Outpatient Surgery Magazine

No Guarantees - March 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 59 of 138

For an open operation, Sharona B. Ross, MD, FACS, director of minimally invasive sur- gery and surgi- cal endoscopy at Florida Hospital Tampa, would choose a Level 4 poly-reinforced breathable film sleeve lightweight and long sterile gown. For minimally invasive laparoscopic or robotic operations that have minimal blood loss, Dr. Ross says she'd don a lightweight, impervi- ous, breathable sterile gown rather than a reinforced gown. As a general rule, a surgical gown with minimal barrier protection is suitable for short procedures during which there is little or no antici- pated exposure to blood or bodily fluids. A Level 1 gown would be a good choice for excisional biopsies, simple ENT procedures and oph- thalmological cases. A Level 2 gown would be a good choice for ton- sillectomies and adenoidectomies, endoscopic GI procedures, open hernia repair and simple orthopedic procedures during which tourni- quets are used. As the complexity, length and fluid exposure of the planned proce- dure increases — and with it increased potential for exposure to bloodborne pathogens — it would be prudent to select a gown with greater barrier capability. For example, use a Level 3 gown, which offers good fluid barrier protection, but is not considered impervious, 6 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 7 • CUFF SIZE Surgeons prefer a longer cuff that stays snug on the wrist and secures the gloves in place.

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