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Sterile gowns are worn in the operating room and the delivery room and whenever open wounds are present which necessitate a sterile technique, e.g. to attend to patient with burns


  • Put on the head cap and mask first
  • Scrub hand thoroughly
  • Dry the hands with sterile towel
  • Pick up the gown by grasping the folded gown at the neck. Stand well back about one foot from the sterile bundle and the table
  • Unfold it by keeping the gown away from the body do not shake the gown
  • Hold the gown at the shoulder (inside) and put each hand alternately into the arm holes
  • Extend the arms and hold hands upward at the shoulder height
  • The circulating nurse than assist her in pulling the sleeves by working from behind and holding the gown from the inside
  • The gown is then fastened at the neck by the circulating nurse and the open edges are the folded or held together
  • The waist ties are then fastened by the circulating nurse from behind

Surgical gowning is a process that healthcare professionals follow to put on a sterile surgical gown as part of the preparation for entering an operating room or engaging in a sterile procedure. The purpose of surgical gowning is to maintain aseptic conditions and prevent the introduction of contaminants into the sterile field. Here is a general guide for surgical gowning:

Surgical Gowning Steps:

1. Perform Hand Hygiene:

  • Wash hands thoroughly with soap and water or use an alcohol-based hand sanitizer before starting the gowning process.

2. Select a Sterile Gown:

  • Choose a sterile surgical gown appropriate for the specific procedure. Gowns are typically packaged in a way that allows for aseptic opening.

3. Inspect the Gown:

  • Examine the gown for any visible damage or defects. If the gown is compromised in any way, do not use it, and obtain a replacement.

4. Open the Gown Package:

  • Open the gown package aseptically. Be cautious not to touch the inside of the gown with bare hands.

5. Allow the Gown to Unfold:

  • Allow the gown to unfold without touching its inside surfaces. The outside of the gown is considered sterile.

6. Insert Arms into Sleeves:

  • Slip your arms through the sleeves of the gown without touching the outer surface. Keep your hands and wrists within the gown sleeves.

7. Secure Gown at Neck:

  • If the gown has a hook-and-loop or tie closure system, secure the gown at the neck, making sure it covers the front of the neck area.

8. Ask for Assistance If Needed:

  • If assistance is available, ask a colleague to secure the gown at the back, ensuring a snug fit without any exposed skin.

9. Secure Gown at the Back:

  • Secure the gown at the back using the ties or closures provided. The back of the gown should be covered entirely.

10. Allow Colleagues to Assist: – If additional assistance is needed to secure the gown, colleagues may help without compromising the sterility of the gown.

11. Maintain Sterile Field: – Be mindful of maintaining the sterile field throughout the gowning process. Avoid touching non-sterile surfaces or reaching behind you.

12. Don Sterile Gloves: – After gowning, proceed to don sterile gloves. The gloves should be put on over the cuffs of the gown sleeves.

13. Perform a Sterile Gowning Check: – Perform a final check to ensure that the gown is secure, covers all necessary areas, and is free of visible defects.

14. Enter Sterile Area: – Once properly gowned and gloved, enter the sterile field or operating room without touching non-sterile surfaces.

Surgical Gowning - Nursing Procedure
Surgical Gowning – Nursing Procedure


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