Certified Medical Assistant (CMA AAMA)Safety and Infection ControlHard

A medical assistant is observing a colleague preparing a sterile tray. The colleague accidentally touches the sterile field with their bare hand. What is the immediate and most appropriate action the medical assistant should take?

  1. AContinue observing and report the incident later.
  2. BImmediately inform the colleague that the field is contaminated and must be re-established.
  3. COffer to help by providing a new pair of sterile gloves.
  4. DQuietly replace the contaminated items on the tray.
Show answer & explanation

Correct answer: B. Immediately inform the colleague that the field is contaminated and must be re-established.

Any breach in sterile technique, such as touching a sterile field with a bare hand, immediately renders the entire field contaminated. The most appropriate and critical action is to stop the procedure, declare the field contaminated, and immediately re-establish a new sterile field to prevent patient infection.

Why the other options are wrong

  • A. Delaying action risks patient safety.
  • C. New gloves won't fix a contaminated field; a new field is needed.
  • D. Replacing only a few items is insufficient; the entire field is compromised.

Breach of Sterile Technique

Any event that compromises the integrity of a sterile field or sterile items, rendering them non-sterile.

  • Requires immediate action.
  • Contamination means the entire field is non-sterile.
  • A new sterile field must be established.

Memory trick: Touch it, Trash it, Redo it!

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