If a dirty instrument is found on a sterile back table before surgery, what should be done?

If a dirty instrument is found on a sterile back table before surgery, changing the gown and gloves of the contaminated team members is essential to ensure patient safety and maintain a sterile environment. This action is critical because the presence of a dirty instrument poses a risk of infection.

By changing the gowns and gloves of any team members who may have been exposed to the contaminated instrument, you help to eliminate any potential transfer of contaminants to the surgical site. This step not only protects the patient but also upholds the strict aseptic techniques required in a perioperative setting.

In contrast, proceeding with the case without addressing the contaminated instrument could lead to serious consequences for the patient, including infection. Informing the patient of the situation and delaying surgery might not be necessary if appropriate measures are taken immediately to manage the contamination. Temporarily covering the instrument without taking additional steps does not adequately address the sanitation concerns. Therefore, the correct action emphasizes the importance of maintaining a sterile environment to prioritize patient safety.