Assisting Another Sterile
Team Member
SUR 111 Lecture 7
 Assisting another sterile team member:
 Removing gown and gloves for replacement
 Removing gown and gloves end of case
 STSR already scrubbed and donned sterile OR attire
assists with drying, gowning, and gloving other sterile
team members who have performed the surgical hand
scrub and will enter the sterile field
 Typically reserved for surgeon and surgeon assist, but
not limited to them
 NEVER pass a surgeon a paper towel, but always a
cloth one
 There are currently waterless surgical hand scrub
solutions being used, so a towel may not be
 You as a student will not use waterless hand scrub
solutions until you have demonstrated proficiency of
both for Midterm semester clinical exam
 Upon scrubbed person entering the OR, the STST
approaches them but not compromising sterility of
the sterile field or yourself
 Maintaining an 18” distance
 Facing them
 Avoiding turning your back to your field
 The towel is passed by unfolding it long way, rolling
the towel over your hands and passing the towel to
the person’s outstretched hand
 Hold towel firmly and drop one end on their hand
 Do not touch the person’s hand with your glove!
 Step away and retrieve the sterile gown of correct
 Unfold gown so that the outside of the gown is facing
 Reverse it from how you grab it normally
 Holding the shoulder seam of the gown with your
fingers spread, form a cuff over your hands
 Approach the person gown out in front of you, arms
outstretched and allow the person to put their hands
through the sleeves
 You will release the gown on top of the person’s upper
 Step away hands straight back towards you and
retrieve right glove
 Expose the team member’s hand if necessary
 Avoid touching their hand with your sterile glove
 Only handle the sleeve if you pull the cuff over the
person’s hands
 Secure the right glove, unfold it so that the glove
thumb is towards the person, roll the cuff over your
fingers and open in a circle or square ensuring that
your gloved hand is not in the way
 This will require the use of all of 8-10 fingers to
retract the cuff open enough to form the
circle/square and protect yourself from contamination
 You are opening the inside of the glove for the person
to put their hand in it without compromising the
outside of the glove or you!
 Hold securely while person inserts their
hand through the glove
 Their cuff should be covered by the glove
 Retrieve the left glove and repeat
 The left glove will be easier as the person
now has a sterile hand to grasp the cuff
and pull towards them, making it easier to
apply the left glove
 To turn the sterile person, grasp or wait for
them to pass you the gown tag
 Grasp tag and remove tie holding it away
(18”) and firmly and form a half C around
the person until they have grasped the tie
from your hand
 Should the person turn with a non-sterile
team member, you will not participate as
this will occur the same as for you when
you gowned
Remaining Steps
 Will cover this in detail soon!
 Next steps:
 Prepare to pass the prep solution to surgeon
 Prepare the drapes and assist with draping prn
 Prepare your mayo stand, being ready to pass
up light gloves to surgeon, pass off bovie cord,
and suction tubing
 Surgery begins
 Secure back table
 MAINTAIN asepsis at all times!
 Constant VIGILANCE!
Gown and Glove Removal
For Replacement
Step away from the sterile field and request a new gown
and gloves as soon as contamination is recognized
Let surgeon know what you need to do
Remain still so that circulator can unfasten you and face
you to remove your gown
Extend arms so circulator may remove and contain the
Hold hands out palms up so that circulator can grasp cuff
without touching your exposed skin (should that occur you
must rescrub)
Take the sterile gown the circulator gives you and gown and
glove in the usual fashion with the closed glove technique
Return to sterile field
Glove Replacement
 Should your one of your sterile gloves
become contaminated:
 You may request and retrieve a new sterile
glove for your contaminated hand only
touching it with your sterile gloved hand
 Hold your now contaminated hand out to
circulator who will remove it only touching
the cuff of the glove
 Ask another sterile team member to glove
Glove Replacement
 If you are double gloved and contaminate a
gloved hand:
 Have circulator remove outer glove if you
do not see where the contamination was
 If you observed on distal end of fingers,
you can remove the out glove by grasping
at the cuff of that glove and pulling off
inverting as you pull
 Replace the second pair of gloves by
requesting another pair from the circulator
Glove Replacement
replace sterile gloves when you are a
sterile team member!
 You may see “old school scrubs” do it
in clinical
 Poor technique
 Not a recommended practice of AORN
or AST
Gown and Glove Removal
End of Procedure
Finish all clean up duties (breaking down case)
Allow circulator to unfasten the back of the gown if it is
Disposable gowns may be grasped firmly by the anterior
shoulders and pull
Roll and pull the gown away from you
Only touch the gown with your gloves hands
Grasp cuff of one glove with the opposite gloved hand and
invert (glove to glove)
Holding on to the removed glove, place an exposed finger
under the cuff of the remaining soiled glove and remove
inverting to contain both gloves (skin to skin)
Dispose of and wash hands as soon as possible
May use clean gloves (from box on wall) to assist with the

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