How to wear disposable surgical gowns correctly

How to Properly Wear a Disposable Surgical Gown

Properly wearing a disposable surgical gown is essential for maintaining a sterile surgical environment and preventing cross-contamination. Follow these steps carefully:  

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Pre-Wearing Preparation
1. Personal Preparation
   - Perform thorough hand washing and surgical scrubbing.  
   - Wear a surgical mask, cap (ensuring full hair coverage), and eye protection if needed.  

2. Inspect the Gown 
   - Check that the packaging is intact, within expiry date, and free from damage or contamination.  
   - Select the correct size (too large may hinder movement; too small may tear easily).  

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Step-by-Step Wearing Procedure 
Self-Assisted (No Helper Available)
1. Open the Package
   - Open the sterile packaging on a clean surface without touching the outer surface (sterile side is folded inward).  

2. Hold the Gown
   - Grasp the inner side of the collar and gently shake it open, allowing the gown to hang freely (avoid touching the floor or non-sterile objects).  

3. Insert Arms
   - Slide both arms into the sleeves simultaneously, keeping hands inside the cuffs (the cuffs may later be folded over gloves).  

4. Secure Neck and Waist Ties
   - Have a circulating nurse tie the neck strap from behind (if alone, slightly bend forward to prevent contamination and tie it yourself).  
   - Ensure full coverage of the neck and back with no skin exposure.  

5. Fasten the Waistband
   - Hand the waist ties to an assistant for securing, or tie them in front (adjust for comfort and mobility).  

With an Assistant
   - The assistant (sterile) holds the gown by the inner shoulder area while the surgeon dons it, then ties the straps.  

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Key Considerations
1. Sterility Maintenance
   - The sterile zones of the gown are the front (chest to waist) and sleeves up to the elbows. The back, neckline, and below the waist are considered non-sterile.  
   - Avoid touching non-sterile surfaces after gowning; replace immediately if contamination occurs.  

2. Glove Compatibility
   - Gloves should cover the cuffs (open cuffs are tucked under gloves; elastic cuffs are covered by gloves).  

3. Removal Process 
   - After surgery, remove the gown by rolling it inside out, avoiding contact with the contaminated outer layer, and dispose of it in medical waste.  

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Common Mistakes
- Extending hands out of cuffs too early, leading to contamination.  
- Raising arms too high and touching non-sterile areas.  
- Loose ties, causing gown displacement during surgery.  

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Proper surgical gowning is fundamental to operating room safety, and regular practice and strict adherence to aseptic techniques are crucial.