HOW TO OPEN A STERILE PACK
In this job aid, the term sterile pack refers to a double-wrapped package containing a small tray of sterilized instruments. The photo below shows an opened sterile pack.
OPEN A STERILE PACKAGE STEP ACTION
1. 2. 3. 4.
Wash and dry your hands. Put on non-sterile disposable gloves. Pick up a sterile pack that has not expired and has black lines on the autoclave tape. Place the pack on a clean, flat surface so the top flap of the wrapper will open away from you.
USCG TRACEN Petaluma
1
Sterile Practices
Health Services “A” School
Job-Aid
5.
Loosen the tape and pull the tape towards you, releasing the tab.
6.
Handling only the outside of the wrapper, open the top flap away from your body.
7.
Working from the center to the outside, open the right flap.
8.
Working from the center to the outside, open the left flap.
USCG TRACEN Petaluma
2
Sterile Practices
Health Services “A” School
Job-Aid
9.
Open the last flap by pulling it towards you.
Note: You have now created the sterile field. From here on it is important that you avoid crossing over the sterile field. 10. Without crossing over the sterile field, open the top flap of the inner pack.
11.
Continue opening the inner pack by pulling back the right flap, then the left flap, and then the front flap.
USCG TRACEN Petaluma
3
Sterile Practices
Health Services “A” School
Job-Aid
12.
Read the sterilization indicator(s).
IF THEN
Glass tube type indicator is in the pack,
Visually determine if contents are melted.
IF THEN
Able to visually determine contents are melted, Unable to visually determine if contents are melted,
Go to step 13.
Determine if you can remove the tube without compromising sterile field.
IF THEN
You are able to grasp the string attached to the tube WITHOUT TOUCHING ANYTHING ELSE in the sterile field,
Pull the string up and away from the sterile field, grasp the tube, and shake it. No rattle indicates that contents are melted. Go to step 13.
You are NOT able to grasp the string WITHOUT TOUCHING ANYTHING ELSE in the sterile field,
Put on sterile gloves, remove tube from sterile field, and shake it. No rattle indicates that contents are melted. Go to step 13.
Continued next page
USCG TRACEN Petaluma
4
Sterile Practices
Health Services “A” School
Job-Aid
12., Read the sterilization indicator(s), contd. contd.
IF THEN
Using paper Without removing the strip from the sterile field, visually read the slip results (check for ‘OK’ on the strip). Go to step 13.
13.
Determine if pack is sterilized.
IF THEN
The glass tube contents are melted and/or the paper strip reads ‘OK’, Glass tube contents are NOT melted and/or paper strip DOES NOT read ‘OK’, 14.
The pack is sterile. Go to step 14. Pack is not sterile. Set it aside, obtain new pack, and return to step 1.
Ensure that sterile wrapper lies on the tray or table with the instrument handles pointed towards the user.
IF THEN
Instruments not pointed toward user, Instruments pointed toward user,
Handling only the outside corners of the wrapper, adjust it. Tray is ready for user.