1.  You must wear a cap or bonnet that covers all the hair on your head.
2.  mask

3.  STERILE gown:   You are leaning into your sterile field and your sleeves are touching the sterile drape.  If any part that is non-sterile touches your catheter, then you've contaminated your sterile field.

4.  LARGE STERILE DRAPE:   It should cover a large enough area that the patient's arm and hand are entirely covered, and a large enough area covered so that any supplies can be safely placed on the sterile field without risk of touching anything that is not sterile, it cannot fall off (easily), and the patient can't reach over and touch the sterile area (at least easily).  If you have any questions about the size of your sterile drape or sterile field, ask your infection control person to observe you put in a PICC and make sure that you have created a large enough STERILE field. 

Anything you bring into and onto your sterile field must also be covered steriled:  eg, ultrasound probe, navigation device if used, etc.

Nadine Nakazawa, RN, BS, OCN
PICC Program Coordinator
Stanford University Hospital and Clinics
Stanford University Medical Center

From: "sandy damico" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: Maximum barrier protection
Date: Tue, 1 Aug 2006 11:50:12 -0700 (PDT)

I need clarification of the standard for maximum barrier protection during Midline/PICC insertion. Sterile gown or just impervious?
Thank You,
Sandy D'Amico


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