Continuing Competency: Medical/Surgical Asepsis
Competency Number
Competency: E-11 Medical/Surgical Asepsis.
Subcategory: 1 Demonstrate knowledge and
ability to differentiate between medical and
Significant Learning Experience: Example
surgical asepsis.
NFDN 2003, Unit 2: Management of Client
of one significant learning experience in
with Altered Protective Mechanisms. I learned
NFDN 2003.
from my Canadian Fundamentals of Nursing
textbook that asepsis is the absence of
pathogenic microorganisms. Aseptic technique
refers to practices that keep a patient as free
from pathogens as possible (Potter & Perry,
2014, p. 632). My learning was then
strengthened by practicing clean and sterile
technique in the lab setting with help from the
What You Learned: What was learned and
how it relates to the competency.
lab instructor.
Medical asepsis (clean technique) includes:
Hand hygiene and clean gloves to
prevent direct contact with blood or
bodily fluids;
cleaning the environment daily;
considering an object contaminated if it
becomes unsterile or unclean and;
considering an area or object is
contaminated if it contains or is
suspected of containing pathogens
CONTINUING COMPETENCY
2
(Potter & Perry, 2014, p. 632).
Surgical asepsis (sterile technique) includes:
Following the principles of surgical
asepsis:
o A sterile object only remains
sterile when touched by another
sterile object;
o only sterile objects may be
placed on the sterile field;
o a sterile object or field out of the
range of vision or an object held
below a persons waist is
contaminated;
o a sterile object or field becomes
contaminated by prolonged
exposure to air;
o when a sterile surface comes in
contact with a wet,
contaminated surface, the sterile
object or field becomes
contaminated by capillary
action;
o fluid flows in the direction of
gravity and;
o the edges of a sterile field or
container are considered to be
contaminated (Potter & Perry,
CONTINUING COMPETENCY
2014, pp. 647-648).
Performing hand hygiene as well as
Proficiency Rating: Rate the proficiency in
donning sterile gloves.
I consider my proficiency in this competency
the chosen CLPNA competency. What was
as good because I understand the theory portion
achieved in this competency?
and I can apply the skill to my lab practice, but
I have not had the actual clinical experience
with medical and surgical asepsis that is
required to rate myself as excellent.
Nursing Practice: Describe how to apply this I will apply this learning in the future when I
learning to current and future nursing
go out to clinical placement in both continuing
practice.
care and acute care settings. I believe this
learning will impact my whole future career as
a nurse because I consider asepsis to be a
foundational nursing skill.
References
Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. M., Ross-Kerr, J. C., Wood, M. J.,
Duggleby, W. (Eds.). (2014). Canadian Fundamentals of Nursing (5th ed.). Toronto, ON:
Mosby/Elsevier Canada.