AORN J. 2020 Apr;111(4):425-439. doi: 10.1002/aorn.12991.
Surgical attire provides a barrier to microorganisms shed from health care workers' skin and hair to help protect patients and promote a clean environment. The AORN "Guideline for surgical attire" includes recommendations for selecting, wearing, and cleaning surgical attire that are based on the highest-quality evidence available. Recommendations are rated as Regulatory Requirement, Recommendation, Conditional Recommendation, or No Recommendation according to the level of evidence, an assessment of the benefits versus harms of implementing specific interventions, and consideration of resources required to implement the interventions. This article discusses guideline recommendations related to laundering surgical attire, wearing long-sleeved attire, and wearing head coverings. A scenario provides an example in which an interdisciplinary facility team uses a gap analysis and a risk assessment to prioritize process changes for implementing the guideline. Perioperative personnel should review the entire guideline for additional information and for guidance when creating and updating policies and procedures.
手术服为医护人员皮肤和毛发脱落的微生物提供了一道屏障，有助于保护患者并营造清洁的环境。AORN《手术服指南》包含了有关选择、穿着和清洁手术服的建议，这些建议基于现有最高质量的证据。根据证据水平、实施具体干预措施的效益与危害评估，以及实施干预措施所需资源的考虑，建议被评定为法规要求、推荐、有条件推荐或无推荐。本文讨论了与洗涤手术服、穿着长袖服装和戴头饰相关的指南建议。一个场景提供了一个例子，说明一个跨学科的设施团队如何使用差距分析和风险评估来确定实施该指南的优先流程变更。围手术期人员应查看整个指南以获取更多信息，并在制定和更新政策和程序时获得指导。
