The indicator only informs us that the items have been exposed to a sterilant. Open up sterile supplies needed for the procedure open peel packs by checking the integrity of the package, identify there is an indicator in the package, and that the indicator has changed color. The sterile flap will be against the back sterile table drape. Bend down and marry (move) the ring stand closer to the back table and close the space between them. The next item is the ring stand that will hold the basin sets open the first flap away from you, then each side flap, and lastly, the flap closest to you. This allows less chance of someone contaminating the table and gets it out of the way. Once the back table is opened, bend down and move the table closer to the wall by grasping the lower leg of the table. This border is considered unsterile and should be avoided when tossing items onto the field another area considered unsterile is anything below table height. Once the back table cover is opened, it is important to note that an imaginary 1-inch border exists along the edges of the table. The back table allows a large surface to open all other supplies onto it during set-up and is the main sterile field. If the integrity is intact, then it is safe to proceed with placing the back table pack on the back table (this item is always opened first). There should not be any holes or tears in the outside wrappers. Before opening any supplies, all packages must be checked to ensure the integrity of the packaging materials. Place the back table, ring stand, and mayo stand in their locations before opening items. The furniture should be 12 to 18 inches from the walls or any objects that could contaminate the field. It is important to arrange the furniture before opening supplies when creating a sterile field in the operating room because of spreading microbes as you are moving around. Both of these put the patient at risk for a hospital-acquired infection (HAI). If left unattended, the risk is higher such that someone might have accidentally contaminated the field. When a sterile field is opened and exposed for a long time before the procedure, the risk is higher for the items to get contaminated from airborne microbes. Sterile fields should always be established as close as possible to the time of the procedure and should not be left unattended.
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