UNSTERILE OR.

Principle of Sterility
• Scrubbed persons function within a sterile field.
• All items introduced onto a sterile field should be
opened, dispensed, and transferred by methods
that maintain sterility and integrity
• All surgical team members must wear scrub
attire, sterile surgical gown, mask, and gloves
within the sterile field to establish bacterial
barriers.
 Induction of Anesthesia
ANESTHESIA AWARENESS

patients wake up feeling pain, ranging

from minor to unendurable during surgery
 Professionalism is an ethical concept
based on values.
- CMA code of ethics
• “The core of every profession contains two elements:
possession of a specialized body of knowledge and a
commitment to service… Self-regulation is granted to those
who have specialized knowledge because that knowledge is
not readily available to the rest of society, and the
professional is best able to determine for society how the
knowledge should or should not be used. Autonomy is given
on the understanding that professionals will devote
themselves to serving the best interests of society and will
self-regulate to maintain high quality service. Finally,
professionals must have agreed-upon values and a code of
ethics, in the case of medicine, in order that the professional
role may support that of a healer.”
• Cruess RL, Cruess SR. Teaching medicine as a profession in the
service of healing. Academic Medicine 1997; 72(110): 941-952.
Iwanan mo sa OR pasyente mo e!
tas tumawag ka pa sa pay phone!
 Medical Code of Ethics
• A physician shall uphold the standards of
professionalism, be honest in all professional
interactions, and strive to report
physicians deficient in character or
competence, or engaging in fraud or
deception, to appropriate entities.
 Invasion sa OR ni Sam…
UNSTERILE ka neng!

• All surgical team members must wear scrub

attire, sterile surgical gown, mask, and
gloves within the sterile field to establish
bacterial barriers.
• Aseptic technique to help prevent the
transfer of microorganisms into the surgical
wound during the preoperative period. It is
the responsibility of the surgical team
members to develop a strong surgical
conscience, adhering to the principles of
asepsis and rectifying any improper
technique witnessed in the operating room.
In addition to the principles of asepsis, proper
surgical attire plays an important role in the
reduction of surgical site infections by
reducing the amount of hair and skin
contaminants reaching the sterile field.
 Maki-sali ka Sam
ikaw pa ang scrub nurse!
 Nurse & People
• In providing care, the nurse promotes an environment
in which the human rights, values, customs and
spiritual beliefs of the individual, family and community
are respected.
• The nurse at all times maintains standards of personal
conduct which reflect well on the profession and
enhance public confidence.
• Provide care that respects human rights and is sensitive
to the values, customs and beliefs of all people.
• Develop and monitor environmental safety in the
workplace.
 Nurse & Practice
• The nurse carries personal responsibility and
accountability for nursing practice, and for
maintaining competence by continual learning.
• The nurse at all times maintains standards of
personal conduct which reflect well on the
profession and enhance public confidence.
• The nurse, in providing care, ensures that use of
technology and scientific advances are
compatible with the safety, dignity and rights of
people.
 Nurse & Profession
• The nurse assumes the major role in
determining and implementing acceptable
standards of clinical nursing practice,
management, research and education.
 Nurse and Co-workers
• The nurse takes appropriate action to
safeguard individuals, families and
communities when their health is endangered
by a coworker or any other person.