When preparing to pour a sterile solution you should place the bowl on the edge of the sterile field

3-6. OPENING AND POURING STERILE LIQUIDS

Sterile liquids are necessary for many procedures requiring sterile technique. Use the following procedures to open bottles containing a sterile liquid and to pour the liquids into a sterile container.

a. Lift or unscrew the cap. Do not touch bottle rim and inside cap, as these items are considered sterile. As you remove the cap, listen for a vacuum release sound. If there is no vacuum release sound, assume that the liquid is not sterile and get another bottle of the liquid to use instead.

b. Hold the cap in your hand or rest the cap upside down on table (not on sterile field since the outside of the cap is contaminated) so that the inside of the cap does not become contaminated. If the cap becomes contaminated, it cannot be used to reseal the bottle of sterile liquid and the left over portion of the sterile liquid must be discarded.

c. Glove your nondominant hand.

(1) Make sure glove package has not been contaminated (torn, and so forth) and that gloves are the proper size.

(2) Perform a patient care handwash, if you have not already done so.

(3) Place the package on a clean, dry surface.

(4) Peel back the outer wrapper.

(5) Remove the inner package and place it so that the end marked "cuff" is toward you.

(6) Grasp lower corner and open the package to a flat position.

(7) Grasp lower corners of the package and pull to the side in order to expose the cuffs.

(8) Grasp the cuff of the glove on the same side as your nondominate hand with your dominate hand. (figure 3-8).

When preparing to pour a sterile solution you should place the bowl on the edge of the sterile field

Figure 3-8. Grasp cuff.

(9) Remove the glove from the wrapper, step back, and insert your nondominate hand into the glove (figure 3-9).

When preparing to pour a sterile solution you should place the bowl on the edge of the sterile field

Figure 3-9. Hand in glove.

d. Hold bottle in your ungloved hand with label against your palm. This protects the label from dripping solution. Also a clean label can be read easily.

e. If the bottle was opened previously, pour a small amount of liquid into a waste container, usually an emesis basin. Prepouring will cleanse the lid of the bottle. The container should not be inside the sterile field.

f. Pick up the container into which the liquid is to be poured with your gloved hand and step back from the sterile field. This is done to keep any liquid from dropping onto the sterile field. If a sterile field becomes wet, consider it to be contaminated.

g. Hold the bottle about 6 inches above the container into which the liquid is being poured and pour the liquid slowly in a steady stream into the sterile container. Pouring slowly in a steady stream avoids splashing.

(1) Do not touch the bottle lip against the container. If the lip of the bottle touches the container, the container will not be sterile.

(2) Do not allow the bottle to pass over the sterile field. If the bottle passes over any part of the sterile field, then that part of the field is considered contaminated, because a microscopic organism could have fallen from the bottle or your hand onto the field.

 &lt;/td&gt; &lt;/font&gt; &lt;/tr&gt; &lt;/table&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt; &lt;span style="font-family:'sans-serif';font-size:10.9pt;font-weight:normal;color:#000000;font-style:normal"&gt; &lt;font size="2"&gt;h. Replace the container onto the sterile field. &lt;/font&gt; &lt;/span&gt;&lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt;&amp;nbsp; &lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt; &lt;span style="font-family:'sans-serif';font-size:10.9pt;font-weight:normal;color:#000000;font-style:normal"&gt; &lt;font size="2"&gt;i. Replace the cap securely on the bottle. If the cap or rim of the bottle becomes contaminated, discard the bottle. &lt;/font&gt; &lt;/span&gt;&lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt;&amp;nbsp; &lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt; &lt;span style="font-family:'sans-serif';font-size:10.9pt;font-weight:normal;color:#000000;font-style:normal"&gt; &lt;font size="2"&gt;j. Remove the sterile glove by grasping the portion of the glove over the heel of the hand and pulling the glove off. Discard the glove in an appropriate container. &lt;/font&gt; &lt;/span&gt;&lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt;&amp;nbsp; &lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt; &lt;span style="font-family:'sans-serif';font-size:10.9pt;font-weight:normal;color:#000000;font-style:normal"&gt; &lt;font size="2"&gt;k. Write the date and time and your initials on the bottle label. &lt;/font&gt; &lt;/span&gt;&lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt;&amp;nbsp; &lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt; &lt;span style="font-family:'sans-serif';font-size:10.9pt;font-weight:normal;color:#000000;font-style:normal"&gt; &lt;font size="2"&gt;l. Return the bottle to the storage area. (&lt;/font&gt;&lt;/span&gt;&lt;span style="font-family:'sans-serif';font-size:10.9pt;color:#000000;font-style:normal;font-weight:bold"&gt;&lt;font size="2"&gt;NOTE&lt;/font&gt;&lt;/span&gt;&lt;span style="font-family:'sans-serif';font-size:10.9pt;font-weight:normal;color:#000000;font-style:normal"&gt;&lt;font size="2"&gt;: Local SOP may require that you discard the bottle rather than reusing it.) Vacuum-packed sterile liquids can normally be used for 24 hours if the bottle is resealed. If your ungloved hand or other contaminated object touches the neck of the bottle, inside the bottle cap, the bottle rim, or the lip of the cap, the rim or cap is considered contaminated and you must discard the bottle. &lt;/font&gt; &lt;/span&gt;&lt;/p&gt; &lt;p style="text-indent:0;margin-right:0;margin-top:0;margin-bottom:0"&gt;&amp;nbsp; &lt;/p&gt; &lt;/td&gt; &lt;td style="border-style:none;border-width:medium" height="681" align="center" valign="top" width="177" rowspan="2"&gt; &lt;script type="text/javascript"&gt; var ehs_site="ehs.pro.brks.nursing411"; var ehs_zone=""; var ehs_inter=1; var ehs_kw=""; var ehs_size="160x600"; var ehs_vpos="t"; var ehs_hpos="r"; var ehs_puid=""; var ehs_kv=ehs_kv || []; ehs_kv.push("iprof=md;"); ehs_kv.push("iprof=n;"); ehs_kv.push("ims1=o24;"); ehs_kv.push("ims2=f9;"); ehs_kv.push("ims3=e6;"); ehs_kv.push("rprof=null;"); ehs_kv.push("rms1=null;"); ehs_kv.push("rss1=null;"); var ehs_protocol=(document.location.protocol=="https:") ? "https://" : "http://"; var ehs_tagsrc=ehs_protocol+'ads.ehealthcaresolutions.com/uat/?'+ehs_site+';'+ehs_puid+';'+Math.random()*1e16; document.write('&lt;scr'+'ipt type="text/javascript" src="'+ehs_tagsrc+'"&gt;&lt;/scr'+'ipt&gt;'); </td> </font></tr> <tr> <td style="border-style:none;border-width:medium" align="left" valign="top" width="628"> <p align="center"> [<a target="_blank" href="http://nursing411.org/Courses/MD0540_Sterile_Procedures/3-05_Sterile_Procedures.html">Previous</a>] [<a target="_blank" href="http://nursing411.org/Courses/MD0540_Sterile_Procedures/3-07_Sterile_Procedures.html">Next</a>]</p> </td> </tr> </table> <b><font size="2"> <p align="center"><a target="_blank" href="http://www.nursing411.org/"> <img src="http://nursing411.org/Courses/MD0531_Taking_Vital_Signs/nursing411_org_footer.png" border="0" width="500" height="61"></a><br> </p></font><span class="text"><font face="Arial" size="1"> <span style="LINE-HEIGHT:15px;FONT-STYLE:italic">These Nursing411 wings incorporate the white heart of international nursing with the <br> golden wings of an angel, symbolizing Nursing's selfless dedication <br> to the service of mankind.</span></font></span><p></p> <font size="2"> <p align="center"><font face="Arial" size="1"> <a href="http://www.brooksidepress.org/" target="_blank"> <img src="http://nursing411.org/Courses/MD0531_Taking_Vital_Signs/Brookside_Associates_Logo_jpg_150.jpg" border="0" width="151" height="47"></a></font></p> <p align="center"><span class="text"><font face="Arial"> <span style="LINE-HEIGHT:15px;FONT-STYLE:italic"><font size="1">The Brookside Associates Medical Education Division&nbsp; develops and distributes medical information that may be useful to medical professionals and those in training to become medical professionals. This website is privately-held and not connected to any governmental agency. The views expressed here are those of the authors, and unless otherwise noted, do not necessarily reflect the views of the Brookside Associates, Ltd., or any governmental or private organizations. All writings, discussions, and publications on this website are unclassified.</font></span></font></span></p> <p align="center"><i><font face="Arial"><span class="text"> <span style="LINE-HEIGHT:13px"><font size="1">� 2008 Medical Education Division, Brookside Associates, Ltd. All rights reserved</font></span></span></font></i></p> </font><font size="1"> <p align="center"><i><font face="Arial"><span class="text"> <span style="LINE-HEIGHT:13px"> <a href="http://www.brooksidepress.org/products.htm" target="_blank">Other Brookside Products</a></span></span></font></i></p> <p align="center"><span class="text"><i><font face="Arial"> <a target="_blank" href="http://www.brooksidepress.org/">Contact Us</a></font></i></span></p> </font></b> <p align="center"><span class="text"><font face="Arial"><a target="_blank" href="http://nursing411.org/advertising_on_nursing411.html">Advertising on this Site</a></font></span></p> </td></tr></table></body><script type="text/javascript"> var ehs_url=window.location.href; if (ehs_url.indexOf("puid=")!=-1) { ��������������� var ehs_puid=ehs_url.substr(ehs_url.indexOf("puid=")+5); ��������������� document.write('<img src="ws1.ehealthcaresolutions/ws/tr/?pub=brks&puid='+ehs_puid+'" style="display:none;">'); }

What is the correct way to pour solutions onto a sterile field?

Sterile solutions should be poured into a sterile bowl or tray from the side of the sterile field and not directly over it. Use only sealed, sterile, unexpired solutions when pouring onto a sterile field. Solution should be held six inches away from the field as it is being poured.

Where should a sterile bowl or basin be placed in the sterile field?

Sterile items should be positioned for use in the OR, such as the back-table pack placed on back table, basin placed in ring stand, instrument sets placed on flat surfaces, and skin prep tray placed on prep table. The items should be placed on clean, dry surfaces.

Are the edges of a sterile field sterile?

On the patient only the sterile drape and the prepared surface of the patients of the patient's body are considered the sterile field. The edges of the sterile field are not considered sterile because they come in contact with non-sterile surfaces.

How far away from the edge of the sterile field should the sterile item be?

Once a sterile field is set up, the border of one inch at the edge of the sterile drape is considered non-sterile. Place all objects inside the sterile field and away from the one-inch border.