the Mayo stand being placed into position with sufficient room between patient and
b. Position the back table and ring stand at right angles to the operating table.
The sterile circle is now complete (see Figure 3-31).
(1) Lay a towel for instruments below the fenestration in the drape and lay
two or more sponges on this towel.
(2) Place the suction tubing convenient for the surgeon.
(3) If an electrosurgical unit is used for the procedure, attach the
electrosurgical cord to the drapes with a nonperforating clamp. Ensure that ample
length is provided to reach both the incision area and the equipment before dropping
the end off the side of the table nearest the unit to which the circulating nurse will attach
the cord. A description and use of electrosurgical units is provided in Subcourse
MD0923, Introduction to the Operating Room.
a. During the preparation of the operating room and the patient for surgery, the
principles of aseptic technique must be strictly observed. Both the scrub and the
circulator must be on the alert for breaks in technique and take corrective action
immediately. Even with experienced personnel, breaks will occur and corrections must
b. One of the primary responsibilities that you have as an operating room
technician is to be continuously aware of sterile technique and take whatever action is
necessary to correct any breaks you observe.