The nurse enters the operating room, and no one is there to open the gown or glove packages. The hospital policy directs nurses to use the closed-glove technique. What should the nurse do?
1. Open the packages and scrub again.
2. Wait for someone to come and help.
3. Open the packages, gown, and glove.
4. Phone the front desk and ask for help.
1
1 and 2. After scrubbing, the scrub nurse must immediately dry the hands with a ste-rile towel and don sterile gown and gloves because the longer the hands remain ex-posed to room air, the greater the risk of contamination. The nurse's only recourse is to open the packages, thereby contaminating the hands, and to rescrub. To prevent this in the future, the nurse checks ensures that the packages are open before scrub-bing.
3. The nurse cannot open the packages and proceed with gowning and gloving be-cause the outer packaging contaminates the hands as the nurse opens it; and the nurse cannot don sterile garments with contaminated hands.
4. Unless a voice-activated system exists in the operating room, the nurse must con-taminate the hands to place a telephone call.
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