The circulating nurse is in the operating room and sees the surgeon don gown and gloves using appropriate sterile procedure. The surgeon then folds the hands together and places them down below the hips. What action by the nurse is most appropriate?
a. Ask the surgeon to change the sterile gown.
b. Do nothing; this is acceptable sterile procedure.
c. Inform the surgeon that the sterile field has been broken.
d. Obtain a new pair of sterile gloves for the surgeon to put on.
ANS: C
The surgical gown is considered sterile from the chest to the level of the surgical field. By placing the hands down by the hips, the surgeon has broken sterile field. The circulating nurse informs the surgeon of this breach. Changing only the gloves or only the gown does not "restore" the sterile sections of the gown. Doing nothing is unacceptable.
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