Infection Control Practices Policy Surgical Attire Revisions

1. Infection Control Practices Policy Surgical Attire Revisions

2. Infection Control Practices Policy Surgical Attire Revisions Upon arrival prior to assuming initial duties in the semi-restricted or restricted areas, all personnel must change into clean surgical scrub attire that is hospital issued and laundered by the facility or a facility approved laundry service • Previous policy did not specify that surgical attire must be donned upon arrival to hospital/procedural area or that scrubs must be laundered by the facility as required by the AORN Guidelines.

3. Infection Control Practices Policy Surgical Attire Revisions All healthcare personnel may wear surgical scrubs outside of the restricted or semi-restricted areas without changing upon return if the following are adhered to: • Wear a clean lab coat/cover garment over the surgical scrubs • Remain on the UCLA campus including the Medical Plaza and Neuroscience buildings • Clarification of where scrubs can be worn once donned in the restricted or semi-restricted areas was added.

4. Infection Control Practices Policy Surgical Attire Revisions All healthcare personnel must change their surgical scrubs as follows: • At least daily • Whenever they become soiled • After being involved with an infected case • After leaving the UCLA campus and returning to a restricted or semi-restricted area • After traveling between the Westwood and Santa Monica campuses and returning to a restricted or semi- restricted area • Clarification of when scrubs must be changed once donned in the restricted or semi-restricted areas was added.

5. Infection Control Practices Policy Surgical Attire Revisions Surgical attire consists of a two-piece pantsuit and hat or hood. Additional attire worn underneath should be confined. No long-sleeved shirts are permitted. • Statement added not permitting long sleeved shirts under the scrubs. AORN Guidelines require undergarments to be “contained” under the scrubs. Incorrect Correct

6. Infection Control Practices Policy Surgical Attire Revisions Personnel may wear long-sleeved jackets made of non-linting material that are approved for use in the semi-restricted or restricted areas and laundered by the facility or a facility approved laundry service. • Consistent with the AORN Guidelines.

7. Infection Control Practices Policy Surgical Attire Revisions All personal head coverings must be fully covered by the facility-approved fluid resistant disposable cap. • Consistent with the AORN Guidelines. Correct Incorrect

8. Infection Control Practices Policy Surgical Attire Revisions All backpacks and brief cases brought into the semi-restricted or restricted areas must be placed in a plastic bag and stored in a designated area off the floor. Any items needed for patient care such as cameras or computers or stethoscopes should be removed from the bag prior to the procedure and cleaned appropriately considering the manufacturer’s recommendations and guidelines, if pertinent. • Consistent with AORN Guidelines and the Standard of the Community.

9. Infection Control Practices Policy Surgical Attire Revisions It is recommended the shoes worn in semi-restricted or restricted areas have closed toes and backs, low heels, non-skid soles and not have holes or perforations. Shoe covers are mandatory for shoes that have been worn outside of the restricted areas and optional for shoes only worn within the restricted areas. • Revision bases on Senior Leadership’s recommendation.

10. Infection Control Practices Policy Surgical Attire Revisions Cuticles, hands, and forearms are free of open lesions and breaks in skin integrity (e.g. sutured lacerations, ulcers, cuts, tears, open wounds). No bandages or dressing are allowed under sterile gloves. • Policy expanded. Bandages are not allowed under sterile gloves

11. FAQ’s • What is a restricted or semi-restricted area? • Restricted areas include the operating and invasive procedure rooms and the clean cores. • Semi-restricted areas include the peripheral support areas of the surgical suite which have storage areas for clean and sterile supplies, work areas for storage and processing of instruments, and corridors leading to the restricted areas of the surgical suite. • When should I change my scrubs? • At least daily • Whenever they become soiled • After being involved with an infected case • After leaving the UCLA campus and returning to a restricted or semi-restricted area • After traveling between the Westwood and Santa Monica campuses and returning to a restricted or semi-restricted area • Can I bring my backpack/computer into the OR? • All backpacks and briefcases brought into the Operating Room must be placed in a plastic bag and stored in a designated area off the floor. Please remove any items needed for patient care (cameras, computers, stethoscopes, etc.) prior to the procedure and clean appropriately, if pertinent.

12. FAQ’s • Can I wear a long sleeve shirt under my scrubs? • You may not wear a long sleeve shirt under your scrubs. AORN guidelines require undergarments to be “contained’ under the scrubs. • Can I wear a cloth hat? • You may wear a cloth hat but it must be covered by one of the Operating Rooms fluid resistant disposable cap. • May I wear clogs? • It is recommended that the shoes worn in the Operating Room have closed toes and backs, low heels, and non-skid souls. They may not have holes or perforations. • Do I need to wear shoe covers? • Shoe covers are mandatory for shoes that have been worn outside of the restricted area and optional for shoes only worn within the restricted areas. • I have a bandage on my hand. May I scrub and glove over it? • Cuticles, hands and forearms must be free of open lesions and breaks in skin integrity. No bandages or dressings are allowed under sterile gloves.

13. FAQ’s • I work at RR. May I wear my scrubs to the Medical Plaza? • You may wear scrubs outside of the restricted or semi-restricted areas if: • You wear a clean lab coat or cover gown over your scrubs • Remain on the UCLA campus. This includes the Medical Plaza and Neuroscience Buildings. • If you travel from RR to SMH or vice versa, you must change scrubs upon entering a restricted or semi-restricted area. • Do I have to wear a cover gown when leaving a restricted area? • Yes. There is one exception: the healthcare personnel transporting patients to the ICU and immediately returning to the restricted or semi-restricted area do not need to don a cover garment. • May I wear a fleece jacket in the Operating Room? • No. Personnel may wear a long sleeve jacket that is made of non-linting material and is approved for use in the Operating Room or any other restricted and semi-restricted areas. • Am I allowed to wear personal scrubs or launder my scrubs at home? • Only the green hospital issued scrubs may be worn. You may not wear personal scrubs or home launder scrubs.