throughout the surgical

procedure• Instruments must be kept clean and replaced each time

you use them if you know you will not need them again• Do not replace instruments you know will be needed

shortly after you have received them• Awareness of operative sequence is paramount to

knowing instrumentation usages • This makes for ease of counting when you know where

your instruments are at all times!

Review

• 12-1 Surgical Hand Scrub• Dry, Gown, Closed Gloving• 12-6 Dress the Mayo Stand