How To Fold A Surgical Gown

Surgical gowns are essential protective barriers in medical environments, safeguarding both patients and healthcare workers from contamination. Proper folding is a critical step in maintaining their sterility and ensuring they remain ready for immediate use. Whether you're preparing gowns for an operating room, training new staff, or managing sterile storage, this guide will walk you through the best practices for folding surgical gowns efficiently and safely.

Why Proper Folding Matters

Surgical gowns are designed to meet stringent infection control standards, but their effectiveness depends on correct handling. Improper folding can lead to:

• Contamination: Creases or exposed inner layers may trap pathogens.
• Damage: Rough handling can tear seams or compromise fluid-resistant barriers.
• Inefficiency: Poorly folded gowns take longer to don in time-sensitive situations.

By following standardized techniques, you ensure compliance with guidelines from organizations like the CDC and AORN (Association of periOperative Registered Nurses), while also streamlining workflows in busy healthcare settings.

Preparing Your Workspace

Before folding, set up an environment that prioritizes cleanliness:

1. Sanitize Surfaces: Use hospital-grade disinfectants to clean tables or countertops.
2. Wear PPE: Put on gloves and a mask to prevent cross-contamination.
3. Inspect the Gown: Check for defects such as rips, loose threads, or broken ties. Discard damaged gowns immediately.

Step-by-Step Instructions for Folding a Surgical Gown

Step 1: Lay the Gown Flat

Begin by placing the gown on a clean, dry surface with the inner side facing upward. Smooth out any wrinkles to create a flat base. This step is crucial for avoiding folds that might trap particles or moisture.

Step 2: Fold the Sleeves Inward

Gently bring both sleeves toward the center of the gown, crossing them over the back panel. Ensure the cuffs align neatly and do not overlap excessively. Proper sleeve folding prevents tangling and maintains the gown's shape during storage.

Step 3: Fold Vertically from Side to Side

Fold one side of the gown toward the center, covering about two-thirds of its width. Repeat with the opposite side, creating a symmetrical overlap. This technique minimizes bulk and ensures the gown fits neatly into sterile packaging.

Step 4: Fold from Bottom to Top

Starting at the hem, fold the gown upward in sections (8–10 inches per fold). Avoid pressing too tightly, as compression can damage the fabric or reduce breathability. For disposable gowns, aim for a compact size to optimize storage space.

Step 5: Secure for Sterile Storage

Place the folded gown into a sealed sterile pouch or wrap it in autoclave-safe paper. Label the package with the date of folding and expiration to ensure proper rotation in inventory.

Common Mistakes to Avoid

• Skipping Inspection: Even minor defects can render a gown unsafe. Always check for damage before folding.
• Overlapping Contaminated Areas: Never let the outer surface of the gown touch the inner sterile layer during folding.
• Ignoring Manufacturer Instructions: Some gowns (e.g., reinforced or specialty designs) may require unique folding methods.

Tailoring Techniques to Gown Types

Disposable Surgical Gowns

Disposable gowns are designed for single use and often feature lightweight materials. Fold these tightly to save space, and prioritize pre-sealed packaging to maintain sterility until use.

Reusable Surgical Gowns

Reusable gowns, typically made of woven fabrics, require extra care. Follow facility-specific laundering protocols, and use folding methods compatible with autoclaving or steam sterilization. Always allow gowns to cool completely before storage to prevent moisture buildup.

FAQs About Surgical Gown Folding

Q: Can I refold a gown if I make a mistake?
A: Repeated folding increases contamination risks. If a gown is accidentally unfolded, discard it or resterilize it if reusable.

Q: How should folded gowns be stored?
A: Store in a cool, dry area away from direct sunlight. Stack packages vertically to avoid crushing and ensure easy access.

Q: Are there tools to speed up the folding process?
A: Some facilities use folding templates or automated machines for high-volume needs, but manual folding remains the gold standard for precision.

Enhancing Efficiency in Sterile Processing

• Color-Coding: Use labeled bins or tags to categorize gowns by size, type, or expiration date.
• Staff Training: Conduct regular workshops to reinforce proper folding techniques and infection control principles.
• Audit Compliance: Perform routine checks to ensure folded gowns meet regulatory standards.

Conclusion

Folding a surgical gown may seem simple, but it requires meticulous attention to detail to uphold sterility and functionality. By mastering these steps-preparing a clean workspace, following vertical and horizontal folding techniques, and adhering to storage protocols-you contribute to safer healthcare environments and more efficient workflows. Whether you're handling disposable or reusable gowns, consistency and compliance are key to protecting patients and staff alike.

Regularly review updates from trusted sources like the CDC or AORN to stay aligned with evolving best practices in surgical gown management.