Guidelines for infection control in operations
- Opening a Suture Packet
Required Supplies:
- Required suture packet
Steps:
1. Only open the sutures that will be used.
o If unsure, confirm the preferred type with the surgeon.
2. The circulating nurse should inspect the packet to ensure:
o The outer packaging is intact without any tears or damages.
o If the packaging is damaged, discard the suture as it is no longer sterile.
3. Hold the packet with one hand, and with the other, separate the thin outer layer from the plastic layer using the thumb edge.
4. Firmly pull apart the thin layer using the thumb and index finger.
5. Pull the plastic layer using the thumb and index finger of the other hand.
o Secure the packet between both hands.
6. Push the thumbs outward to peel back all layers together, exposing the sterile inner layer.
o Ensure the fingers do not touch the inner sterile layer to prevent contamination.
7. The circulating nurse should stand next to the sterile trolley, holding the suture for the scrub nurse to take.
o Do not lean over the trolley or allow any part of the body to come in contact with the sterile field.
o Do not discard the inner sterile layer onto the trolley.
8. The scrub nurse uses sterile forceps or sponge-holding forceps to retrieve the sterile suture.
9. This method should be used for all suture packets.