Based on existing discussions in the online ACS
General Surgery Community, the YFA GC created
a Web-based electronic survey designed to collect
demographic information, data related to changes in
OR attire policies, and the perceived impact of these
changes. 6 To our knowledge, this study is the only
formal investigation of surgeon perceptions related
to these policy changes.
For this study, we asked the members of the YFA
to share their opinions regarding the recent policy
changes. We also asked the leadership of the YFA
GC and its three Past-Chairs to voice the opinions of
their constituents related to the recent policy changes,
in addition to performing an independent critical
appraisal of the AORN recommendations and their
scientific validity. We then compared the constituent
opinions of the YFA GC members with those of the YFA
membership at large. The survey also contained open-ended questions to enable collection of qualitative data.
A limited version of the survey was posted online in
the YFA Community, which at the time of the survey
had 5,736 subscribers. Two reminder messages were
posted on the Communities page, and the survey
remained open for comment for two weeks.
In addition to completing the survey, members
of the YFA GC were tasked with expressing the
global viewpoint of their constituency after carefully reviewing the AORN guidelines to appraise
their content. They also were asked to interview leaders in their perioperative services departments to
determine the key factors that led to recent changes
in OR attire policy.
YFA member responses
A total of 317 YFA members completed the survey.
Respondents were from a mix of all surgical specialties; the highest response rate was from general
surgeons ( 26. 9 percent), followed by colon and rectal
( 10. 4 percent), trauma ( 7. 6 percent), plastic ( 6. 3 percent),
PARTIAL LIST OF
AORN RECOMMENDATIONS FOR OR ATTIRE
• Head, hair, ears, facial hair, and nape of
neck should be covered when entering the
semi-restricted and restricted areas.
• Nondisposable head coverings should be
covered with a disposable head cover.
• Nondisposable head coverings should be laundered
in a health care-accredited laundry facility.
• Arms should be covered with long-sleeved
jacket in semi-restricted areas.
• Scrub attire should be worn that covers
arms when prepping the patient or when
preparing and packaging sterile items in the
clean assembly area of sterile processing.
• Jewelry that cannot be contained or confined
within the scrub attire should not be worn
in the semi-restricted or restricted areas.