A nurse is preparing a sterile field for a client who requires a dressing change. Which of the following actions should the nurse plan to take?
Explanation & Rationale
A. Sterile items should be dropped from approximately 15–30 cm (6–12 inches) above the sterile field to prevent contamination from the nurse’s hand or sleeve while maintaining accuracy in placement. This allows the item to land gently without touching the edges. B. The 2.5 cm (1 inch) border around the sterile field is considered contaminated. Placing items only 0.5 inch from the edge risks touching the contaminated border, so this action is incorrect. C. When pouring a sterile solution, the nurse should hold the bottle with the label facing the palm and pour the solution without crossing over the sterile field. The lip of the bottle should be above, not outside, the sterile container to prevent contamination from splashing. D. The first flap of a sterile package should always be opened away from the body to avoid contamination of the sterile field by the nurse’s uniform or hands. Opening it toward oneself is incorrect.