According to AORN RP V, what is a key requirement for maintaining a sterile field?

• A. The sterile field should be monitored constantly
• B. The sterile field can be left unattended for short periods
• C. The sterile field must be established at least an hour before surgery
• D. Cover the sterile field at all times

Answer: (A)

Maintaining a sterile field is crucial in perioperative settings to prevent surgical site infections and ensure patient safety. A key requirement is that the sterile field should be monitored constantly. This vigilance ensures that no contaminants come into contact with sterile items or areas and helps in promptly addressing any breaches in sterility. Continuous monitoring allows the surgical team to ensure that adherence to sterile techniques is maintained throughout the procedure. It facilitates immediate action if there is any violation of the sterile field, thereby protecting the integrity of the surgical environment.

Other options do not align with best practices regarding sterile fields. For instance, leaving the sterile field unattended—even for a short period—can increase the risk of contamination, while establishing the sterile field an hour beforehand does not necessarily correlate with sterility, as the field can become compromised over time without constant supervision. Additionally, while covering the sterile field may protect it from direct contamination, it does not replace the necessity of continuous monitoring for maintaining sterility.